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Research on Cognitive Behaviour Therapy

   

Added on  2020-06-06

13 Pages4147 Words92 Views
Case study with application ofMI and a therapy

TABLE OF CONTENTSINTRODUCTION AND OBJECTIVES.........................................................................................1CASE STUDY.................................................................................................................................1CONCLUSION :..............................................................................................................................7REFERENCES :..............................................................................................................................9

INTRODUCTION AND OBJECTIVESMotivational interviewing is known as the clinical style which engages patients intreatment and increases motivation in order to reduce substance use (Elsabahy, Heo & Wooley,2015). Issues which are faced at the time of treating patients who are suffering mental illness andconcurrent problematic substance use are well recognized. The present research will provide acase study of Eliza who is suffering from schizophrenia. The main aim is to investigate twoapproaches which can be used while working with her and in the development of care plan. Thepresent research will focus on two approaches that motivational interviewing and cognitivebehaviour therapy. These both will be presented with a review of the literature with a view oftheir application in this case (Zimmer, Goldinger & Hassel, 2016). In the entire literature, thereare different terms are used in order to refer the mental illness. CASE STUDYElisa, a 28 year old working women was admitted to an acute psychiatric unit as she wasfacing issues with increasing delusions and auditory hallucinations. From the past medical anddiagnosis reports it was identified that she has been suffered from schizophrenia at age of 18 andhas been using a poly-substance drug at age of 14. She oftens develop delusion when she was achild that her uncle was sexually abusing her whenever she felt unwell. She got experience ofderogatory auditory hallucinations. When she got admitted to the hospital her appearance wasdishevelled, got irritated and infuriated at several times during medication and staff intervention.She has refused all the staff and medical intervention and prefers to sit alone in isolation. Medicscontends that while giving her medication she often resists and keep shouting that her uncle usedto do same tricks while raping her. Elisa stated that she has been smoking marijuana (THC) dailyafter a period of around 6 months of abstinence. From the drug urine analysis it was identifiedthat what she stated was true as only THC drug was identified. From the interrogation, it wasdiscovered old friend of her offers her joint at music concert. Since then she got addicted to themarijuana. As the delusional intensity got decreased in Elisa she was transferred to the LowDependency Unit (LDU) after 15 days. After the transfer, her food intake got improved and shesleep more peacefully. Furthermore, she responds to health care professionals more politely andefficiently. It was identified that she was participating in co-curricular activities including art and

dance therapy. She prefer to spend large amount of time dancing and singing in her room. Afterfour weeks at hospital she elucidated that she has been suffering from prolonged mental illnessand medication would not be able to help her. She said that THC was best drug to reduce herpsychological distress and helps her by making more creative and innovative. She furtherconnotes that the medication given to her (amisulpride) was precise but it gave her less energy.She like to volunteering at community centres especially at times of abstinence. She reported thatlongest period of abstinence of 6 months. During this time she volunteered at differentcommunity centres in order to get rejuvenated. Elisa was found of art and dance and sheexpressed her area of interest in dance and desire to study it efficiently. It was identified that shehas participated in various official events and community programmes. Elisa stated that herdesire to study art and dance therapy got demolished due to frequent admissions in hospitals.Elisa further stated that she had few colleagues as her friends. Her relationship with mother wasefficient and they love to spend time with each other. Due to frequent delusions and auditoryhallucinations, she described that the relationship become stressed. Elisa suffered frompsychological disorder which converts her healthy living life into terrible miserlyMotivational InterviewingAt the time of non-adherence to recommended medicines remains the fundamental driverof psychotic relapse in service users who are suffering from schizophrenia, THC utilize is relatedwith expanded recurrence and length of hospitalization and for the most part poorer results.Rollnick, Miller and Aloia (2008) recommended that motivational interviewing focused on self-identification of motivation and cognitive behaviour is one of the beneficial counsellingapproaches that help in measuring service user with dual diagnosis. Along with this, motivationalinterviewing focus on the patients own concerns related to behaviour, their aim, purpose and thesignificance of taking responsibility for their own action and choices. Levounis, Arnaout andMarienfeld, (2017) state that with the help of self identification of these factors a healthcareprofessional can easily accomplish its long term results. With the systematic use of MI it canbecome easy to determine the process and a key segment of the trans-hypothetical model, thatspotlights on behavioural change forms and also deciding availability and inspiration. However,all the stages of change do not follow a systematic pattern especially in relation to substance

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