symptom inventory, establishment of base line severity of symptoms, determination of co-existing mental disorders (American Psychiatric Association, 2013).Clinical Characteristics: Knowledge about individual, group, and family therapy, well informed about alcohol and substance abuse disorders, able to be structured and direct yet supportive, able to manage potential negative feelings about client’s behavior, able to work effectively with client’s reluctance and limited motivation. Location: outpatient with concurrent medical evaluation and supervision Interventions to be used:Motivational interviewing to increase commitment to change,multifaceted program emphasizing behavioral therapy and cognitive behavioral therapy, Interpersonal therapy to deal with grief, measurement of change, education, stress management, impulse control strategies, relapse prevention planEmphasis: Highly directive, moderately supportive, current focus on coping mechanisms, attention to past pattens and history of her father’s deathNumbers:individual and family therapy, group therapy due to motivation of change being “forced” Timing:Rapid pace, short to medium duration with extended aftercare plan focused on relapse. 1 hour session per week for 3-4 months Medication:referral to mental health provider Adjunctive services: Peer support groups such as AA/NA, continue encouraging physical activity/working out
Prognosis: Generally good depending on clients willingness change and become motivated, relapse common Reference APA. (2013). Diagnostic and Statistical Manual of Mental Disorder. (5th Edition). American Psychiatric Association: Washington, DC. Reichenberg, L.W. & Seligman L. (2016). Selecting Effective Treatments: A Comprehensive, Systematic Guide to Treating Mental Disorder, (5th Edition). Hoboken, NJ: Wiley & Sons.