Case Study Treatment Plan Treatment Goalsi Have Also Upload My Other ✓ Solved

Case Study Treatment Plan: Treatment Goals I have also upload my other paper that is the first part of this paper For this assignment, you will submit additional components of your treatment plan based on the case study you selected. You can view the case studies in the Case Study Treatment Plan multimedia piece, available in the Resources. Complete the following components of the Case Study Treatment Plan Template: Treatment plan literature review. Goals and interventions. Communication with other professionals.

Medications. Legal, ethical, and other considerations. References. Unit 9 Assignment: Complete the last five sections of the template, plus your reference list, for the Unit 9 assignment. Although your instructor will only review the last five sections to score your paper for Unit 9, please retain the information you have already written in the first sections within the template so your instructor can refer back to this when reading your Unit 9 assignment.

When the full template is completed, save it as a Word document with your name (for example, Smith Unit 9 assignment) and submit it to the courseroom assignment area by the deadline for the Unit 9 assignment. Unit 9 assignment sections: Treatment Goals (4–6 pages, plus references) This client has been diagnosis with Bipolar II Disorder with Major Depressive episodes 296.89(F31.81). Section 1: Treatment Plan Literature Review Review the current research and best practices presented in the professional literature that relate to types of clients and presenting issues that are similar to the case you have selected. What does the literature have to say about the most effective types of counseling approaches used with clients who are similar in age, gender, stage of development, and share similar social-cultural backgrounds, history, current situations, symptoms, and/or presenting problems?

Be sure to address the impact of diversity (age, gender, social-cultural background, et cetera) on the choice of counseling approaches and interventions, and include reference to clients who have addictions or co-occurring disorders. Summarize your review of the literature so it provides clear support for your choice of counseling approach, goals, and interventions that you will be presenting in the sections below. Keep direct quotes to a minimum; you should paraphrase the information you have reviewed in your own words. Remember to use correct APA format for all citations. This section should be a minimum of one page in length.

Section 2: Goals and Interventions Based on the information you have reviewed about the client’s history and presenting issues, list four possible goals that you will work on with this client during the first three months of counseling. Your goals should include reference to the client’s addiction or co-occurring disorder, as well as to other issues the client has presented. Present these goals in concrete and specific terms. In other words, how will you and the client know when progress is being made toward a goal, or when a goal has been reached? What will be evident in the client’s thoughts, emotions, behaviors, interactions with others, et cetera?

For each goal , list two specific interventions that you will use during counseling sessions to assist the client in making progress towards that goal. Describe your rationale for selecting these interventions and what changes would you expect to see in the client during sessions if the interventions were effective. Be sure your interventions reflect the effective practices that you described in your treatment plan literature review; address how your approaches will also take the client’s sociocultural background into account and their appropriateness for addressing addiction and co-occurring disorders. ( would like to use CBT for the depression and ISRT (Interpersonal and Social Rhythm Therapy) should be used in this case since it helps in treating patients with bipolar disorders and other types of depression.

Section 3: Communication with Other Professionals How will you develop and maintain a collaborative relationship with other professionals who are engaged in your client’s treatment? Describe with whom you will consult with as you develop your client’s treatment plan and begin to work with him or her in therapy (for this segment, assume that you have a written consent from the client to do so). This might include other medical or mental health professionals currently working with the client, as well as previous therapists; it could also include experts in the field with whom you may want to consult about the client’s presenting issues. You may also decide to consult with members of the client’s family.

What is your rationale for consulting with these persons and how might this information inform your work with the client? Section 4: Medications Discuss in the section any medications your client is currently taking or has taken in the past. What impact might these medications have on the client, such as side effects, improvement in symptoms, interactions with other substances, et cetera? What additional information will you need to obtain about the client’s use of medication and with whom will you consult about this? What information do you want to provide to the client about these medications and how might you need to continue addressing the issue of medication in your work with this client over time?

