Eighth Week/Session Ted enter this week having some experience in Alcoholics Anonymous (AA) meetings. He shares his first experience in stating to others, “I am Ted and I am an alcoholic.” He stated it felt “right” to share that with other members of the meetings. Although Ted reported having sleep issues and difficulty during late evenings, his relationship with his daughter has improved as she often tells him, “I love you.” Ted is aware of his personal triggers and stated, “it is hard to believe that I will never have another drink for the rest of my life”, this implies that Ted is aware of the possibility of relapse. He …show more content…
During the first week, Ted was in the precontemplation stage of change. Therefore, he denied that any change was necessary and he often displayed resistant behaviors throughout the session. Clark (1991) described defense mechanisms was strategies people use to make their behaviors and/or feeling as less severe and/or painful. During the first few sessions, Ted does not fully acknowledge his problematic behaviors. Clark lists the following types of defense mechanisms: denial, displacement, identification, intellectualization, projection, rationalization, reaction formation, regression, repression, and undoing. While in precontemplation, Ted did not take responsibility for his past and current behaviors. He was in denial about his drinking problems as evidenced by stating multiple times, “my drinking is not a problem” and “I was in control.” There were times when Ted expressed that his wife and son has problems that need to be changed, demonstrating …show more content…
In the substance abuse field, it is vital that helping professionals assist client in identifying early signs of relapse, and becoming aware of triggers and high risk times. Ted’s case study exemplifies proper recognition of defense mechanisms, early signs of relapse, triggers, high risk times, proper clinical documentation, and treatment planning for a client with substance and/or mental health diagnoses. It demonstrates how relapse can occur during anytime during the counseling process and how the counselor and the client should address the relapse to return to and sustain abstinence and recovery. Many substance abuse and mental health facilities have a collaborative approach consisting of other professionals such as, psychologists, nurses, specialized counselors, family, and friends. Early intervention, counseling, and continued care tends to be more effective when there is collaborative approach. Equally important, helping professionals should accept that it is the client’s responsibility to put forth an effort to change problematic behaviors and/or become abstinent and sustain