Posted: May 21st, 2022

Assignment: Assessing Clients with Addictive Disorders

Assignment: Assessing Clients with Addictive Disorders
Addictive disorders can be particularly challenging for clients. Not only do these disorders typically interfere with a client’s ability to function in daily life, but they also often manifest as negative and sometimes criminal behaviors. Sometime clients with addictive disorders also suffer from other mental health issues, creating even greater struggles for them to overcome. In your role, you have the opportunity to help clients address their addictions and improve outcomes for both the clients and their families. For this Assignment, as you examine the Levy Family video in this week’s Learning Resources, consider how you might assess and treat clients presenting with addiction.
Learning Objectives

Students will:
• Assess clients presenting with addictive disorders
• Analyze therapeutic approaches for treating clients with addictive disorders
• Evaluate outcomes for clients with addictive disorders
To prepare:
• Review this week’s Learning Resources and consider the insights they provide.
• Review the Levy Family video Episodes 1 through 5.

The Assignment
In a 2- to 3-page paper (hire research essay pro writers), address the following:
• After watching Episode 1, describe:
o What is Mr. Levy’s perception of the problem?
o What is Mrs. Levy’s perception of the problem?
o What can be some of the implications of the problem on the family as a whole?
•
• After watching Episode 2, describe:
o What did you think of Mr. Levy’s social worker’s ideas?
o What were your thoughts of her supervisor’s questions about her suggested therapies and his advice to Mr. Levy’s supervisor?
•
• After watching Episode 3, discuss the following:
o What were your thoughts about the way Mr. Levy’s therapist responded to what Mr. Levy had to say?
o What were your impressions of how the therapist worked with Mr. Levy? What did you think about the therapy session as a whole?
o Informed by your knowledge of pathophysiology, explain the physiology of deep breathing (a common technique that we use in helping clients to manage anxiety). Write my Essay Online Writing Service with Professional Essay Writers – Explain how changing breathing mechanics can alter blood chemistry.
o Describe the therapeutic approach his therapist selected. Would you use exposure therapy with Mr. Levy? Why or why not? What evidence exists to support the use of exposure therapy (or the therapeutic approach you would consider if you disagree with exposure therapy)?
•
• In Episode 4, Mr. Levy tells a very difficult story about Kurt, his platoon officer.
o Homework help – Discuss how you would have responded to this revelation.
o Describe how this information would inform your therapeutic approach. What would you say/do next?
• In Episode 5, Mr. Levy’s therapist is having issues with his story.
o Imagine that you were providing supervision to this therapist, how would you respond to her concerns?
• Support your approach with evidence-based literature.

Note: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting.

Levy Family: Episode 1 Levy Family: Episode 1 Program Transcript [MUSIC PLAYING]
FEMALE SPEAKER: You’re not dressed? You’re going to be late for work.
MALE SPEAKER: I’m not going to work. I’m sick.
FEMALE SPEAKER: Of course, you’re sick. You’re hungover. I don’t want the boys to see you like this. Go back to bed.
MALE SPEAKER: See me like what? I told you, I’m sick.
FEMALE SPEAKER: Well, what do you call it when someone is sick almost every morning, because they drink every night while they sit in the dark watching TV?
MALE SPEAKER: You calling me a drunk?
FEMALE SPEAKER: What do you call it?
MALE SPEAKER: I call it, leave me the hell alone.
FEMALE SPEAKER: Baby, you need to stop this. It’s tearing us up. The drinking, the anger– you’re depressed.
MALE SPEAKER: You said, for better or worse.
FEMALE SPEAKER: My vows don’t cover this. You were never like this before. You’ve changed. I want us back, the way we used to be.
MALE SPEAKER: That way is dead. It died when I went to Iraq. Levy Family: Episode 1

Additional Content Attribution MUSIC: Music by Clean Cuts Original Art and Photography Provided By: Brian Kline and Nico Danks © 2016: 2024 – Do my homework – Help write my assignment online Laureate Education, Inc.