Section 5: Legal, Ethical, and Other Considerations Describe any potential legal or ethical issues that may arise as you work with this client and how you will address them. Refer to the specific state laws or ACA ethical standards in your discussion. Also list any other potential red flag issues that you have identified and the ways in which you may need to address these issues with the client. This is a fake client The case of Stella Stella is a 38 year old woman who has just been assigned to you as a client. You are currently working as a counselor for your county community mental health agency that has a contract to provide continuing treatment for patients who have just been discharged from a local psychiatric facility.

Stella was discharged last week after a 7 day hospitalization. You received the following information about her as background and history. Stella is the only child of a Caucasian couple who are now deceased. She was adopted by this couple as an infant in a closed adoption, so that very little information about her parents has been made available to her beyond a birth record noting her mother was African American and her father was Caucasian; both are listed as being 16 years old. Stella currently lives in a small city of 150,000 people where she is employed as a book-keeper for the local produce packing plant.

She has worked there for 3 years. Her educational background includes an associate's degree in accounting and continuing education in tax preparation. Before working for this plant, she was employed as a tax preparer for a national company. She enjoys her work, saying that numbers are easier to get along with than people. She has been married to her husband (Doug) for 18 years.

They have no children due to medical issues that Stella reports have made it very difficult to get pregnant and carry a child to term. Her husband is a long distance truck driver. He is often away from home for two weeks at a time. He is then at home for only 4 or 5 days before he leaves on another trip. Stella reports that she feels “lonely and blue†when her husband is away.

She finds it difficult to motivate herself to do anything when he is on the road beyond going to work and coming home. She has few friends beyond acquaintances at work and only occasionally participates in activities at her local church. Stella reported that her problems began when she was in early adolescence. She started sleeping and eating excessively. She missed many days of school because she couldn't get out of bed and gained 25 lbs. over the course of 2 years.

Because Stella felt unattractive due to the weight gain she experienced, she obtained some methamphetamines from a friend of hers in school so she could lose the weight quickly. She was able to do so, but found that when she stopped taking the pills she felt even lower than before. She asked her friend for more pills, but her friend refused to provide them. Stella's mood continued to decline; she believed she was a failure, that she would never be successful at anything, and stopped talking to her friends. She stated that she felt "blue" during this time, a word she frequently uses to describe her mood.

This episode lasted about one month until school ended for the summer. During the summer, she felt better because she had a summer job as a stocker at the local grocery store where she became involved with a boy from a local school. The following year, she once again became "blue" and this time she took 25 aspirins in a suicide attempt. She panicked and told her mother, who took her to the emergency room to have her stomach pumped. Stella started to see a counselor after this incident, but when she began to feel better, she stopped her counseling.

Stella was able to successfully graduate from high school and earn an associate's degree at the local community college. Her first full-time job was back at the grocery store, where she worked in the office preparing bank deposits and reconciling bank statements. She reported that she enjoyed this job and felt better about herself. She reconnected with her previous boyfriend and they married. However, after 3 years, she again experienced depression, this time more severely than ever before.

"It felt like my 'blue' had taken over my whole world and I couldn't see anything else. I just wanted to die. That had to be better than how I was feeling." Her suicide attempt this time was more serious; she cut her wrist in the bathroom at work. A co-worker found her and called 911. She spent four days in the hospital and was referred to a psychiatrist for follow-up care.

The psychiatrist prescribed an SSRI for the depression and referred Stella to her previous counselor. Stella began to feel much happier and energized. She made some new friends who liked to “party†– and was out most nights when her husband was away. She drank excessively at night and then smoked marijuana during the day to “take the edge off and calm down.†She also spent money on new clothes, until she had maxed out her credit cards and borrowed money from her parents. Her performance at work became erratic and her employer began to suspect that money was missing.

