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    There is a wide range of therapies, approaches and modalities for the treatment of addictions. Which psychotherapeutic approaches appeals to your therapeutic style and how would you integrate these theoretical orientations and approaches? Defend your position from your readings and research of why you feel integration of these approaches and modalities is clinically indicated? What specific factors will you consider when creating a treatment plan in order to provide individualized services required for effective treatment?

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    Of all the psychotherapeutic approaches, behavioral therapies for addiction are my first choice because modifying clients' attitudes and behaviors related to drug abuse is such a critical part in order to foster their life skills. I would also ensure that I am using a chronic care approach to drug treatment, one that addresses anger, anxiety, depression, problem solving, conflict resolution skills, mental health problems
    work, school, and family functioning, and other related issues. Because of how complex addiction impacts the brain, I would also weave neurobiological approaches as well.

    Research also commends the use of CBT as group cognitive behavioral therapy for depression (GCBT-D) was delivered in community-based addiction treatment settings and "outcomes at 6 months post-baseline included changes in depressive symptoms, mental health functioning, negative consequences from substance use, and percentage of days abstinent" (Hunter, Paddock, Zhou, Watkins, Hepner, Hunter, & ... Hepner, 2013), p. 57). Experts also affirm how " the cognitive interventions could be useful in targeting beliefs and helping a patient to change his or her assumptions about their capacity to cope" (Galperyn, Crockford, & el-Guebaly, 2014, p. 13).

    Next, some specific factors to consider when creating a treatment plan in order to provide individualized services required for effective treatment include the two key components of treatment and continuing care. In the treatment phase, for example, follow up by management for the disorder over time via drug abuse monitoring, booster sessions, and reevaluation of treatment needs are also important.

    Yet I see assessment as the first line for defense to properly comprehend the nature and extent of the substance problem as well as to determine a client's strengths in terms of social and family support, employment history, motivational factors,
    threats to recovery, and other physical and mental health challenges.

    When creating a plan, it is also imperative to recognize that substance abuse cannot be treated in isolation from related issues and potential threats, such as mental health status, physical health, family functioning, employment status, homelessness, or other issues, so consideration of these factors during the initial assessment and then incorporating them into the treatment plan is a win/win. Treatment services must also be matched to accommodate the individual and unique needs of client. Related activities such as detoxification, treatment planning, behavioral therapies, and aftercare are essential.

    Some sample treatment goals include the following: "Establish and maintain total abstinence, while increasing knowledge of the disease and the process of recovery. Acquire the necessary 12-step skills to maintain long-term sobriety from all mood-altering substances, and live a life
    free of substance abuse" (Perkinson, Bruce, & Jongsma, 2014).

    References:

    Galperyn, K., Crockford, D., & el-Guebaly, N. (2014). Understanding Cognitive Behavioural Therapy for Addiction: Its Use in Tapering Off Benzodiazepines. Canadian Journal Of Addiction, 5(1), 13-15.

    Hunter, S., Paddock, S., Zhou, A., Watkins, K., Hepner, K., Hunter, S. B., & ... Hepner, K. A. (2013). Do client attributes moderate the effectiveness of a group cognitive behavioral therapy for depression in addiction treatment?. Journal Of Behavioral Health Services & Research, 40(1), 57-70.

    Perkinson, R. R., Bruce, T. J., & Jongsma, A. E. (2014). The Addiction Treatment Planner. Hoboken, New Jersey: Wiley.

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