Levy Family: Episode 2 Levy Family: Episode 2 Program Transcript
FEMALE SPEAKER: I want to thank you for getting me this Levy case. I think it’s so interesting. Just can’t wait to meet with the client.
MALE SPEAKER: What do you find interesting about it?
FEMALE SPEAKER: Well, he’s just 31. Usually the vets I work with are older. If they have PTSD, it’s from traumas a long time ago. But Jake, this is all pretty new to him. He just left Iraq a year ago. You know, I was thinking he’d be perfect for one of those newer treatment options, art therapy, meditation, yoga, something like that.
MALE SPEAKER: Why?
FEMALE SPEAKER: Well, I’ve been dying to try one of them. I’ve read a lot of good things. Why? What are you thinking?
MALE SPEAKER: I’m thinking you should really think about it some more. Think about your priorities. It’s a good idea to be open-minded about treatment options, but the needs of the client have to come first, not just some treatment that you or I might be interested in.
FEMALE SPEAKER: I mean, I wasn’t saying it like that. I always think of my clients first. MALE SPEAKER: OK. But you mentioned meditation, yoga, art therapy. Have you seen any research or data that measures how effective they are in treatment?
FEMALE SPEAKER: No.
MALE SPEAKER: Neither have I. There may be good research out there, and maybe one or two of the treatments that you mentioned might be really good ideas. I just want to point out that you should meet your client first, meet Jake before you make any decisions about how to address his issues. Make sense?
FEMALE SPEAKER: Yeah.

Levy Family: Episode 2 Additional Content Attribution © 2016: 2024 – Do my homework – Help write my assignment online Laureate Education, Inc. 1 Levy Family:

Levy Family: Episode 3 Levy Family: Episode 3 Program Transcript
JAKE LEVY: We’d be out on recon in our Humvees, and it would get so hot. We used to put our water bottles in wet socks and hang them right outside the window just so the water would cool off of a bit, and maybe then you could drink it. Man, it was cramped in there. You’d be drenched, nowhere to breathe. It’s like riding around in an oven. And you’d have your helmet on you, 100 pounds of gear and ammo. I swear, sometimes I feel like it’s still on me, like it’s all still strapped on me.
FEMALE SPEAKER: How many tours did you do in Iraq?
JAKE LEVY: Three. After that last recon, I just– There were 26 of us. Five marines in the Humvee I was in. I remember I was wearing my night vision goggles. We passed through a village and everything was green, like I was in a dream or under water. And then there was a flash, bright light just blinded me. There was this explosion. I can’t– I can’t—
FEMALE SPEAKER: It’s OK, Jake. Take it easy. I understand this is difficult. There’s something I’d like to try with you. It’s called exposure therapy, and it’s a treatment that’s used a lot with war veterans, especially those struggling with anxiety and PTSD.
JAKE LEVY: Exposure therapy?
FEMALE SPEAKER: Yes. It’s to help someone like yourself to confront your feelings and anxieties about a traumatic situation that you’ve experienced. It’s an– It’s meant to help you get more control of your thoughts, to make sense of what’s happened, and to not be so afraid of your memories.
JAKE LEVY: Put that in a bottle and I’ll buy 10 cases of it.
FEMALE SPEAKER: Well, one part of it is learning to control your breathing. And when you practice that, you can learn to manage your anxiety, to get more control of it, not let it control you, to protect yourself. Do you want to try it?
JAKE LEVY: Right now?
FEMALE SPEAKER: Sure.
JAKE LEVY: Why not?
FEMALE SPEAKER: OK. Well, I know this sounds crazy, but a lot of people don’t breathe properly. And it really comes from bad habits. When they inhale and exhale, all the effort is here in their chest and shoulders. And the problem with that is you get a really short, shallow breath. And that really increases the stress and anxiety in your body. Instead, a more natural breath should always involve your diaphragm, right here in your abdomen. When your breath in, your belly should expand. And when your breath out, your belly should fall. OK?
JAKE LEVY: OK.
FEMALE SPEAKER: So, let’s practice. Close your eyes. Now, I want you to put one hand on your abdomen and the other across your chest. Good. Good. Now, I just want you to take a few breaths, just like normal. What are you feeling?
JAKE LEVY: I feel my chest moving up and down. But my belly, nothing.
FEMALE SPEAKER: OK. So that’s what I was just talking about. That’s OK. Let’s try this. I want you take a breath. And this time, I only want you to allow your abdomen to expend when you breathe in and to fall when you breathe out. OK, let’s try it. Breathe in. Breathe out. Breathe in. Breathe out. You feeling better? More relaxed?
JAKE LEVY: Yes.
FEMALE SPEAKER: And the more you practice it the easier it will become. So, when you find that stress and anxiety coming on, just do your breathing. You can keep yourself from getting swept by all those bad thoughts. OK?
JAKE LEVY: Yes. Thank you.
FEMALE SPEAKER: So, do you want to try to go back to what you were telling me about before?
JAKE LEVY: I can try. It was night. We were out on recon. It was my third tour in Iraq.

