Capella University Alcoholism & Aggresiveness Treatment Plan Reflection Paper Discussion

Capella University Alcoholism & Aggresiveness Treatment Plan Reflection Paper Discussion

Capella University Alcoholism & Aggresiveness Treatment Plan Reflection Paper Discussion

Question Description
For this assignment, write a 4 page paper in which you reflect on the family for which you developed the treatment plan that you created.

An introduction that presents a brief overview of your work with the presented client, including the following information:
The number of sessions.
The context of your work (for example, all family sessions, some individual sessions, home visits, office visits, school visits, and so forth).
If the case has closed, how that was decided?
Self-of-the-therapist reflections:
What was it like for you to work with this client?
What did you find difficult or challenging in your work with this client?
Was there a family member with whom you identified? How do you make sense of this?
Were there social or cultural issues that impacted your work with the family or impacted the case? Describe them and explain how you addressed them.
Were there ethical issues that you found challenging involved in the case? What were the issues and what was challenging about them?
Discuss the impact of diversity on the case, including the assessment and diagnostic process.
Think about whether psychotropic medication might be appropriate for a client in this case.
What would be your reasoning behind a medication decision in this case?
What are the benefits of suggesting a medication regimen with a combination of therapy?
What might be the limitations of a medication regimen for this client?
Conclusion:
How was your work with this case different than you expected?
What did you learn from your work with this family?

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Family Therapy
Name:
Course:
Institution:
Profession:
Date:

Biopsychosocial Assessment and Diagnosis
Presenting Problem
The client is a 24-year-old White male belonging to a family of four who is under the therapy session. A family friend’s therapist referred to the family. The chief complaint presented by the client family is that the son feels that the problem is in his surroundings, particularly the people around him and not with himself. The client that everyone close to him is an “idiot” and has psychological issues. Rather than talking about himself as having the problem, in the previous sessions, the client tried to psychoanalyze his family, claiming that he had had concerns with the people around him since he was fifteen.
Assessments for a Clinical Conceptualization
After talking to his family about the condition, they said that they have always been concerned about his status since age fifteen. His manipulative behavior, unethical conduct with the opposite gender, and constant lies worry his family. The client focuses on other people’s concerns stating that they have lower intelligence than him, thus not understanding him.
Goals Developed with the Family
The short term goals developed with the family to assist the client are as follows: first, one counseling session will be attended every week to increase therapeutic compliance, thus avoid associated problems and the negative consequences. Second, the client will have fewer cases of sexual misconduct by realizing that his actions will have consequences. Third, the cases of alcohol use and disorderly behavior will be reduced by addressing the issue. Fourth, the client will be better able to develop self-anger management (Association American Psychiatric, 2013).
The client’s long-term goals will include the client taking responsibility for his problems and having the willingness to understand them. Second, the client should develop behavior that is less exploitative and manipulative toward family and friends. Third, the client should develop an understanding of his underlying feelings resonating with alcohol dependence. Finally, the client should be able to self-soothe in cases of anger, thus infrequency of anger outbursts.
External Consultations
The client’s case was consulted with a psychiatrist for further psychiatric evaluation. The client’s antisocial personality disorder has no specific medication. However, consultations with a clinician helped in the suggestion for evidence of alternative psychiatric medications such as administration of lithium that helped with aggression.
Legal and Ethical Considerations and Impact on Family and Case
The patient’s legal and ethical considerations have a direct impact on his case and the family through notions of better behaviors toward others. The case is kept confidential with the patient and family, and there is an ethical duty to protect the patient, his family, and others from harm. Detailed information concerning the client outcomes is given to the family for further analysis and considerations for future treatment (Schwartz and Goldsmith, 2019).
Client Demographic Data for Each Family Member
The client’s family comprises two children, the patient son, a daughter, the mother, and the father. The father has no known mental health diagnosis and is concerned about his family’s well-being, particularly the son. The mother shows signs of memory loss, forgetting events that have taken place in the recent past. The daughter is calm and shows no signs of mental disorders; she is quiet and shows caring behavior toward his psychiatric brother and the mother due to her memory loss. The client, who is the son in the family, presents with some mental disorders but blames it on others rather than himself.
Sociocultural Information for the Family System
The family system under the therapy session shows a significant relationship between intelligence scores and mobility and academic achievement (Morcillo et al., 2015). The parents are learned, the son is a graduate, and the daughter is attending college. The family is composed of Whites and belongs to a high socioeconomic status. The family also belongs to a lesser distant community and have lesser movements. They have lived in their home for the past twenty years.
Family of Origin Information
The client’s family has always had marital trouble as the parents divorced and got back together after four years. The patient’s sister says that it was a tough time for her and the brother, and that is when his disorder started. The mother experienced a staircase fall, thus the memory loss. The client does not acknowledge the fact that the divorce affected him. He has also married two years ago for about half a year, but the wife died. He says he feels relieved as she was only after his money.
Current Living Situation
The family lives in a good community but is worried about the client’s behaviors in manipulating others, constant lying, and unethical conduct with women. They have been concerned with the patient’s situation and have to monitor all his moves carefully. The mother also needs guidance in some cases due to her memory loss.
Personal History
The client is a graduate and has shown adequate performance in school but was disinterested, stating that it did not challenge him enough. He lives with his family for mental care but insists that he has no problem. He is antisocial and has problems making friends. His marriage was brief, and the client says that he never had feelings for his dead wife. The client is a drunkard and has no steady income source, thus depending on his father.
Physical and Medical Information
The client is irritable and aggressive with his family and friends and often demonstrates anger during therapy sessions. He also demonstrates conduct disorder and physical violence. The associated symptoms have been documented to be caused by possible schizophrenia.
Possible Consultations and Mini-Mental Status Examination
More treatment sessions should be carried out in an outpatient office with a personality disorder therapist. The client should also take frequent psychiatric evaluations. The psychiatric medication, such as lithium, will help reduce aggression. The 10-minute mini-mental examination was at 15, taking into consideration the client’s education level and native language; the patient is seen as having a severe cognitive impairment (Devenney and Hodges, 2017).
Theoretical Model
The theoretical model used for the family’s therapy is the differentiation of self. This Bowen approach refers to a person’s ability to separate their thoughts and feelings, respond to anxiety, and use the necessary life skills to cope with life variables as they pursue personal goals. The therapist helps the client see life from a different perspective, thus improvement of the respective condition. As the therapist, I will take the client through the therapeutic process while encouraging him through the assessment to understand the interpersonal boundaries between himself and the family system. The individual responds to the model by showing signs of reduced anxiety and control over issues that affect self. If the client has a higher level of differentiation, he will be better able to maintain his individuality. On the contrary, if his differentiation is low, he will demonstrate signs of emotional fusion as a result of insufficient interpersonal boundaries within the family. The model is unique because it facilitates a higher achievement of contentment through self-efforts rather than seeking external validation (Schwartz and Goldsmith, 2019). Also, contentment is better achieved through the model as the client shows effort toward improvement.

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References
Association, American Psychiatric. (2013). Diagnostic and statistical manual of mental
disorders. American Psychiatric Publishing.
Devenney, E., & Hodges, J. R. (2017). The Mini-mental state examination: pitfalls and limitations. Practical neurology, 17(1), 79-80.
Morcillo, C., Ramos-Olazagasti, M. A., Blanco, C., Sala, R., Canino, G., Bird, H., & Duarte, C. S. (2015). Sociocultural context and bullying others in childhood. Journal of child and family studies, 24(8), 2241-2249.
Schwartz, R., & Goldsmith, J. (2019). Internal Family Systems in Family Therapy. Encyclopedia of Couple and Family Therapy, 1575-1580.