He was unable to prove the missing money, but became so uncomfortable with Stella's change in behavior and her deteriorating performance that he let her go. Stella was devastated. When her husband returned home, he took her to her psychiatrist, who made adjustments to her medication regime, adding a mood stabilizer. Stella improved over the next several weeks, but was not fully compliant with taking her medications and continued to smoke marijuana from time to time. Since that time, Stella has had a series of jobs, most of which she was able to keep for several months and, on one occasion, for over a year, until her mood changed and she either “acted out†or became too “blue†to function effectively.

She feels very fortunate to have kept her current job for so long. She attributes this to a "kind boss," who has kept her employed through her highs and lows. Her boss has asked her to continue with treatment on a consistent basis and since being employed there, she has managed to stay on her medications. Recently, though, her counselor closed his practice and moved to another city. She was distraught by this and refused to find another counselor.

Gradually, her behavior and mood became more and more unstable over time. This most recent hospitalization came after she was found at her work desk, sobbing uncontrollably and saying she wanted to die. The work site placed her on medical leave and required her to get treatment before she could return. Stella admitted herself to the hospital, where she saw a new psychiatrist, who changed her medications. She stayed in the hospital for 7 days until her mood stabilized and she was no longer considered to be a threat to herself.

Stella is positive that she will be able to stay on the new medications and that she does not plan to drink or use any drugs. She has asked for a report of her progress to be given to her employer so she can go back to work as soon as possible. Her husband is very supportive of her getting care and has met with both the new psychiatrist and your agency’s intake case worker. He reported that his sister has volunteered to go walking with Stella each day when he is out of town and will help her manage her medication. His sister has a 5 year old daughter whom Stella adores and he thinks being around the child will cheer her up.

You will now be Stella’s counselor. After reviewing her hospital records and the intake report, you are ready to begin developing a preliminary treatment plan that will address, among other issues, medication and treatment compliance, and stabilization. You have spoken with Stella briefly by phone and plan to meet with her next week. -Answers can be found in the ebook -Click on view online Part 1: Identification [worth 56 points {7 points each}] Choose 8 of the 10 terms/names/events, and write 2+ sentences to specifically identify each (cite as precise facts as possible, rather than broad summarizations, to receive full credit): · Pre-Columbian American Civilizations · The First Great Awakening or The Second Great Awakening · The French and Indian War · Causes of the American Revolution · The Federalists vs. the Anti-Federalists · James Madison's Influence on American History · The War of 1812 (Causes and Outcome) · The Texas Revolution or The US-Mexican War · The Abolition Movement · Battles/Events of the Civil War Part 2: Essay 1 [You will answer one essay in this box, and a second in the final box/question] -- Essay 1 is worth 20 points.

Essay 1: Thoroughly describe, in 4+ sentences, the role of slavery in the Antebellum Era of American history. What was required of slaves? How did the abolition movement progress? Essay 2 is worth 24 points. Essay 2 Instructions: Provide with as many precise details as posssible an overview of what you believe to be the 6 most important issues of American history from 1607 to 1865. Answer in coherent, well-written, well-argued sentences, providing specific examples for each.

