Substance Abuse Case Study: Levi
In recent years psychology researchers have made significant gains in developing effective diagnostic and treatment tools for compulsive and addictive behaviors. In addition, there is a growing body of research that explores the concept of duel diagnosis, with increasingly streamlined treatment plans being designed to address underling mental health disorders in conjunction with detoxification and rehabilitation from substance abuse.
The client in this case study, Levi, is an HIV positive man in his mid-30's who has disclosed an escalating pattern of tranquilizer and cocaine abuse. His case not only presents as a possible duel diagnosis of mood disorder and substance abuse, but given his HIV positive status and his declining health, it's probable he will need comprehensive care. Levi's willingness to disclose his substance abuse to Dan indicates that he may be more motivated to seek treatment at this time, and it also indicates that he has a positive rapport with Dan that should be used to encourage more intensive support. A wide variety of studies have established the importance of positive rapport in therapeutic relationships, and it is specifically efficacious in the treatment of patients with substance abuse. In fact, positive rapport has been shown to increase retention in counseling and improve post-treatment outcomes for substance abuse treatment. What's more, motivation to seek treatment, which Levi exhibited by making the call and confiding in Dan, is highly associated with stronger treatment outcomes (George et al., 2001).
Levi's counselor, Dan should consider the current models that are being developed and implemented to treat HIV and AIDS patients who have comorbid substance abuse issues. A treatment...
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