Institutional Affiliation
Case Conceptualization
Client information
The customer is a 23 years old Caucasian single parent who is as of now 37 weeks pregnant. She gives and broad history of substance use. The customer alluded to SLHC Woman and Children’s program by Walter B. Jones. She revealed that she was simply attempting to advance her recuperation and needed a sheltered place to do as such. She likewise said that she took a look at herself in for Detox at Forsyth Medical Center on December first and stayed there until December eighth. The customer revealed that preceding her detox, she was destitute and utilizing heroin day by day. Customer reports utilizing near a gram or what she could bear the cost of day by day. Her substance use started at age 16 or 17 as of now reports utilizing THC with companions smoking up to 2 blunts every day. Customer reports meth use started at age 20. She investigates normal utilizing a gram of heroin, smoking 2 blunts, and about a gram of precious stone meth. The customer kept on utilizing all through her pregnancy. The customer was raised until the age of 8 with both parents who have a history of drug abuse. She reports two of her three kin have issues with substances. Right now she reports a stressed association with her folks and kin. She is the mother of two minor youngsters who are right now in the care of her dad because of her SA issues.
The customer reports no contact with her youngsters or her dad in over a year. She has a functioning CPS case because of testing positive for narcotics and THC in the emergency clinic while pregnant with a little girl. Customer reports a 6 years history of abusive behavior at home to incorporate passionate and physically misuse day by day, she shared this maltreatment occurred while pregnant and within the sight of her two minor youngsters. Customer right now has lawful charges pending for ownership of THC and medication stuff. She is at present destitute in the wake of having lived with family and ex until CPS progressed toward becoming included then she lives in the city under scaffolds and love seat surfing. She gives high hazard for withdrawal and proceeded with use without SACOT and private dimension of consideration. Customer share requiring a solid and strong condition to recoup. Customer will profit by checked MAT and Psych administrations to capture her psychological wellness and narcotic use. Customer will profit by the structure exercises of SACOT to create adapting expertise and backslide anticipation procedures. Without this dimension of treatment, her capability to keep on taking part in high hazard practices will proceed. Customer present to be in the planning/activity phase of progress. She reports requiring serious rousing procedures and the solid safe steady condition she has demonstrated powerless to adapt for even constrained measures of time w/o 24 hour strong administrations.
Theoretical Approach
The CAP Control Theory of Drug Abuse was used to conceptualize this client’s case. The CAP control model accentuates the cooperation of the person’s style and the powerful experience of medication use with the medication’s pharmacogenic impact. These are the essential elements of the cognitive-affective-pharmacogenic (CAP) control hypothesis of enslavement (Ewen & Ewen, 2014). The subjective style of the medication abuser is seen as the vital factor in a person’s moving from medication experimentation to sedate maltreatment. There is a present pattern in conduct treatment underlining intellectual methodologies. The significant fundamentals of subjective conduct treatment are that human conduct is interceded by unobservables that mediate between an improvement and the reaction to that boost. Convictions, sets, procedures, attributions, and anticipations are instances of the sorts of intervening builds right now thought to be vital to a comprehension of feeling and conduct (Wise & Koob, 2014). Second, the way an individual names or assesses a circumstance decides his or her enthusiastic and social reaction to it. A third essential supposition is that musings, emotions, and practices are causally intelligent.
To attach the subjective way to deal with medication abusers, the CAP control-theoretical perspective sets that the maltreatment procedure starts with struggle as an inclining factor. Individuals who are experiencing issues in fulfilling needs or desires set upon them by society or without anyone else’s input are in strife, and an outcome of the worry of contention is nervousness (Giovazolias & Themeli, 2014). Tension is an all-inclusive inclination, something the vast majority of us experience somewhat every day. It is not the experience of uneasiness yet the person’s understanding of the tension that is pivotal to the hypothesis. Hidden the tension of medication abusers is a conviction that they cannot adjust or control the circumstance; that they are weak to influence their condition and decline or dispose of the wellsprings of stress. The conviction that they are feeble to adapt to pressure is the major subjective bending of medication abusers. One outcome of this is simply the exceptional sentiment of low regard that is a notable clinical substance among medication abusers. Sentiments of self-evaluation, which frame the conviction that one is frail, speak to the compelling part of the CAP theory.
