Many complex reasons account for the difficulties patients present in treatment. Some problems are outside a therapist’s control—for example, a patient may not be able to come to treatment frequently enough due to financial constraints, or a patient’s environment may be so deleterious that psychotherapy is of limited utility to him or her. But most problems are within, or at least partially within, a therapist’s control. Difficulties may arise because of patients’ distorted beliefs (e.g., “If I get better, my life will get worse”) and/or because of therapist error (e.g., using a stan-dard treatment for depression with a patient who is actually suffering from another disorder).
Full Answer
What are some common therapy issues?
Common Therapy Issues. People pursue counseling and therapy for a variety of reasons. Some may enter therapy to address major life changes, such as divorce, and others may seek help in managing mental health conditions, like depression. There's a common misconception that people who go to therapy are "crazy," when in fact,...
Why do people in need of treatment struggle to receive effective treatment?
However, despite this increased awareness, all mental health issues face a common challenge: Individuals in need of treatment often struggle to receive timely treatment and effective treatment. Most individuals who need mental health services either do not or cannot access appropriate treatment. 1 The reasons for this are multifaceted and complex.
What are the therapeutic issues for counselors in Chapter 4?
Chapter 4—Therapeutic Issues for Counselors. In this Page Transference, Countertransference, and Secondary Traumatization Establishing the Treatment Frame and Special Issues Responsibility of the Agency To Support the Counselor Other titles in these collections SAMHSA/CSAT Treatment Improvement Protocols
Is treatment necessary for recovery?
Realizing treatment is necessary for recovery is a turning point in many lives. A 1996 study published in the Journal of Studies on Alcohol found that people who did seek treatment cited feeling as if they couldn’t solve the problem on their own as a key incentive for seeking help.
What are the different treatment types?
This article will provide an overview of the different types of therapy available.Cognitive-behavioral therapy. ... Dialectical behavior therapy. ... Eye movement desensitization and reprocessing therapy. ... Exposure therapy. ... Interpersonal therapy. ... Mentalization-based therapy. ... Psychodynamic therapy. ... Animal-assisted therapy.More items...•
What are 3 different forms of treatment?
A Guide to Different Types of TherapyPsychodynamic.Behavioral.CBT.Humanistic.Choosing.
What are the four stages of treatment?
Various models exist describing the overall phases of treatment, but most have elements in common. The National Institute on Drug Abuse (NIDA) describes four stages of treatment: initiation, early abstinence, maintenance of abstinence, and advanced recovery.
What are the two main types of treatment?
Cognitive-behavioral therapy (CBT) and interpersonal therapy (IPT) are the two main types of psychotherapy. With CBT, people learn new ways to think and behave. With IPT, people learn how to work on personal relationships that may be partially responsible for their depression.
What are the 5 therapy methods?
Types of TherapyAccelerated Experiential Dynamic Psychotherapy (AEDP)Acceptance and Commitment Therapy.Adlerian Therapy.Animal-Assisted Therapy.Applied Behavior Analysis.Attachment-Based Therapy.Bibliotherapy.Brain Stimulation Therapy.More items...
What are the barriers to getting treatment?
What Are Common Barriers to Treatment ProgressFear.Unclear communication between a therapist and client.Severe symptoms.Substance use.Distractions.
What is the first stage of treatment?
In the early stage of treatment, clients may be in the precontemplation, contemplation, preparation, or early action stage of change, depending on the nature of the group. Regardless of their stage in early recovery, clients tend to be ambivalent about ending substance use.
What is the treatment model?
The model proposes that the manner in which an individual views, appraises, or perceives events around himself/ herself is what dictates their subsequent emotional responses and behavioral choices.
What are the stages of treatment in counseling?
Developed from the Trans-theoretical Model of Change1, the Stage of Change model includes five stages: pre-contemplation, contemplation, preparation, action, and maintenance.
What are the 4 major types of psychological therapies?
To help you get familiar with the different therapeutic approaches, here's a quick guide to four of the most widely-practiced forms.Cognitive Behavioral Therapy (CBT)Psychodynamic Therapy.Dialectical Behavior Therapy (DBT)Humanistic/Experiential Therapy.
How many different types of therapy are there?
Types of Therapy and How They Work. The American Psychological Association (APA) recognizes five different approaches to counseling: psychoanalysis, behavioral therapy, cognitive therapy, humanistic therapy and integrative or holistic therapy.
What are the different types of mental health therapy?
Popular Types of PsychotherapyCognitive Behavioral Therapy. ... Dialectical Behavior Therapy (DBT) ... Eye Movement Desensitization and Reprocessing Therapy (EMDR) ... Exposure Therapy. ... Interpersonal Therapy. ... Mentalization-based Therapy. ... Psychodynamic Psychotherapy. ... Therapy Pets.
What is the purpose of a two part questionnaire?
The first part included information related to patient socio-demographic characteristics (i.e. age, gender, and marital status), personal characteristics (i.e. residential status and smoking) and stroke-related complications, such as the presence of dysphasia, visual problems and the ability to perform activities of daily living without any help.
What is the role of pharmacists in stroke care?
Pharmacists' unique knowledge of pharmacology, pharmacokinetics and drug interactions makes them well-suited to assist stroke patients in maintaining a safe and effective use of medications with narrow margin of safety and with complex pharmacology and pharmacokinetics, such as anticoagulants ( Lakshmi et al., 2013 ).
How is ethical approval obtained?
Ethical approval for the study was obtained from each ethical committee at the selected hospitals before conducting the study. A written informed consent was obtained from all patients after they were fully informed of the study purpose and objectives. All patients were assigned a code number to ensure confidentiality.
