Psychotherapy With Groups And Families Essay.

Psychotherapy with Groups and Families

Introduction

Group psychotherapy normally involves counseling of various individuals in a group. Group therapy has been shown to provide emotional support due to shared experiences (Wheeler, 2014). This paper will discuss two clients who attended group therapy and their diagnoses as well. The paper will conclude by discussing the legal and ethical issues involved in counseling the clients.Psychotherapy With Groups And Families Essay.

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Description of the Clients

The first client Mr. D-ZC is a 24-year-old who presented with symptoms such as paranoia, anger, irritability, seeming depressed, aggression, confusion, and being overly talkative.  The physical assessment indicated that his pupils were dilated, low blood pressure, altered body temperature, and psychomotor changes. The client reports that he has an overpowering craving for opioids and amphetamine and sometimes experiences withdrawal symptoms after discontinuing. He further stated that he has an increased tolerance for opioids and amphetamineand expressed fears that he thinks is deeply addicted because he has tried to stop using them without success. Currently, the client is not on any prescription medication.Psychotherapy With Groups And Families Essay.

The second client Mr. D-RQ, a 26-year old male presented with symptoms like anger, sad mood, aggression, hyperactivity, confusion, and irritability. According to the client, he has an uncontrolled need to use amphetamine, needs higher doses to feel the effect, and experiences withdrawal symptoms if he does not take amphetamine. He also stated that sometimes he missed job due to the use of amphetamine and he would rather go hungry but have money to buy the drug. The physical assessment indicated that the client had high blood pressure, pupil dilation, and was not oriented to time, place, or person. Currently, the client is not on any prescription medication.

Diagnosis for each Client

First Client

The diagnosis for client D-ZC includesopioid use disorder, severe, and amphetamine-type substance use disorder, Severe. Opioid and Amphetamineuse disorders are characterized by symptoms such as persistent desire to control opioid and Amphetamineuse, strong craving, use of opioids and amphetamine, spending much time in obtaining opioids and amphetamine, persistent use of the substances affects one’s functionality, consistent use of the substances despite the negative impacts, withdrawal effects, and increased tolerance to opioid use (American Psychiatric Association, 2013). The client manifests more than six of these symptoms and thus fits the diagnostic criteria of both opioids and amphetamine disorders, severe.Psychotherapy With Groups And Families Essay.

Second Client

The diagnosis for this client is amphetamine-type substance use disorder, severe.This disorder is characterized by symptoms like continuous usage of amphetamine despite the negative impact; uncontrollable desire to use amphetamine, increased tolerance, use affecting other obligations and activities; and experiencing physical withdrawal symptoms after stopping using amphetamine (American Psychiatric Association, 2013). The client manifests all these symptoms and thus his symptoms fit the DSM-5 diagnostic criteria of Amphetamine-type substance use disorder, severe.Psychotherapy With Groups And Families Essay.

Therapy

Both clients participated in the group process. However, the first client was actively involved in the therapy and would watch the video and would actively listen throughout the video. The video was very informative and educative and the first client proposed that he would continue working to stop the use of both opioids and amphetamine. However, the second client appeared disinterested in the therapy and group process. For example, during the therapy session, his affect was despondent, and did not take part in the group proves. He also seemed distracted and occupied with other things during the therapy session. He did not comment and was not interested in the discussed topics. His only notable commend was towards the end of the therapy. However, the client promised that he would continue working on his treatment plan and goals to prevent relapse.Psychotherapy With Groups And Families Essay.

Legal and/or Ethical Implications Related to Counseling Clients

Legal and ethical factors relevant when counseling individuals consist of; obtaining informed consent from all clients prior to starting the therapyand respecting the confidentiality, and privacy of the clients (Bellesheim, 2016). Before starting the therapy, the counselor should ensure that informed consent is obtained from both clients and makes sure that their participation in the therapy is voluntary without any coercion. It is also essential for the counselor to ensure the privacy and confidentiality of the clients are maintained. For example, any information that the clients reveal about the use of the opioids and amphetamine should be kept confidential and should not be disclosed to any other person without the consent of the clients. (Bellesheim, 2016). Moreover, since maintaining confidentiality in group therapy may be a challenge, it is important for the members of the group to be educated about the expected privacy and confidentiality and to sign that they will abide by the group rules.Psychotherapy With Groups And Families Essay.

Conclusion

Group therapy is associated with the benefit of providing moral and emotional support due to shared experiences. The diagnoses of the first client are opioid use disorder, severe, and amphetamine-type, severe; while the diagnosis for the second client is amphetamine-type, severe. Both clients participated in the same group therapy. It is important to ensure that informed consent is obtained before the therapy and confidentiality and privacy of the clients are protected.Psychotherapy With Groups And Families Essay.

Journal Entry 2

Learning Objectives

• Apply documentation skills to examine family therapy sessions *
• Develop diagnoses for clients receiving family psychotherapy *
• Analyze legal and ethical implications of counseling clients with psychiatric disorders *Psychotherapy With Groups And Families Essay.

For this journal entry;

Select two clients you observed or counseled this week during a family therapy session.

Clients:

Client 1 –D- ZC  is a  24 y.o M who came in with Opioid use disorder, Severe, and Amphetamine-type substance use disorder, Severe. Ct was present and participated in the group process AEB his participation in watching the video. A- Ct. appeared to listen to subjects discussed. Video was informative. P- Ct. will continue to work on his treatment plan objectives, and goals to avert relapse.

Client 2 – D- RQ  is a 26 y.o M who came in with Amphetamine-type substance use disorder, Severe. Ct. affect was despondent and did not participate in the group process AEB a preoccupation with other things. A- Ct. was not interested in subjects discussed and commented only towards the end of group. P- Ct. re-committed to continue working on his treatment plan, objectives, and goals to avert relapse.

Then, address in your Practicum Journal the following:

Using the Group Therapy Progress Note in this week’s Learning Resources, document the family session.Psychotherapy With Groups And Families Essay.

Describe (without violating HIPAA regulations) each client, and identify any pertinent history or medical information, including prescribed medications.

Using the Diagnostic and Statistical Manual of Mental Health Disorders, Fifth Edition (DSM-5), explain and justify your diagnosis for each client.

Explain any legal and/or ethical implications related to counseling each client.

Support your approach with evidence-based literature.

Don’t forget an introductory and conclusive paragraph.

Psychotherapy With Groups And Families Essay.