The reason for selecting the CAP control-theoretical perspective is that it was the most suitable to help in understanding the client’s drug abuse issue. Based on the theory, the client’s long experience and exposure to drugs was a major factor that contributed to her substance abuse problem. Most importantly, in reference to CAP theoretical perspective, the woman’s inability to reform might have undermined her self-esteem and that is why she has been homeless as she cannot cope with the stress. The CAP model of medication misuse likewise makes a few suppositions about the treatment of medication misuse. To begin with, viable and enduring change depends on discovering that conduct has results and that one can affect his or her own life. To supplant a feeling of frailty with a feeling of authority, the abuser must be shown elective methods for reacting to outer or inside pressure. These elective ways cannot, notwithstanding, be produced, polished, and embraced as long as the individual keeps on utilizing drugs. A second presumption is that a successful treatment plan must be multimodal. A total treatment plan must evaluate the obvious conduct of medication taking as well as the adverse feelings, horrendous physical sensations, meddling pictures, broken insights, and relational insufficiencies. Every one of the person’s concern zones may require a particular treatment methodology. For instance, methodical desensitization might be utilized to enable the abuser to adapt to nervousness, while intellectual rebuilding might be expected to address the defective psychological procedures.
Assessment and diagnosis
The client’s diagnosis was specifically prolonged substance abuse. The DSM 5 perceives substance-related clutters coming about because of the utilization of 10 separate classes of medications: liquor; caffeine; cannabis; drugs; inhalants; narcotics; tranquilizers, hypnotics, or anxiolytics; stimulants (counting amphetamine-type substances, cocaine, and different stimulants); tobacco; and other or obscure substances. Likewise, the DSM 5 perceives that individuals are not all consequently or similarly powerless against creating substance-related scatters and that a few people have brought down dimensions of discretion that incline them to create issues on the off chance that they’re presented to drugs. In light of the demonstrative manual, taking the substance in bigger sums or for longer than you’re intended to shows substance misuse issue (Hasin et al., 2013). In addition, needing to chop down or quit utilizing the substance however not figuring out how to and investing a ton of energy getting, utilizing, or recuperating from the utilization of the substance is identified with extreme medication misuse. Likewise, yearnings and inclinations to utilize the substance, not figuring out how to do what you ought to at work, home, or school on account of substance use, and proceeding to utilize, notwithstanding when it causes issues seeing someone mirrors the issue. Information collected from the client during the first sessions was incorporated to reach this diagnosis as it matched with the DSM-5 criteria for identifying substance abuse problem. For instance, the client reported difficulties in wanting to stop taking drugs and she did not stop even when it had damaged her relationships. She had also not seen her family for a long time due to the abuse.
Counseling goals

  • To provide a healthy environment and social support network necessary to manage substance abuse.
  • To prevent the client from continuing to engage in high-risk behaviors and help her to develop coping strategies.
  • To prevent the development of potential withdrawal symptoms.

Ewen, R., & Ewen, R. B. (2014). An introduction to theories of personality. Psychology Press.
Giovazolias, T., & Themeli, O. (2014). Social learning conceptualization for substance abuse: Implications for therapeutic interventions. The European Journal of Counselling Psychology3(1).
Hasin, D. S., O’Brien, C. P., Auriacombe, M., Borges, G., Bucholz, K., Budney, A., … & Schuckit, M. (2013). DSM-5 criteria for substance use disorders: recommendations and rationale. American Journal of Psychiatry170(8), 834-851.
Wise, R. A., & Koob, G. F. (2014). The development and maintenance of drug addiction. Neuropsychopharmacology39(2), 254.