Psychotherapeutic Approaches to Group Therapy for AddictionWhen selecting a psychotherapeutic approach for a client, you must consider the unique needs and characteristics of that particular client. The same is true when selecting a psychotherapeutic approach for groups. Not every approach is appropriate for every group, and the group’s unique needs and characteristics must be considered. For this Assignment, you examine psychotherapeutic approaches to group therapy for addiction.Learning ObjectivesStudents will:· Evaluate psychotherapeutic approaches to group therapy for addictionTo prepare:· Review this week’s Learning Resources and reflect on the insights they provide on group therapy for addiction.· View the media, Levy Family: Sessions 1-7, and consider the psychotherapeutic approaches being used.The AssignmentIn a 2- to 3-page paper, address the following:· Identify the psychotherapeutic approach that the group facilitator is using and explain why she might be using this approach ( clue, CBT- Exposure therapy, breathing exercise,listerning, PTSD)· Determine whether or not you would use the same psychotherapeutic approach if you were the counselor facilitating this group and justify your decision.· Identify an alternative approach to group therapy for addiction and explain why it is an appropriate option.· Support your position with evidence-based literature.Note: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The sample paper provided by the Walden Writing Center provides examples of those required elements (available at http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting.Required Readings( Need 3 references)American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author.Standard 6 “Evaluation” (pages 65-66)American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.Gamble, J., & O’ Lawrence, H. (2016). An overview of the efficacy of the 12-step group therapy for substance abuse treatment. Journal of Health & Human Services Administration, 39(1), 142-160. Kim, J. W., Choi, Y. S., Shin, K. C., Kim, O. H., Lee, D. Y., Jung, M. H., … Choi, I. (2012). The effectiveness of continuing group psychotherapy for outpatients with alcohol dependence: 77-month outcomes. Alcoholism: Clinical & Experimental Research, 36(4), 686–692. doi:10.1111/j.1530-0277.2011.01643.xWheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice. New York, NY: Springer.Chapter 16, “Psychotherapeutic Approaches for Addictions and Related Disorders” (pp. 565–596)Yalom, I. D., & Leszcz, M. (2005). The theory and practice of group psychotherapy (5th ed.). New York, NY: Basic Books.Chapter 13, “Problem Group Members” (pp. 391–427)Document: Group Therapy Progress NoteRequired MediaAllyn & Bacon (Producer). (2000). Motivational interviewing [Video file]. Mill Valley, CA: Psychotherapy.net.The approximate length of this media pice is 102 minutes.Laureate Education (Producer). (2013d). Levy family: Sessions 1-7 [Video file]. Baltimore, MD; Author.Psychotherapy.net (Producer). (2015). Group therapy for addictions: An interpersonal relapse prevention approach [Video file]. Mill Valley, CA: Author.Optional ResourcesPsychotherapy.net (Producer). (2000a). Cognitive therapy for addictions [Video file]. Mill Valley, CA: Author.
Psychotherapeutic Approaches to Group Therapy for Addiction When selecting a psychotherapeutic approach for a client, you must consider the unique needs and characteristics of that particular client.
Running head: LEVY’S CASE 0 Addictive disorders Addictive disorder Addictive disorders are very common with veterans. The disorders can negatively affect the patient both psychologically and emotionally thus making it difficult for them to concentrate on daily life activities. In the case presented, Mr. levy appears to be addicted to alcohol to cover his pain. The PMHNP should be able to assess and come up with a diagnosis and treatment plan that help alleviate symptoms. Episode one Mr. Levi perceives his problem as being just sick. He turns out to be confrontational and aggressive when his wife enquires about his behavior. Mr. Levi blames his alcohol problem on things that happened to him in Iraq when he was in the military. Must people suffering from PTSD have alcohol issues and this can lead to relationship and economic hardship (Bisson & Robert 2015). Episode two Mr. Levy’s social worker argues that some physical exercises, one of them being yoga and meditation can work significantly in relieving stress. The supervisor suggests that this should not be at the forefront of the treatment plan. Creating a rapport with the client before any treatment is vital (MacKillop, Kenna, Leggio, & Ray, 2017). The supervisor seeks to know evidence for the use of Yoga which I support because it can be useful too but not at initial visit. Client with PTSD and alcohol will benefit from cognitive behavioral therapy initially according to research (Bisson & Robert 2015). This will help the client gain more control of his thoughts and not be so afraid like Mr. Levi in this case. Episode three In my opinion, the therapist’s supportive listening is therapeutic and gives the client more opportunities to open up about his traumatic experience. Teaching and walking the client through deep breathing and exposure therapy proved to be effective in helping this client overcome the fears of his own thoughts. The therapist’s compassionate and calm approach allowed the client to learn appropriate breathing techniques to relive anxiety. (“Levy family – Assessing Clients with Addictive Disorders,” 2017). Breathing deep removes carbon dioxide from the blood and allows more oxygen to the brain (Bisson & Robert, 2015). The use of exposure therapy by Mr. Levi’s therapist was appropriate. Prolonged exposure (PE) can dramatically reduce symptoms of PTSD. With some patients the result could be rapid but with others it could be slow (Brown et al., 2019). Mr. Levi was seen already getting more comfortable narrating his experience with no distress meaning PE is working for him and I will recommend continuing use. Episode four Client has been open to treatment and able to express the loss of his sergeant and effect of the trauma of having sleepless nights and flashbacks. I will empathize and acknowledge his pain while encouraging continuous practice of deep breathing whenever he feels scared. I am also going to recommend pharmacological treatment for sleep and anxiety short term in collaboration with CBT, (Acosta, 2019). I will also provide necessary education for prescribed medications and their side effect so the client can know what to expect. Episode five If I was the supervisor to this therapist, I will think that her anxiety was substantial although there can be a chance of counter-transference on the part of the therapist( Hayes et al. 2011), self-knowledge, combination, uneasiness , sympathy, and conceptualizing capacity are characteristics of an acceptable therapist. Conclusion The first client encounter set the tone for what is going happen in the future. Creating a rapport with the patient on first meeting helps the patient feel comfortable and willing to share information leading to treatment compliance. References Acosta, R. S. (2019). Common Sense Psycotherapy: In a World Lacking Common Sense. Bisson, J. I., Cosgrove, S., Lewis, C., & Roberts, N. P. (2015). Post-traumatic stress disorder. BioMedical Journal, 2(1), 351-360. Brown, L. A., Clapp, J. D., Kemp, J. J., Yarvis, J. S., Dondanville, K. A., Litz, B. T., Mintz, J., Roache, J. D., Young-McCaughan, S., Peterson, A. L., & Foa, E. B. (2019). The pattern of symptom changes during prolonged exposure therapy and present-centered therapy for PTSD in active duty military personnel. Psychological Medicine, 49(12), 1980–1989. https://doi-org.ezp.waldenulibrary.org/10.1017/S0033291718002714 Hayes, J. A., Gelso, C. J., & Hummel, A. M. (2011). Managing Levy family – Assessing Clients with Addictive Disorders. (2017, October 3). Retrieved from https://onlinenursingpapers.com/levy-family-assessing-clients-addictive-disorders/ MacKillop, J., Kenna, G. A., Leggio, L., & Ray, L. A. (2017). Integrating Psychological and Pharmacological Treatments for Addictive Disorders: An Evidence-Based Guide. Taylor & Francis.
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