Principles of Addiction: Comprehensive Addictive Behaviors and Disorders - Essay Example

? Challenges in recovery of mental health client Introduction The intent of the project is to make amends to establishing the important recovery implementation of a mental case. Several practices can give good results; however, the recovery process is never a smooth road. Recovery process presents itself with various difficulties in the process of making the client regain the conscious attributes. Client profile and study For the purpose of anonymity, the case will assume a fake identity in order to provide the research with the required resources for study purposes. The depiction in the text is protected and the inferences are not aimed at anyone whatsoever. The paper is a reflection of study on the addictions in the country. The victim of the study is fictitious and used based on education with reference to drug abuse. Addictions are resultant to the use of substance initially pleasurable but the continued use becomes obsessive and hampers with ordinary life errands like work and health or relationships. When out of control, it affects the people around you directly or indirectly (Taite & Scharff, 2013, 25). Ms. M has been in the country for 30 years as an illegal immigrant after getting into the country through the Mexican border with the aim of making a good life in the land of opportunities. This client is 46 years of age, and Latina of descent. She started working as a bartender at a local bar near her residence before she had become an addict of the substances. She is a mother of two children one who died from an OD and the other daughter is stable and working for the government and isolated herself from the habits of her mother. She blames the mother for the death of her sister. Her drug abuse led her into debt and bad choices where she lost her home and a place to leave (Rassool, & Gafoor, 2007). She has been struggling in the streets of New York moving from shelter to shelter. She no longer works and has to scavenge for a drug handout from the dealers who give her under the regulations (Boyd, 2007). Ms. M came to the center to apply for rehabilitation after opting to find refuge to the prevalent case of drug abuse in the life she leads. MS. M is began to express her thought in the life she leads was not very sustaining as pertains to the age she was now. Her social life has been dysfunctional since she started to consume many different drugs with the aim of getting high. She gradually graduated from the simple marijuana to cocaine and went into the use of crystal meth. The abuse of drugs has made Ms. M looks older than actually is since the drugs are taking most of her money and little goes into her health. She does not have any medical insurance. She asserts that she is determined to get help ad has enrolled in a local hospital after being rejected severally. Her emotional detachment from her daughter who is still alive does not seem to bother her since she says she does not want to hurt herself emotionally (Dossey & Keegan, 2009). She has the urge to reconnect but the daughter has not yet agreed to come to terms with the mother. The greatest obstacle M faces are the change in the lifestyle she is used to, now she lives with a dealer who is sometimes the boyfriend and uses the drugs as an advantage to having her do his bid. At times, she is forced to take the drugs since they are flaunted in front of her. She asserts that her devotion is tested by the social circle she dwells (Peabody, 2013). She says that the worst and saddening time of her life was when she would give her body to get a dose of the drug and that would always lead to her getting raped by the dealers. Ms. M has been struggling with the addiction from abuse of drugs and specifically crystal meth, which she was hooked on recently. She has the courage to overcome the drug abuse and the social circles that make her life miserable. The use of crystal meth was the last option she had after her struggle with cash proved stronger. Present issues M has been using the drug for more than 20 years where she had drug related problems and recently was diagnosed with hepatitis. The drug-induced hepatitis was discovered recently when she was hospitalized for hydration. This was caused by the chronic use of alcohol by Ms. M. this is existing alongside the depression and anger problems. The most prominent feature of a coexisting disorder was depression. M is depressed by the use of drugs the loss of her child and the fact that she has blocked the occurrences of her life makes it direr for her existence as a drug user who is trying to reform. Her love life is strongly affected since she has no trust for men due to the experiences she had at the onset of the drug use. Her sex life has been dysfunctional and most of her life is revolving around abuse and breakups. The life with no support from the only family she has is in disconnect due to the use of the drugs. Her daughter the remaining family does not want anything to do with the mother since she is a drug addict. Her work life in the beginning was lucrative where she supported the livelihoods of the children and after the onset of the drugs; she began to become lazy and lost hours of work due to the use (Conyers, 2009). She was forced to quit some jobs while laid off in most of them. It was evident that she could no longer keep up with the working routines and work became a liability to her drug life. With several arrests on drug use and drunk driving, sometimes a detoxification in the process was part of her life after quitting to work. Her daughters were taken into custody since she could no longer support their lives. In the end, one of the daughters started using which she did not notice earlier. M is religious and misses the times she would go to the church and pray (Shives, 2008). The daughter would find the stash of drugs she left carelessly, try them out when she was away and M did not notice the quire behavior since she came home unconscious of the surroundings accompanied by different male companions each day. Currently she is on probation where she has been compulsory put into the AA to find her way in the sober life (Masters, K. 2013). This has born some fruits a she sought some help after sense came. Her daughter was ones receptive to her visitations when she had her baby but has a restraining order on her when she came home high. Current cause for her drug abuse is the company she hangs around. The major factors that led to her presentation is that she has noticed she is not as strong as she