Formulation
Sarah grew up in a home in which she received little attention due to her parent’s illegal activity; thus, her brother having access to sexually abuse her. Sarah’s addiction to illegal substance stems from an insecure attachment from her parents, and the trauma she endured from her brother. As a result of her complex trauma in childhood, Sarah suffers from anxiety, depression, and posttraumatic stress symptoms, which significantly affects her drug use and emotional and cognitive thought process. (Self Harm) She has engaged in illegal and risky behaviors that have resulted in legal consequences and significant impairments in her interpersonal, social, and family relationships.
Adults who are not provided a secure attachment with a primary caregiver as a child are not …show more content…
Sarah’s addiction is heterogeneous and her comorbidity, strengths and resources should be addressed in her treatment (McGovern, 2003). My intervention with Sarah will focus on her addiction, her depression/ anxiety, her trauma, and her relationships due to her lack of attachment in childhood. To meet the requirements of this paper, I will focus on her addiction and her depression using Cognitive Behavioral Therapy (CBT).
Cognitive Behavioral Therapy is an evidenced based practice in treating substance use disorders and depression by encompassing: motivational interventions, contingency management, relapse prevention in individual, couples, and family settings (McHugh, Hearon, & Otto, 2010). My goal in using CBT with Sarah will be to assist her in identifying problematic behaviors and giving her different skills that can be used to stop her addiction and to address her depression. CBT will help Sarah anticipate problems and develop effective coping strategies to use when she is triggered or has a low
Sarah grew up in a home in which she received little attention due to her parent’s illegal activity; thus, her brother having access to sexually abuse her. Sarah’s addiction to illegal substance stems from an insecure attachment from her parents, and the trauma she endured from her brother. As a result of her complex trauma in childhood, Sarah suffers from anxiety, depression, and posttraumatic stress symptoms, which significantly affects her drug use and emotional and cognitive thought process. (Self Harm) She has engaged in illegal and risky behaviors that have resulted in legal consequences and significant impairments in her interpersonal, social, and family relationships.
Adults who are not provided a secure attachment with a primary caregiver as a child are not …show more content…
Sarah’s addiction is heterogeneous and her comorbidity, strengths and resources should be addressed in her treatment (McGovern, 2003). My intervention with Sarah will focus on her addiction, her depression/ anxiety, her trauma, and her relationships due to her lack of attachment in childhood. To meet the requirements of this paper, I will focus on her addiction and her depression using Cognitive Behavioral Therapy (CBT).
Cognitive Behavioral Therapy is an evidenced based practice in treating substance use disorders and depression by encompassing: motivational interventions, contingency management, relapse prevention in individual, couples, and family settings (McHugh, Hearon, & Otto, 2010). My goal in using CBT with Sarah will be to assist her in identifying problematic behaviors and giving her different skills that can be used to stop her addiction and to address her depression. CBT will help Sarah anticipate problems and develop effective coping strategies to use when she is triggered or has a low