Individuals in the contemporary world suffer from an array of problems which arise from addiction. Interestingly, drug and substance abuse is associated with psychological instabilities, and is also linked to causing psychotic problems. Normally, people have perceptions that over-reliance on substance abuse is a remedy to mental predicaments. Despite the common use of substances for leisure, Volkow and Morales (2015) posit that over-indulgence may lead to addiction, and contraction of chronic ailments. The author asserts that excessive use of certain drugs disrupts the normal functionality of the neurotransmission system, an aspect that affects the ability of a person to execute simple tasks. Basically, researchers recommend administration of psychotic drugs in the quest to stabilize such conditions. However, Volkow and Morales (2015) state that amalgamation of psychotic drugs with psychotherapeutic interventions helps alleviate patient conditions. Notably, various forms of therapy are known to help change behavioral perceptions of patients suffering from psychological disturbances. This paper purposes to determine the precise therapeutic intervention for ailing victims from the Levy case study Psychotherapeutic Approaches for Addiction.
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Presentation of Therapeutic Intervention
Psychiatrist Mental Health Nurse Practitioners (PMHNPs) apply an array of methodologies to warrant full recovery of psychotic patients. Precisely, cognitive behavioral therapy (CBT) is the commonest form of intervention employed. According to Beck, Davis and Freeman (Eds.) (2015), CBT is a goal-oriented tactic applied by PMHNPs in the quest to stabilize victims suffering from psychological predicaments. Notably, Beck et al (2015) assert that CBT engages patients in facing their problems, and implementing workable solutions on a timely basis. In fact, CBT aims at altering the perceptions and behaviors of patients, by instilling desirable norms. The intervention constructs ensure psychotic victims inhibit real believes and exhibit normal thoughts and attitudes towards various situations. Beck et al (2015) affirm that CBT approaches are linked with better behavioral changes, especially when applied in a group situation. Notably, associates within a specific setting reveal various challenges they face, and deliberate on the possible correction methods.
Evidently, the PMHNP handling clients from the case scenario applied CBT as a correctional intervention. The group members exhibited a myriad of problems, which needed professional attention. For instance, Sabina is greatly disturbed by the behaviors of her husband, to the point of losing trust. She displays uneasiness through the fact that her husband maintains constant contact about her whereabouts. He checks Sabina’s phone logs and messages regularly, an act that displays mistrust. Contrarily, Sabin defends herself, explaining the manner she has struggled to maintain her marriage, but in the end, it looks dissipated.
From the case scenario and in particular, the situation facing Sabina, it is evident that she suffers from mental and emotional problems. PMHNPs can apply CBT as an intervention to help alleviate her situation. McKay et al (2015) proclaim that CBT is linked with emotional and psychological equilibriums. The victim would join a group and share her experiences, an aspect that would warrant application of solutions for eventual healing Psychotherapeutic Approaches for Addiction.
Outlook on CBT Intervention
From the case scenario, it is evident that Sabina was not suffering from a serious mental illness. However, her emotional discomfort would generate into psychological instability. Based on these observations, it is imperative to apply CBT at an early stage to avert further predicaments. It is therefore important for PMHNPs to administer the patient into a therapeutic group for further counseling. Notably, Kuyken et al (2015) state that members attending group therapy session possess various problems, but have the ability to help alleviate situations. Sabina would benefit from healthy discussions within a setting and in the process, learn important aspects that would help alleviate her situation.
Alternative Therapeutic Approach
PHMNPs report of the effectiveness of CBT in stabilizing psychotic cases. However, application of humanistic approach as an intervention is another option that would help stabilize Sabina’s situation, in place of CBT. According to Fischer (2017), the humanistic approach is effective especially when a client displays disorientation and disinterest in life. Notably, the researcher asserts that the application of this methodology aids clients realize their strong points and maximize their potential (Fischer, 2017). PMHNPs encourage patients to instill self-awareness in their routine lives. Characteristically, the Gestalt therapy explains on the importance of facing situations as they arise (Fischer, 2017). PMHMPs encourage patients to place their focus on events which boost their morale, and improve their quality of life. Evidently, the humanistic approach would aid Sabina deal with her situation. PMHNPs would advise her to concentrate on her work, and answer her husband’s calls whenever he inquires. Besides, she would engage her husband in a constructive conversation, and formulate applicable solution within arising situations. In the long run, she would regain her emotional stability, and eventual recovery Psychotherapeutic Approaches for Addiction.
Human beings suffer numerous problems arising from various situations. Evidently, many indulge in drug and substance abuse in the quest to stabilize their emotions. However, over-indulgence in substance use leads to addiction, and exposure to psychological predicaments. Form the case study, Sabina is disturbed by the behavior of her husband calling her regularly. She feels that her marriage is jeopardized by lack of trust. Evidently, PMHNPs can apply CBT interventions, to stabilize Sabina’s situation. However, the humanistic approach is a useful alternative, as the client would be advised to concentrate on the positive things in her life.
Beck, A. T., Davis, D. D., & Freeman, A. (Eds.). (2015). Cognitive therapy of personality disorders. Guilford Publications.
Fischer, S. L. (2017). Gestalt Theory and Practice in Contact: Forays into Other Contexts. Gestalt Review, 21(2), 98-102.
Kuyken, W., Hayes, R., Barrett, B., Byng, R., Dalgleish, T., Kessler, D., … & Causley, A. (2015). Effectiveness and cost-effectiveness of mindfulness-based cognitive therapy compared with maintenance antidepressant treatment in the prevention of depressive relapse or recurrence (PREVENT): a randomised controlled trial. The Lancet, 386(9988), 63-73. https://doi.org/10.1016/S0140-6736(14)62222-4
McKay, D., Sookman, D., Neziroglu, F., Wilhelm, S., Stein, D. J., Kyrios, M., … & Veale, D. (2015). Efficacy of cognitive-behavioral therapy for obsessive–compulsive disorder. Psychiatry research, 225(3), 236-246. https://doi.org/10.1016/j.psychres.2014.11.058
Volkow, N., & Morales, M. (2015). The brain on drugs: from reward to addiction. Cell, 162(4), 712-725. https://doi.org/10.1016/j.cell.2015.07.046 Psychotherapeutic Approaches for Addiction.
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