What are therapeutic issues for counselors?
Chapter 4—Therapeutic Issues for Counselors - Substance Abuse Treatment for Persons with Child Abuse and Neglect Issues - NCBI Bookshelf Alcohol and drug counselors, along with other mental health professionals, face a number of challenges and special issues when working with people who have suffered abuse or neglect as children.
What are the ethical issues in the practice of Medicine?
Incidental findings were another source of ethical problems that left the physician alone with the decision what to do. In one case, an incidental finding initiated by a specialist unsettled the patient so much that the GP had the problem of deciding whether to conduct more diagnostics or not. Conflicting expectations
What are the challenges of being a drug and alcohol addiction therapist?
Client relationships often prove to be the most brutal of challenges. It’s the cornerstone of what you do. Every day, you work one-on-one and with groups of people who battle substance abuse and/or addiction. You see the ugliness of drug and alcohol abuse, and you take a front row seat to your clients’ lives.
Why is it important that treatment be appropriate?
It is also important that treatment be appropriate to the individual’s age, gender, ethnicity, and culture. Remaining in treatment for an adequate period of time is critical. The appropriate duration for an individual depends on the type and degree of the patient’s problems and needs.
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 are the principles of effective treatment?
To be effective, treatment must address the individual's drug abuse and any associated medical, psychological, social, vocational, and legal problems. It is also important that treatment be appropriate to the individual's age, gender, ethnicity, and culture.
What are the three elements of a substance abuse program?
Goals and Effectiveness of TreatmentReducing substance abuse or achieving a substance-free life.Maximizing multiple aspects of life functioning.Preventing or reducing the frequency and severity of relapse.
How does culture affect substance abuse treatment?
Culture is important in substance abuse treatment because clients' experiences of culture precede and influence their clinical experience. Treatment setting, coping styles, social supports, stigma attached to substance use disorders, even whether an individual seeks help—all are influenced by a client's culture.
How many principles of effective treatment are there?
The Principles of Effective Addiction Treatment Here are 13 principles of addiction treatment that have been crucial to the success of the process. No single treatment is appropriate for all individuals – Individual problems require individual solutions.
How do risk and protective factors influence drug abuse?
Risk factors can increase a person's chances for drug abuse, while protective factors can reduce the risk. Please note, however, that most individuals at risk for drug abuse do not start using drugs or become addicted. Also, a risk factor for one person may not be for another.
What are the main causes of drug abuse?
Risk factorsFamily history of addiction. Drug addiction is more common in some families and likely involves genetic predisposition. ... Mental health disorder. ... Peer pressure. ... Lack of family involvement. ... Early use. ... Taking a highly addictive drug.
What are the four components of the treatment plan?
There are four necessary steps to creating an appropriate substance abuse treatment plan: identifying the problem statements, creating goals, defining objectives to reach those goals, and establishing interventions.
Why does a professional supervise drug replacement therapies?
It's also important for a professional to ensure that the patient isn't continuing to abuse the substance they are dependent upon. If this occurs during the process of drug replacement therapy, then the individual is at an increased risk of developing long-term health complications, or even of a fatal overdose.
What sociocultural factors influence drug use abuse and treatment?
The following are five socio-cultural factors that put people at risk for addiction.The Bonding Experience. Especially among contemporary youths, many individuals struggle to relate to peers. ... Relief from Stress. ... Sense of Community. ... The Allure of Rebelling. ... Lifestyle Appeal.
How does culture affect mental health and substance use?
Culture is related to mental health and substance use on several different levels. First, community members from different ethnic or cultural groups may have a higher risk of mental health or substance use problems because they may experience a greater number of stressors, such as discrimination and isolation.
What is culturally specific treatment?
Culturally specific treatment programs help people of color achieve, maintain sobriety. Such programs often have higher success rates with members of minority populations, who frequently struggle to reach and maintain sobriety using traditional treatment programs.
How do therapists violate boundaries?
Therapists also violate boundaries by allowing sessions to go long and oversharing personal information. Failing to attend to nonverbal cues is another area related to boundaries, as clients have reported a therapist’s body language as important for early therapeutic alliance building (Bedi, 2006).
What is an unprofessional therapist?
Unprofessional therapist behavior represents a grave mistake with the potential to undermine the goals of therapy. In many ways, professionalism in the therapeutic setting is much the same as that in other types of jobs. For example, counselors are expected to be on time, well groomed, and appropriately dressed.
How does quality counseling work?
Quality counseling means that the therapist does not make the mistake of jumping in too quickly, but instead, builds rapport early on, taking adequate time to establish trust.
Why is checking in with a client important?
By checking in regularly with the client, the counselor is better able to avoid making assumptions and thus to develop a counseling strategy that is consistent with the client’s needs and expectations.
Why is counseling important?
With its widespread use, it is imperative that counseling is performed based on research-supported methods that promote positive client adjustment. Researchers have identified some key behaviors ...
Why is trust diminished in therapy?
Trust is diminished when therapists are unable to relate to or empathize with a client’s acculturation challenges. While it may be optimal for clients to be matched with counselors in terms of ethnic background, this is not always feasible. However, counselors convey respect by educating themselves in terms of the history and culture of their clients and using methods that enhance multicultural sensitivity.
What should a counselor discuss before initiating therapy?
Along with providing clients with easy access to such information, a discussion regarding the counselor’s background and treatment approach should occur before initiating therapy. By taking these steps, the counselor is in a better position to avoid the mistake of poor client–counselor fit.