was ones and her body cannot handle drugs anymore her drug abuse has reached a point where it is a nuisance in her life (Conyers, 2009). According to the caregivers who diagnosed her, she needs to find help speedily to help her live longer. She has multiple drug related diseases that are gaining strength to the weak old body and intervention is needed to save her from the abuse of drugs. The diagnosis made was high anxiety, depression, and dependency on hard drugs, which she relies on. Intervention There are diverse interventions that are taken on the clients who abuse drugs. For this case, the best intervention to be implemented is the three-dimension approach where the four domains of living are analyzed. The mode is instrumental in making the habits change for the better from all the angles of livelihood the physical, psychological, social, and personal. After handling these aspects, the client is going to get an empowering lesson to enable her to have a stable life. This mode s used due to its comprehensive aspect of the therapy it presents. The approach leaves no loopholes in the process of recovery (Rassool, & Gafoor, 2007). With the experiences in the life of Ms. M needs all aspects of healing from the past wounds to the present situations. Before she can be truly healed, M needs to get in touch with her past and get to accept she does need the intervention. This mode was articulated in this fashion. The patient was admitted into the program where she would be under treatment for more than 7 months of therapy. The first phase would involve the physical and psychological domains (Jones, Fitzpatrick & Rogers, 2012). Phase 1 Ms M was placed into a compulsory detoxification program for the first two weeks, which means she will receive treatment with the available remedy. The detoxification program entails getting rid of the drugs in the body and often followed by numerous side effects that may be fatal to the victim. The process of detoxification is often managed alongside medication administered by the physician to an inpatient or outpatient. M in this case will receive detox due to the mix of various drugs in her body. Since the detox program is the initial stage to recovery, the process is featured to make the patient manage to stop the acute drug use. The use of acamprosate was essential for relieve from the cravings of alcohol (Rassool, & Gafoor, 2007). Crystal meth rehab and detox are two of the most complicated experiences an addict can go through. The use of pseudoephedrine is a good drug that has been used in Missouri to ease the use of meth. Bupropion the active element constituent established in the nicotine addiction drug, Zyban, and the anti-depressant Wellbutrin was discovered to ease the drug-induced high experience by methamphetamine addicts. They also lessen their urge for the drug in reaction to visual cues, this was established by researchers at the University of California in Los Angeles (UCLA). The addict is frequently longing the gist greatly that they give up on the process very simply (Carter, Hall, & Illes, 2012). Therefore, Ms. M will need the assistance of skilled staff and support to manage the hunger and severe want for the drug. As a receding person, she is regularly lethargic, exhausted and rather anxious on not being capable of getting the remedy any longer. This calls for intervention the moments they build up by either providing the victim in this case M a place to sleep it off or rather have a conversation on the symptoms. Sleeping of the symptoms is used when the patient is experiencing a relapse. This enables the patient to rest instead of thinking on how to get the drug. Alternatively talking to the nurse or someone about the experience at the time is very important to take the mind away from the craving and back to the program. With the assistance from the prescribed craving averting drugs the relapse can be easily maneuvered through safely. This worked well with narcotics anonymous. In this part of detox program, another challenge the victim will get is mood variations, which are severe and they can be controlled to severe anxiety and shakeup. Ms. M was not able to sleep or they may be drowsy from preceding sleep deficit. The drug desires were so rigorous in this phase that extreme management was essential to thwart relapse. The rate of reversion is very tall lacking custody and it is still rather high with direction (Noel, 2008; Miller, 2013). Ms. M made through crystal meth detox and was ready to go undergo crystal meth rehab; she was shifted to the rehab part of the curriculum. It is normally an intense course in where she underwent psychotherapy with group therapy (NA), cognitive behavioral therapy, entropy classes on crystal meth and societal services to aid her to get back into a stable self. Professional services were rendered when she was getting closer to the end of crystal meth detox in the rehab. The rest of the additions were neutralized by the effort she put on the recovery from crystal meth. Phase 2 This was the physical part of the program where she was taken through the rigorous training on her physical health to enable her regain her appetite and gains her former self she lost to the drug use. Action, therapy, and encouragement are offered through a cautiously created structure that ensures stability of her most considerable therapeutic associations and supports during the phase and across periods of care and activities (Conyers, 2009). The social part is also created where therapy tries to build the lost relationships of very important people in the life of the victim. In this case, the daughter was adamant in the reacceptance of the mother who she blames for the death of her sister. Moreover, this is a way to rebuild the burnt bridges in the lives of the family members. There was a challenge in trying to make the daughter accept the mother for what she had become and not what she had been in the past. This phase is instrumental in shaping the relationship of the victim and the family in the future (Conyers, 2009). Phase 3 Personal therapy where the process focuses on the urge the victim has on the process of making themselves better in the community (Carter, Hall, & Illes, 2012). In this phase, the victim is equipped with the tools to help in the making of the life free of any relapse in the future. Ms. M was receptive to this phase after reflection of the past and what holds for the future. She was focused on keeping what she had gained back. She was not ready to lose the daughter again. This phase is normally the last one in that it focuses in