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Biopsychosocial Assessment and Diagnosis
Presenting Problem
The client is a 24-year-old White male belonging to a family of four who is under the therapy session. A family friend’s therapist referred to the family. The chief complaint presented by the client family is that the son feels that the problem is in his surroundings, particularly the people around him and not with himself.
Assessments for a Clinical Conceptualization
After talking to his family about the condition, they said that they have always been concerned about his status since age fifteen. His manipulative behavior, unethical conduct with the opposite gender, and constant lies worry his family.
• The client focuses on other people’s concerns stating that they have lower intelligence than him, thus not understanding him.
Goals Developed with the Family
The short term goals developed with the family to assist the client are as follows: first, one counseling session will be attended every week to increase therapeutic compliance, thus avoid associated problems and the negative consequences. Second, the client will have fewer cases of sexual misconduct by realizing that his actions will have consequences. Third, the cases of alcohol use and disorderly behavior will be reduced by addressing the issue. Fourth, the client will be better able to develop self-anger management (Association American Psychiatric, 2013).
• The client’s long-term goals will include the client taking responsibility for his problems and having the willingness to understand them.
• Second, the client should develop behavior that is less exploitative and manipulative toward family and friends.
External Consultations
The client’s case was consulted with a psychiatrist for further psychiatric evaluation. The client’s antisocial personality disorder has no specific medication.
• However, consultations with a clinician helped in the suggestion for evidence of alternative psychiatric medications such as administration of lithium that helped with aggression.
Legal and Ethical Considerations and Impact on Family and Case
The patient’s legal and ethical considerations have a direct impact on his case and the family through notions of better behaviors toward others. The case is kept confidential with the patient and family, and there is an ethical duty to protect the patient, his family, and others from harm.
• Detailed information concerning the client outcomes is given to the family for further analysis and considerations for future treatment (Schwartz and Goldsmith, 2019).
Client Demographic Data for Each Family Member
The client’s family comprises two children, the patient son, a daughter, the mother, and the father. The father has no known mental health diagnosis and is concerned about his family’s well-being, particularly the son. The mother shows signs of memory loss, forgetting events that have taken place in the recent past.
• The daughter is calm and shows no signs of mental disorders; she is quiet and shows caring behavior toward his psychiatric brother and the mother due to her memory loss.
• The client, who is the son in the family, presents with some mental disorders but blames it on others rather than himself.
Sociocultural Information for the Family System
The family system under the therapy session shows a significant relationship between intelligence scores and mobility and academic achievement (Morcillo et al., 2015). The parents are learned, the son is a graduate, and the daughter is attending college. The family is composed of Whites and belongs to a high socioeconomic status. The family also belongs to a lesser distant community and have lesser movements. They have lived in their home for the past twenty years.
Family of Origin Information
The client’s family has always had marital trouble as the parents divorced and got back together after four years. The patient’s sister says that it was a tough time for her and the brother, and that is when his disorder started.
Current Living Situation
The family lives in a good community but is worried about the client’s behaviors in manipulating others, constant lying, and unethical conduct with women. They have been concerned with the patient’s situation and have to monitor all his moves carefully. The mother also needs guidance in some cases due to her memory loss.
Personal History
The client is a graduate and has shown adequate performance in school but was disinterested, stating that it did not challenge him enough. He lives with his family for mental care but insists that he has no problem. He is antisocial and has problems making friends.
• His marriage was brief, and the client says that he never had feelings for his dead wife. The client is a drunkard and has no steady income source, thus depending on his father.
Physical and Medical Information
The client is irritable and aggressive with his family and friends and often demonstrates anger during therapy sessions. He also demonstrates conduct disorder and physical violence. The associated symptoms have been documented to be caused by possible schizophrenia.
Possible Consultations and Mini-Mental Status Examination
More treatment sessions should be carried out in an outpatient office with a personality disorder therapist. The client should also take frequent psychiatric evaluations. The psychiatric medication, such as lithium, will help reduce aggression.
Theoretical Model
The theoretical model used for the family’s therapy is the differentiation of self. This Bowen approach refers to a person’s ability to separate their thoughts and feelings, respond to anxiety, and use the necessary life skills to cope with life variables as they pursue personal goals. The therapist helps the client see life from a different perspective, thus improvement of the respective condition. As the therapist, I will take the client through the therapeutic process while encouraging him through the assessment to understand the interpersonal boundaries between himself and the family system.

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