PSYC FPX 4300 assessment 4

And Now the Finale (Goals and Action Plan)

Client Name: Isabelle

Assessment Date: July 26, 2023

Substance Use History: Yes

Substance Use History:

Isabelle has a history of substance use. He started taking oxycodone eight years ago following back surgery to manage pain. Currently, he smokes weed daily as a way to control his addiction to oxycodone.

Medical History:

8 years ago, Isabelle underwent back surgery, which resulted in persistent pain that led to his oxycodone use.

Past Treatment History:

Isabelle’s physician has been dispensing oxycodone to ease his pain after the back surgery.

Family History:

His sister and mother have experienced depression in Isabelle’s family, and his brother is a consistent weed smoker.

Legal History:

Isabelle previously did construction work, but because of his painkiller medication and consequent lethargy, he can no longer do any work and is thus dependent upon his wife.

Social situation (current friends and family):

Isabelle currently resides with his wife and son but has cut off relations with his siblings and parents.

Financial Situation (employment status and finances):

Before his surgery, Isabelle was well off, but now he depends on his wife for money.

Other considerations (education, etc.)

Apart from his son, none of the other family members have been formally educated.

Motivation (what is their motivation to change)

Isabelle was aware that his oxycodone addiction was having a negative impact on him as a husband and father. He thus made up his mind to stop taking oxycodone and switched to weed as an alternative for pain management.

Diagnosis (what is their diagnosis)

Isabelle’s oxycodone use led to lethargy and loss of interest in activities.

Support for diagnosis (Support diagnosis with evidence from the case and from scholarly sources)

The case suggests that Isabelle needs Behavioral treatment, otherwise referred to as Psychosocial health treatment, in order to treat his addiction. Furthermore, both long-term and short-term treatments are also suggested to promote the healing process (Samples et al., 2022).

And Now the Finale

This case presentation is about Isabelle, who has been addicted to oxycodone. Oxycodone, which is a strong pain reliever found in the drugs Percocet and OxyContin, is highly prescribed and consumed in the country for pain relief in different medical conditions. Isabelle’s history of oxycodone and subsequent use of weed to relieve his pain will be highlighted in this evaluation, as well as his diagnoses, ideal treatment plan, and long- and short-term objectives.

Description of The Client Case:

Isabelle is a 56-year-old man who worked his whole life in construction. Ten years ago, he had his back surgery, and as a consequence, he developed constant pain that made him unable to continue working. To treat his pain, his physician prescribed oxycodone. Because of his physician’s addiction worries, he was sent to substance abuse therapy before resuming the medication. Isabelle has not used oxycodone since then, but to manage the pain, he has resorted to weed daily use. Isabelle’s life centers around his son and wife, but he is guilty of not being able to work and contribute financially because of his addiction and pain.

Client Diagnosis:

Isabelle’s situation is diagnosed with opioid abuse, uncomplicated, and opioid dependence, uncomplicated, according to the DSM-5 Diagnostic Codes (ICD-10-CM). Diagnosis is substantiated by the following symptoms:

• Recurrent use of opioids in larger amounts or for longer durations than prescribed.
• Failure to reduce or control opioid use.
• Spending an excessive amount of time getting opioids, using opioids, or recovering from their use.
• Overwhelming desire or craving for opioids.
• Disruption of significant work or household responsibilities as a result of opioid use.
• Ongoing use of opioids despite interpersonal or social issues related to it.
• Abandonment of social, occupational, or recreational activities because of opioid use.
• Opioid use leading to health hazards.
• Ongoing use of opioids despite awareness of related physical or mental illness.

Treatment Recommendation:

For Isabelle’s situation, the treatment plan that is recommended involves the following strategies:

• Detox Treatment: Due to possible withdrawal reactions and difficulties in abstaining from oxycodone, a supervised detox procedure is recommended, ideally in the hospital, for his comfort and protection. Medication can be offered to mitigate craving and distress in detoxification (Koehl et al., 2019).
• Motivational Enhancement Therapy (MET): This treatment is aimed at assisting people in changing their behavior and thinking. MET consists of four individualized treatment sessions that are designed to review assessment information, establish future goals, and offer support for sobriety maintenance (Herscher et al., 2020).
• Psychiatric Assistance: Engaging non-addictive, non-medication pain control techniques offered by psychologists can promote prevention, treatment, and rehabilitation, minimizing the risk of opiate abuse. Group discussion therapy is also advisable to facilitate open communication and peer support for Isabelle (Brennan et al., 2022).
• Art and Music Therapy: These types of therapy are recommended to diminish Isabelle’s loneliness, depression, and habits of weed smoking. Music and art therapy can offer good mental relaxation and enhance mental health (Carter et al., 2023).
• Cognitive Behavioral Therapy (CBT): CBT may assist in altering Isabelle’s attitudes and coping with pain, lowering stress and enhancing coping with pain. CBT has been rated as an effective method for chronic pain management (Lee & Cho, 2021).

Importance of Therapies:

Therapies are vital in leading patients toward healthier behaviors and enhancing their well-being. Group discussion therapy, music therapy, art therapy, and CBT are all essential in changing behaviors, increasing awareness, and giving directions toward beneficial health results (Amini et al., 2022).

Ethical Concerns

In treating drug addiction, several ethical issues may arise, such as confidentiality, equal access to resources, respect for decision-making capacity, addressing disability, non-discriminatory practices, and fair distribution of resources (Brezel et al., 2019).

Short- and Long-Term Goals:

To achieve Isabelle’s recovery, short- and long-term goals have been established. Short-term goals involve maintaining a healthy lifestyle, creating better relationships with supportive people, trying new things, and pursuing therapy for mental well-being. The long-term goals involve resisting temptation, establishing healthy friendships and relationships, and planning future goals with his wife to prioritize a life without substances (Krause et al., 2019).

Action Plan:

The action plan suggested aims to control the availability of weed through strict policies, setting up monitoring committees, penalizing suppliers and users, encouraging counseling and rehabilitation centers, and the inclusion of families and peers in the treatment process to help decrease smoking of weeds by the community (O’Donnell et al., 2022).

Conclusion:

In summary, Isabelle’s case illustrates the dangers and complexities of opioid use and the need for effective treatment strategies. Resolving the opioid abuse problem needs to involve multidisciplinary treatment plans, ethical practice, and the incorporation of different therapies to lead patients toward beneficial health outcomes and a life free of drugs.