cementing the therapeutic process of the whole journey out of the addiction of the drugs and social frails (Miller, 2013). The big issue in this phase is to give the victim more courage to have more psych in having a better life despite the problems faced in the process of recovery. There are instances where the family is still not receptive. This process makes sure the recovery is not thwarted by the thoughts of the lost relationship but rather a way to reinvent the lost chapter of the victim’s lives (Masters, 2014). Challenges in the recovery course Recoveries from dependence entail breaching through the inclination to refute that you have a crisis ahead of the ordinary curative course can take hold. As one shuns old lifestyle and coercion, they will challenges frequently stumbled upon by groups in mending. The process of recovery of Ms. M faced several issues in the verge of a clean life. There were five prominent challenges that were encountered in the process of making Ms. M clean. Sustaining abstinence after the use of addictive substance to establish euphoria and break out from ache becomes strongly ingrained. For Ms. M, rigorous detox in the beginning, this was supplied with drugs that reduced the urge to particular drugs like alcohol and narcotics. Conflicting bodily urges to change was a prominent factor that was present at every progressive period of recuperation. While change was excruciating for M, it was particularly intricate since she was experiencing the worlds in a different perspective that deprived her of the drugs she used to worship and could not do without (Douaihy & Daley, 2014). During the recovering process, she compared the intense pain of the altered lifestyle to the deadening property of the addictive material. Grief was the regular reaction to the loss of the object that was outstanding in her life, even something as vicious as a compulsion. Ms. M recovery process was encompassed with experiences of elements of bargaining, anger, and depression, and denial plus acceptance, which were instrumental in the line of making the substances of addiction, lay to rest (Miller, 2013). Acceptance of Powerlessness was a very hard reality for Ms. M to establish since she had a chronic dependency to the drug and during the process, there were instances when she felt that urge to take her own life since she did not get the protection she got from the objects relieve of addiction. It was evident that she had struggle with the reality, which the nurse was very instrumental in the assistance for her to come to accept her situation. She took a very elongated period to come to grips with the overwhelming pain of realism. Additionally to grieving and accommodating pragmatic limitations, she was able to overcome the individuality messages probably learning like a young child that throw in to your addictive addiction on an exterior purpose (Douaihy & Daley, 2014). It becomes a new growth process where they learn again the personality they possess and become more conscious of the character the hold that is lazy, bad, and productive hence focus on changing the shoddy identity is established. The addictive process can distort these perceptions grossly, and they must be faced in recuperation. This was also very prominent in the recovery process of M. Often the indistinct messages are compounded by an unreasonable urgency of confidentiality the sense made her not reveal her true self with the fear of the reaction of the rest of the people in the recovery rehab (Carter, Hall & Illes, 2012; Rassool, & Gafoor, 2007). The challenge became to display identities and secrets, rectify them to match up with realism, and develop them beneficially during recuperation. As she widens her coping methods to deal with pain, she also needed to find exchange highs. A peculiarity can be made amid ecstasy, which is an ephemeral reaction coming from an exterior resource, and bliss, which is a more stable interior state, free of changeable peripheral events. Precisely how she reached the state of joy would always vary from individual to individual, but it is the eventual constructive pledge of the human clause, and the existence dispute of revitalization (Rassool & Gafoor, 2007; Douaihy & Daley, 2014). Lastly coping with Pain upon resigning on the addiction, was faced with all the old poignant and bodily pains that she was trying to numb with the compulsion. The bigger challenge was to find new ways to continue and rise above excruciating times. During these episodes, the nurse would be the pillar for her sorrows and depressions and this would calm her nerves and urges. The relationship built was very strong in that they became very good friends. At some point M was calling her the daughter. Compassionate connection with other individuals, like members of anonymous groups, has been advantageous to numerous times she felt compelled to go back into addiction (Carter, Hall, & Illes, 2012). Development may be gradual and this needed her to practice with patience. It took months develop the destructive compulsive lifestyle therefore the recovery process would require M to get fully involved in the process. Reflections and Application Ms. M has had a share of trials during her recovery process but grateful that she is now sober and has the ability to get back on her feet. She asserts that the program was instrumental in her recovery and that now she knows the feeling of being a mother and the reunion with the family is the greatest thing she has had in a long time. M looks forward to get back to work in order to sustain herself. She says she wants to be independent and have stability in her life (Conyers, 2009). Her case was relevant to the practice in that it gave perspective to deal with a patient with multiple addictions. Being a mental health nurse, involvement in the process of recovery of a patient is crucial. The delicate episodes in the recovery process of a patient are averted safely with the involvement of the nurse. The case of M is very instrumental in learning better addiction recovery policies and ethics that apply to the patients with the same variations in drug addictions. The autonomy and beneficence of the nurses are inferential for instance the relapse she had occasionally were quelled by the involvement of the nurse through the talk and provision of encouragement throughout the process. Additionally was the fact that the patients in the programs have different needs and the variations make the nurse more acquainted with the different situations (Noel, 2008). 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