Co-occurring disorders refer to more complex, challenging, and dangerous clinical picture; therefore require treatment continuity over a long period of time (Cann, 2015) Initially, harm reduction model entails, the interaction of his prescribed medication (Clozapine and anti depressant) and alcohol/marijuana must be evaluated. Taking clozapine and alcohol can together cause dizziness, drowsiness, and difficulty in concentrating and it also impairs judgment (Clozapine and Alcohol, n.d). This interaction may have given a hard time to Tom in the work. Hence, he must be informed about this significant drug interaction. Secondly, somehow the client’s accessibility to psychiatrist was restricted, but he needs to continue to get medical mental help.
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It seems that his social needs trigger his alcohol use. Tom’s feelings and thoughts regarding this issue should be discussed in the therapy. This may prompt his self-awareness and control. Finally, in the course of his treatment, his childhood abuse history and his potential severe effect should be addressed. Presumably, it negatively influenced his cognitive schemas. However, it requires advance therapeutic skills, because his psychotic disorders may interfere with maintaining effective psychotherapy. Consequently, the counselor has to deal with his alcohol and substance use problem as well as try to help client decrease the effect of schizophrenia by prompting his skills and teaching new coping …show more content…
These differences may have either negative or positive impact on the treatment with Tom. It is hard to determine their effects, because Tom’s perception regarding his cultural background is not identified. The only thing is that he does not like to listen to father’s Bible reading or go to Church. My different cultural background could be interesting for him to continue to therapy. On the other hand, our ages are so close, and that may also be perceived as ”incompetence” by Tom. Therefore, I would particularly pay attention to be seen as expert, but while doing that, avoid being too formal in the therapy. In deed, this case’s co-occurring nature makes treatment plan so complex. Maintaining continuity and integrative work with other professional is imperative due to potentially harmful nature of case. So, I would update the treatment plan at regular intervals and pay attention the client’s every little changing. I would also focus on the client’ s social skills and seek a way to extend his social network and prompt his life goals. In accordance with the harm reduction model, the client’s life safety has a priority; therefore all drugs he takes ought to be known by counselor. The only way to follow this is possible by establishing a trustful
It seems that his social needs trigger his alcohol use. Tom’s feelings and thoughts regarding this issue should be discussed in the therapy. This may prompt his self-awareness and control. Finally, in the course of his treatment, his childhood abuse history and his potential severe effect should be addressed. Presumably, it negatively influenced his cognitive schemas. However, it requires advance therapeutic skills, because his psychotic disorders may interfere with maintaining effective psychotherapy. Consequently, the counselor has to deal with his alcohol and substance use problem as well as try to help client decrease the effect of schizophrenia by prompting his skills and teaching new coping …show more content…
These differences may have either negative or positive impact on the treatment with Tom. It is hard to determine their effects, because Tom’s perception regarding his cultural background is not identified. The only thing is that he does not like to listen to father’s Bible reading or go to Church. My different cultural background could be interesting for him to continue to therapy. On the other hand, our ages are so close, and that may also be perceived as ”incompetence” by Tom. Therefore, I would particularly pay attention to be seen as expert, but while doing that, avoid being too formal in the therapy. In deed, this case’s co-occurring nature makes treatment plan so complex. Maintaining continuity and integrative work with other professional is imperative due to potentially harmful nature of case. So, I would update the treatment plan at regular intervals and pay attention the client’s every little changing. I would also focus on the client’ s social skills and seek a way to extend his social network and prompt his life goals. In accordance with the harm reduction model, the client’s life safety has a priority; therefore all drugs he takes ought to be known by counselor. The only way to follow this is possible by establishing a trustful