Can doctors and nurses be addicted to opiods?
Doctors And Nurses Addicted To Opioids Often Kept From 'Gold Standard' Treatment : Shots - Health News Doctors and nurses are often barred from turning to FDA -approved medications that research shows to be the most effective way to quit. Critics of that policy say stigma is undermining best practice.
Do PHPs refer to medication?
Sarah Wakeman of Harvard and the Massachusetts General Hospital Substance Use Disorder Initiative, says most PHPs don't refer patients to addiction programs that include medication as part of their treatment. And that's a problem, she says.
What are the don'ts of a client?
Let’s start with the don’ts: Don’t get involved with a member of a client’s immediate family. Don’t nurture dual relationships that could impair your judgment or increase the risk of exploitation. Don’t become sexually active or come into sexual contact with a client.
What does a code of ethics do?
What exactly does a code of ethics do? It helps protect public health, safety, and welfare. It gives substance abuse professionals a guide to conducting themselves in the best possible professional manner. It establishes clear boundaries and helps eliminate problematic gray areas.
Can you misuse a professional relationship?
Don’t mis use the professional relationship you build for financial, or any other type of personal gain.
What is the term for a patient's unconscious attempts to block the process of revealing repressed memories and?
repressed. In psychoanalysis, the term resistance refers to the: patient's unconscious attempts to block the process of revealing repressed memories and conflicts. Who is most likely to have said: "The resistance accompanies the treatment step by step.
Who outlined the psychoanalytic principles of psychoanalysis?
incorporates psychoanalytic principles as outlined by Sigmund Freud.
Why was Jennie's husband hospitalized?
Jennie's husband was hospitalized and treated with antipsychotic medications for his symptoms of schizophrenia. Because she was worried about his symptoms, Jennie confronted the psychiatrist who was treating her husband. "This is completely unacceptable," she said. "My husband shuffles around this ward like he is a zombie.
What is Anne's treatment program?
As part of her treatment for an eating disorder, Anne's psychologist designs a treatment program that involves monitoring Anne's thoughts about food and her weight and recording her eating behavior and weight-control techniques.
What is Gary's technique called?
trained Gary in a technique called progressive relaxation.
Who is Steve's therapist?
Steve's therapist Dr. Royce is a client-centered therapist. During therapy sessions, he actively listens to Steve's words and often responds by reflecting back both the content and personal meaning of what Steve seems to be saying. Steve's therapist is: communicating empathic understanding.
Is psychotherapy long lasting?
The gains that people make as a result of psychotherapy, including brief forms of psychotherapy, tend to be long lasting.
What does it mean to unconsciously respond to a therapist?
A) patient unconsciously responding to the therapist as though the therapist were a significant person in the patient's life.
What was Gary's first step in systematic desensitization?
As the first step in the process of systematic desensitization, the clinical psychologist: A) instructed Gary to visualize being on an airplane that developed engine trouble and had to make an emergency crash landing.
Where is C no longer practiced?
C) are no longer practiced except in European countries.
Who is Steve's therapist?
Steve's therapist Dr. Royce is a client-centered therapist. During therapy sessions, he actively listens to Steve's words and often responds by reflecting back both the content and personal meaning of what Steve seems to be saying. Steve's therapist is:
Can Zimmerman prescribe psychoactive medications?
A) Neither Dr. Zimmerman nor Dr. Jenkins can prescribe psychoactive medications, but because Dr. Jenkins is a licensed psychologist he can admit patients to the hospital for electroconvulsive treatment for psychological disorders.
What are the biggest issues facing physical therapists in 2020?
Let’s explore the seven biggest issues facing physical therapists in 2020 and how to solve them: 1. Cleanliness . Cleanliness has been a massive focus for physical therapists opening their doors. Keeping clean is the first step when maintaining patient and PT safety.
Why are physical therapy clinics reducing staffing?
Physical therapy clinics in some regions of the country are reducing staffing due to lack of patients, state laws, and difficulty meeting CDC guidelines. But others are opening back up and need all hands on deck. For this reason, in-home therapy can be an option for physical therapists.
What are the guidelines for outpatient physical therapy?
According to the CDC, These five standard guidelines must be met for outpatient physical therapy to operate safely: Hand hygiene. Use of personal protective equipment. Safe injection practices. Secure handling of potentially contaminated equipment or surfaces in the patient environment.
What is a SOP in physical therapy?
SOP. Physical therapists have changed their standard operating procedures (SOP) due to these unprecedented times. Every aspect of your practice must be analyzed, including facility demographics, infection control infrastructure, facility practices, and infection control guidelines.
How much is a HIPAA violation for a physical therapist?
Staying HIPAA compliant. HIPAA violations can be a severe offense for physical therapists, some resulting in fines up to $50,000 and imprisonment. The Office for Civil Rights has received over 233,581 complaints from April 2003- April 2020. The most significant compliance issues occurred in the following order:
How to retain top PT talent?
Building a solid customer base, engaging with prior patients, and retaining top PT talent revolves around marketing on the right platforms, at the right time, to the right audience. These methods include marketing your practice to physicians, along with prospective patients using tools such as:
Should a physical therapist adjust their SOP?
Physical therapists should study these guidelines and adjust their SOP to reflect these changes. Minor changes in your practice’s daily routine can cover the majority of these recommendations – keeping your staff and patients safe.
