How would you response to Week 8 DQ#1

Assume
you are working at an agency with both inpatient and outpatient services. Mary
is a client of yours in inpatient so you will be working with her one-on-one at least once a
week in inpatient treatment then she will transfer levels (from level III to
Level II.I) at which point you will also be her counselor in intensive
outpatient. Using your knowledge of CBT (review Chapter 8), how could you
integrate some CBT interventions that target triggers into both inpatient and
outpatient treatment. Her diagnoses include Alcohol Use Disorder, Opiate Use
Disorder, and Generalized Anxiety Disorder (GAD). Use headings: Inpatient CBT
interventions, Outpatient CBT interventions. Each response has to be 150 words.
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DQ #1 :
Assume you are working at an agency with both inpatient and outpatient services. Mary is a client of
yours in inpatient so you will be working with her one-on-one at least once a week in inpatient
treatment then she will transfer levels (from level III to Level II.I) at which point you will also be her
counselor in intensive outpatient. Using your knowledge of CBT (review Chapter 8), how could you
integrate some CBT interventions that target triggers into both inpatient and outpatient treatment.
Her diagnoses include Alcohol Use Disorder, Opiate Use Disorder, and Generalized Anxiety Disorder
(GAD). Use headings: Inpatient CBT interventions, Outpatient CBT interventions.
Wilma Kent
Re:Topic 8 DQ 1 (Obj. 8.2)
Considering the use of cognitive behavioral therapy when working with Mary, it would be important to
recall the use of alcohol and opiates while being diagnosed with the co-occurring generalized anxiety
disorder when pursuing the CBT approach. Mary is currently in inpatient therapy, but with the
approach of her transission from inpatient to outpatient, it is important to determine the way that
therapy approaches will transion with her.
Inpatient Therapy
When meeting with Mary during inpatient therapy I would likely focus on emotional and/or physical
experiences that Mary has and encourage her to stop and allow herself to process what those feelings
(whether physical or emotional) are and how to approach them step by step rather than allowing
herself to become overwhelmed with the feeling or to allow herself to feel pressured into making poor
choices more often. Staying in that moment, that emotion, and enabling ones self to fragment and
process is a way to allow them to self-soothe and avoid urges or cravings to use the substance (Capuzzi
& Stauffer, 2016).
Outpatient Therapy
When Mary is able to leave inpatient therapy and begin her new attempt at living a full life it would be
prudent to begin taking in social and environmental factors that she will face. While continuing to use
all moments of physical or emotional feelings as learning opportunities to learn to do whatever process
they need to in order to fully digest the emotion and allow it to begin to pass. Using the information
gathered about the social experiences and the environmental factors also presiding in a client’s life will
allow me to focus on concerning issues while praising those things that are good or come from a good
choice made by the client to abstain.
CBT is meant to reduce and/or end those maladaptive behaviors causing triggers and/or ciclicle
thoughts and choices causing repeats in use patterns. The whole of CBT is the intention for the client
to be actively participating and collaborating with the therapist, making solid goals and is problemfocused, and focused on the present emotions, feelings, etc.
References
Capuzzi, D. & Stauffer, M. D. (2016). Foundations of Addictions Counseling (3 rd ed.). Upper Saddle
River, NJ: Pearson
Lisa Sells
Re:Topic 8 DQ 1 (Obj. 8.2)
Inpatient CBT Interventions
It will be important to work with Mary on social interventions during her inpatient
treatment. The counselor will want to equip Mary with the skills needed to face the
outside world with sobriety. Mary should feel confident in her ability to say no when
she encounters offers from friends to use alcohol opioids. Additionally, emotional
interventions will help with Maryâ??s Generalized Anxiety Disorder. She will need to
learn how to experience her feelings with a new sober perspective and find ways to
self-sooth during her struggles with anxiety (Capuzzi & Stauffer, 2016). For example,
Mary can rely on her senses to calm her and delay her impulses. She also can
reframe how she views anxiety and to understand that these feelings are expected
and normal when seeking sobriety (Capuzzi & Stauffer, 2016).
Outpatient CBT Intervention
Mary will want to establish a social network that can support her sobriety. She will
want to become connected with Alcoholics Anonymous or Narcotic Anonymous and
establish her home group (Capuzzi & Stauffer, 2016). It will be important for Mary to
place herself in new environments that promote her sobriety. She will want to avoid
any spaces that trigger her desire to use substances, such as bars and homes of
substance users (Capuzzi & Stauffer, 2016). Maryâ??s family members will need to rally
around her to give her the support she needs to maintain sobriety. This may include
learning important communication skills and helping Mary to clean and maintain a
healthy living space (Capuzzi & Stauffer, 2016).
Reference
Capuzzi, D., & Stauffer, M. (Ed.). (2016). Foundations of addictions counseling (3rd ed.). Boston, MA:
Pearson.
Susan Robert
Assume you are working at an agency with both inpatient and outpatient services. Mary is a client of
yours in inpatient so you will be working with her one-on-one at least once a week in inpatient
treatment then she will transfer levels (from level III to Level II.I) at which point you will also be her
counselor in intensive outpatient. Using your knowledge of CBT (review Chapter 8), how could you
integrate some CBT interventions that target triggers into both inpatient and outpatient treatment.
Her diagnoses include Alcohol Use Disorder, Opiate Use Disorder, and Generalized Anxiety Disorder
(GAD). Use headings: Inpatient CBT interventions, Outpatient CBT interventions.
Inpatient CBT interventions
In the early stages of treatment using CBT interventions would include working on behavioral
change. At this point the client can learn how to become aware of negative and selfdefeating thoughts and then change the negative thoughts and beliefs into realistic positive thinking,
which leads to learning how to make positive changes in behavior. Once a person is self- aware they
can learn to figure out what their triggers are and manage self-defeating thoughts as they arise. (
Carroll , 1998). Skills building is an important part of inpatient interventions. Emotion regulation is skill
that is taught in inpatient treatment. Functional analysis is an important part of early treatment. A
functional analysis identifies the triggers for substance use and is critical to understanding the
situations and behaviors to target.
Outpatient CBT interventions
Emotion regulation skills building. Stress management interventions which include journaling,
meditation, yoga, and mindfulness. Homework assignments can help the client stay foc used and
engaged in treatment. Attending 12 step meetings is another way for the clients to maintain their
sobriety. Weekly counseling sessions with a trusted therapist may increase the chance
of successful treatment .
References:
Capuzzi, D., & Stauffer, M.D. (2016). Foundations of addictions counseling. Boston: Pearson

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