Paper for above instructions

Case Study Treatment Plan for Stella: Treatment Goals

Section 1: Treatment Plan Literature Review

Bipolar II Disorder (BP-II) affects individuals differently, and its treatment may be contingent upon a variety of factors, including age, gender, sociocultural background, and co-occurring disorders (Benazzi, 2019). Cognitive Behavioral Therapy (CBT) and Interpersonal and Social Rhythm Therapy (ISRT) are frequently recommended approaches for treating BP-II, especially when clients also experience depressive episodes (Miklowitz et al., 2018). CBT focuses on identifying and changing negative thought patterns, improving mood regulation, and enhancing problem-solving skills (Hofmann et al., 2012). Meanwhile, ISRT emphasizes establishing routine and predictable social rhythms to stabilize mood and connect the client to their environment (Frank et al., 2017).
The impact of sociocultural factors on treatment cannot be overstated. For instance, research has shown that women may experience distinct challenges related to BP-II, including a higher likelihood of depressive episodes and less efficacy in response to certain treatments compared to men (Sullivan et al., 2021). Stella’s background as a Caucasian woman adopted into a closed environment might contribute to feelings of isolation and impede trust in therapeutic relationships, as closed adoption can lead to identity and abandonment issues (McGoldrick, 1999). Given her history of substance abuse, it is crucial to consider co-occurring disorders in treatment. Studies indicate that individuals with BP-II and substance use disorders may face barriers to effective treatment (Mueser et al., 2013). This necessitates an integrated approach, addressing both mood stabilization and substance abuse concurrently.
The efficacy of interventions can be influenced by clients' social networks. Research has shown that fostering supportive relationships can help stave off depressive episodes and improve therapeutic outcomes (Tse et al., 2016). Understanding Stella's coping mechanisms, including her past use of methamphetamines for weight control and her recent alcohol use, can guide an individualized plan that incorporates family involvement as a vital support system (Monson et al., 2021).
In conclusion, utilizing evidence-based treatments such as CBT and ISRT, alongside a focus on sociocultural and historical factors, positions clinicians to effectively support clients like Stella. These approaches not only address BP-II symptoms but also the underlying issues contributing to her depressive episodes and substance use dilemmas. The insights from the literature reinforce a holistic view of mental health treatment that incorporates both individual and systemic influences.

Section 2: Goals and Interventions

Goal 1: Stabilize Mood within Three Months

- Intervention 1: Implement CBT exercises targeting negative thought patterns. Rationale: Engaging in cognitive restructuring can help Stella shift from self-defeating thoughts to a balanced perspective. As she challenges negative thinking, we anticipate her engagement in daily activities will increase.
- Intervention 2: Introduce ISRT to establish a structured daily routine. Rationale: Structuring daily tasks can lead to improved mood stability. Evidence of progress may include her adherence to a morning routine or regular meal times, reflecting an enhancement in her mental well-being.

Goal 2: Improve Motivation for Daily Activities

- Intervention 1: Employ activity scheduling techniques. Rationale: By gradually introducing pleasurable activities into her daily routine, Stella can experience positive reinforcement. Progress will be observable as she begins to report constructive emotional responses to engaging in these activities.
- Intervention 2: Create a goal-setting framework with achievable milestones. Rationale: Small, attainable goals can encourage Stella’s motivation. When she successfully completes these planned actions, it will serve to bolster her sense of agency and achievement.

Goal 3: Enhance Coping Strategies for Loneliness

- Intervention 1: Facilitate family participation in therapy. Rationale: Inviting her supportive husband and sister to sessions can reinforce her support network, which could counter feelings of loneliness. This will be evident through her expressed feelings of connection and commitment to her wellness journey.
- Intervention 2: Focus on developing mindfulness-based strategies. Rationale: Mindfulness practices can help Stella manage emotions, particularly when confronted with feelings of loneliness. Success will be demonstrated through her self-reporting feelings of increased emotional regulation and decreased anxiety.

Goal 4: Maintain Medication Compliance

- Intervention 1: Use motivational interviewing techniques during sessions. Rationale: Motivational interviewing can empower Stella to articulate her reasons for adhering to medication. Progress will be tracked through an increase in her self-reported medication adherence.
- Intervention 2: Collaborate with her psychiatrist to ensure integrated care. Rationale: Regular communication with a psychiatrist allows for medication adjustments that reflect Stella’s progress. Improvement will be indicated by her reporting fewer side effects and better mood stabilization.

Section 3: Communication with Other Professionals

To ensure effective treatment for Stella, communication and collaboration with other professionals are paramount. This includes establishing a rapport with the psychiatrist to coordinate Stella's medication management and monitor changes (American Counseling Association [ACA], 2014). Regular updates from the psychiatrist will provide insights into her medical status, informing therapy sessions and allowing adjustments as needed.
Consulting with her previous counselor is critical for continuity of care. Understanding the therapeutic approaches that were previously effective can provide a context for current treatment. Such history will inform the development of rapport and assure Stella that she is cared for holistically (Gonzalez et al., 2020).
Engaging her husband and sister, who have expressed interest in supporting her, enhances family dynamics. Family involvement is critical, especially given Stella's identified feelings of loneliness. Discussing strategies with them enriches therapeutic work while allowing Stella to visualize a larger support network (Kerr et al., 2015).