Overview
The unique characteristics of prisons have important implications for treating clients in this setting. Though by no means exhaustive, this chapter highlights the most salient issues affecting the delivery of effective treatment to a variety of populations within the prison system.
Description of the Population
Prisons differ from jails in that inmates generally are serving longer periods of time (1 year or longer) and the offenders have often committed serious or repeated crimes. Prisons and jails both vary in size, but prisons are unique in that they are separated by function and inmate classification. Types of prisons include
Treatment Services in Prisons
The need for prison-based substance abuse treatment is profound. Lo and Stephens (2000) examined treatment needs of Ohio offenders entering the State prison system. More than half were dependent on at least one substance, and 10 percent were dependent on at least two. Treatment for cocaine and marijuana dependence was most urgently needed.
Key Issues Affecting Treatment in Prison Settings
Incarcerated prisoners are marked by considerable diversity, yet they share a common experience of incarceration. Prisons can be violent, harsh, psychologically damaging environments; incarcerated people live in an environment that is both depersonalizing and dehumanizing.
What Treatment Services Can Reasonably Be Provided in the Prison Setting?
Because the prison population tends to be incarcerated for longer periods than jail inmates, treatment possibilities in a prison setting are more extensive, depending on funding and other factors. Counselors and prison administrators may establish programs that are long term and comprehensive.
In-Prison Therapeutic Communities
Offshoots of the mental health and self-help approaches, TCs are among the most successful in-prison treatment programs. Because of the intensity of treatment, TCs are preferable for the placement of offenders who are assessed as substance dependent.
Specific Populations in Prisons
Despite the high incidence of co-occurring mental and substance use disorders, few programs for inmates with co-occurring mental and substance use disorders currently operate in prisons.
What are the issues that can be treated in therapy?
These are some of the issues commonly treated in therapy: A. ADHD / Inattention, Impulsivity, and Hyperactivity. Abandonment.
Why do people go to therapy?
Some may enter therapy to address major life changes, such as divorce, and others may seek help in managing mental health conditions, like depression. There's a common misconception that people who go to therapy are "crazy," when in fact, most therapy clients are ordinary people ...
Why do people seek counseling?
Many people seek counseling because they have identified specific goals or issues that they wish to work on. Others may be encouraged by family, friends, or medical professionals to seek help, and in some cases, a person may be mandated to attend therapy as part of a court ruling or by a parent or guardian (if the person is a minor).
What are the reasons for avoiding treatment?
Decades of research supports common themes for avoiding treatment: cost, denial, stigma, work and lack of awareness or knowledge. Psychological characteristics, lifestyles and environmental factors all contribute to the excuses.
What is the most common response to substance use disorder?
“I don’t have a problem” might be the most common response people with substance use disorders give for not attending rehab. The other might be “I can quit on my own.”
Why do people with substance use disorders fear judgement?
People with substance use disorders fear the judgment of society, friends and loved ones because addiction has become stigmatized. A 2014 Johns Hopkins study found Americans are more likely to have negative opinions of people with substance use disorders than other mental illnesses.
Why are people reluctant to seek treatment for substance abuse?
People may be reluctant to seek addiction treatment because of high treatment costs and low accessibility, denial of their substance use disorder, societal stigma and time constraints. The vast majority of people who need treatment for substance use disorders do not seek it.
How do rehab facilities determine their cost?
Many rehab centers also determine cost based on a sliding scale determined by the patient’s income. Other centers receive funding from the government to lower the cost of rehab.
Why did people not seek help in 2014?
According to the 2014 National Survey on Drug Use and Health, the most common reasons people who needed treatment did not seek help from 2011 to 2014 were: 39 percent could not afford it or did not have health insurance. 29 percent were not ready to stop using drugs.
Does insurance cover substance use disorders?
In the past, insurance plans didn’t have to cover treatment for substance use disorders. However, the Affordable Care Act now requires insurance plans to cover mental health disorders, including substance use disorders. The system isn’t perfect, though.
What is the next task after you've identified a symptom?
After you've identified a symptom, such as a sad or depressed mood, your next task is to explore it in greater depth. A client's reported depressed mood may represent nothing more than a single symptom (e.g., sadness) caused by the natural ups and downs of life.
What does affect mean in therapy?
as a way of determining what concrete behaviors the client might like to increase or decrease through therapy. A: Affect. Lazarus's definition of affect includes feelings, moods, and other self-reported and self-described emotions.
What does it mean when an interviewer helps a client make a problem/goal list?
Usually, when an interviewer begins helping a client make a problem/goal list, it signals a transition from general nondirective listening to specific identification and prioritization of emotional and behavioral problems and goals. Transitioning from client free expression to more structured interactions has a dual purpose.
What is problem exploration?
During problem exploration, interviewers help clients identify their problems or concerns. This process is truly exploratory; interviewers listen closely to problems that clients discuss, paraphrase or summarize what problems have been identified, and inquire about the existence of any other significant concerns.
What is problemtalk in an intake interview?
They usually use problemtalk (verbal descriptions of what's wrong) to express concerns about their lives. Consequently, after the initial 5 to 15 minutes of an intake interview, it's the interviewer's job to begin establishing a list of primary problems and goals identified by the client. Usually, when an interviewer begins helping a client make ...
Why do interviewers have to choose which problem receives the most attention during an intake?
Because all problems cannot be addressed simultaneously, interviewer and client must choose together which problem or problems receive most attention during an intake. Interviewer: "I guess so far we could summarize your major concerns as your depressed mood, anxiety over your career, and shyness.