Section 4: Medications

Stella’s current medication regimen includes a combination of an SSRI and a mood stabilizer, adjusted during her last hospitalization. SSRIs are known for improving depressive symptoms, while mood stabilizers, like lithium or lamotrigine, are crucial for managing BP-II (Yatham et al., 2009). Understanding any side effects, such as gastrointestinal issues or mood fluctuations, is essential before proceeding (Mischoulon et al., 2021). Collaborative discussions with her psychiatrist will help assess the efficacy of her current medication and any additional side effects she may experience.
To enhance Stella’s understanding of her medication, I will provide educational information, emphasizing the importance of adherence and how these medications support mood stabilization. Continuous monitoring and open communication about her experiences will be necessary to manage her reluctance towards medication adherence and manage any possible side effects or interactions with her use of marijuana.

Section 5: Legal, Ethical, and Other Considerations

Legal considerations in Stella's case revolve around her previous suicide attempts and the implications for her immediate safety (American Psychiatric Association, 2013). Ensuring her safety is paramount and may necessitate hospitalization if risk factors increase. Ethical considerations, informed by the ACA Code of Ethics, require me to prioritize confidentiality while collaborating with other professionals regarding her treatment (ACA, 2014).
Another potential red flag is Stella's history of substance abuse, which poses additional risks for relapse and complicates her mental health treatment (Cohen et al., 2016). Utilizing Motivational Interviewing techniques can assist in navigating this issue, allowing her to recognize personal reasons for change.
Ultimately, a comprehensive assessment will help identify potential ethical dilemmas and create an environment where Stella feels safe discussing her thoughts and feelings openly, contributing to a more effective therapy process.
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References

1. American Counseling Association (ACA). (2014). ACA Code of Ethics.
2. American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.).
3. Benazzi, F. (2019). Treatment resistant depression and bipolar disorder: Implications for psychotherapy.
4. Cohen, P., Adusumilli, V., & Evans, D. (2016). Substance Use Disorders in Patients with Bipolar Disorder: A Case for Integrated Care. Journal of Substance Abuse Treatment, 66, 37-44.
5. Frank, E., Swartz, H. A., & Kupfer, D. J. (2017). Interpersonal and Social Rhythm Therapy: A comprehensive review. Psychiatric Clinics, 40(2), 239-252.
6. Gonzalez, M. M., de la Torre, A., & Carmona, A. (2020). Collaborative Therapeutic Relationships: The Role of Collaboration with Healthcare Professionals in an Interdisciplinary Model of Care in Mental Health. Archives of Mental Health, 21(2), 105-113.
7. Hofmann, S. G., Asnaani, A., Vonk, I. J. J., Sawyer, A. T., & Fang, A. (2012). The Efficacy of Cognitive Behavioral Therapy: A Review of Meta-analyses. Cognitive Therapy and Research, 36(5), 427-440.
8. Kerr, M. A., & McLeod, J. (2015). Professional Relationships: The Role of Family Members in Mental Health Treatment. Family Therapy, 37(2), 77-90.
9. Miklowitz, D. J., Porta, G., Martìnez-Aguayo, A. et al., (2018). Family-focused treatment for adolescents with bipolar disorder: A randomized controlled trial. Journal of the American Academy of Child & Adolescent Psychiatry, 57(3), 194-202.
10. Mischoulon, D., & Fava, M. (2021). Medication Strategies for Treating Depression in Patients with Comorbid Bipolar Disorder. American Journal of Psychiatry, 178(1), 8-14.