Levy Family: Episode 4 Program Transcript
FEMALE SPEAKER: So, do you want to try to go back to what you’re telling me before? LEVY: I can try. It was night. We were out on patrol. I remember it was so hot packed in our vehicle. Suddenly there was an explosion. We got tossed into a ditch. And somehow, I made it out, and I could see it was the Humvee behind us. Its whole front end was gone. It had hit a roadside bomb. Our vehicle had just driven past it, just mis triggering it. But not them. They didn’t make it.
FEMALE SPEAKER: Remember how we practiced. Slow your breathing down. Inhale and exhale from your abdomen.
LEVY: Thank you.
FEMALE SPEAKER: And just take your time. Whenever you are ready.
LEVY: So, the bomb went off. I managed to get out. I had my night vision goggles on. And I could see the Humvee, the one that got hit. Its whole front end was gone. And there’s this crater in the road. And inside it I could see– I could see Kurt’s– our platoon Sergeant, he was lying there everything below his waist was gone, blown off. And he was screaming. Screaming like nothing you’d ever heard. And then he was looking at me. And he was screaming for me to kill him. To stop his suffering. He was yelling, please. Please. And someone tried putting tourniquets on him. But the ground just kept getting darker with his blood. And I was staring into his face. I had my rifle trained on him. I was going to do it. You know. He was begging me to. I could feel my finger on the trigger. And I kept looking into his face. And then I didn’t have to do nothing. Because the screaming had stopped. He’d bled out. Died right there. And all I could think was I’d let him down. His last request, and I couldn’t do it. I couldn’t put a bullet in him so he could die fast not slow.
FEMALE SPEAKER: I can see and hear how painful it is for you to relive this story. Thank you for sharing it. Do you think this incident is behind some of the symptoms you’ve been telling me about?
LEVY: When I go to sleep at night, I close my eyes, and I see Kurt’s there staring at me. So, I don’t sleep too good. That’s why I started drinking. It’s the only way I can forget about that night. So, I drink too much. At least that’s what my wife yells at me. We’re not doing too well these days. I’m not exactly the life of the party. I left Iraq 10 months ago. But Iraq never left me. I’m afraid it’s never going to leave me alone.

Levy Family: Episode 5 Program Transcript
FEMALE SPEAKER: It was such an intense story. I just kept seeing things the way he did, you know. The weird green of his night-vision goggles, his sergeant screaming for Jake to kill him. I just keep seeing it all in my head.
[MUSIC PLAYING]
MALE SPEAKER: Why, do you think?
FEMALE SPEAKER: Why what?
MALE SPEAKER: Why do you think you keep thinking about this story, this particular case? FEMALE SPEAKER: I don’t know, maybe because it’s so vivid. You know, I went home last night, turned on the TV to try to get my mind off it. And a commercial for the Marines came on, and there was all over again– the explosion, the screams, the man dying. Such a nightmare to live with, and he’s got a baby on the way.
MALE SPEAKER: Could that be it, the baby?
FEMALE SPEAKER: Maybe. That’s interesting you say that. I mean, the other vets I work with are older, and they have grown kids. But Jake is different. I just keep picturing him with a newborn. And I guess it scares me. I wonder if he’ll be able to deal with it.

APA 7th Edition Note
NOTE: Walden University currently uses the seventh edition of the Publication Manual of the American Psychological Association (APA) as the accepted standard for citations, references, and writing style guidelines. This course was developed when APA’s sixth edition was the standard, and we are in the process of making any necessary updates to the course content. Please be sure to consult the seventh edition of the APA manual, as well as the Walden Writing Center’s APA resources, for all your written assignments.
All references require creditable sources, nothing less than 5 years. References require APA 7th edition http. Please add conclusion.

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– Sample Answer Solution, Paper Writing Guide, Free Essay Assignment

Assessing Clients with Addictive Disorders

Student’s Name
Institutional Affiliation
Course
Professor’s Name
Date

Assessing Clients with Addictive Disorders
Introduction
Assessing clients with addictive disorders is an important aspect of providing effective treatment. The case study of Mr. Levy shows that addictive disorders can occur due to negative memories. A therapist should understand the problems of a client before using any therapeutic approach. They should also remain hopeful that their clients will make it despite the challenges. Exposure therapy is one of the best approaches to address the traumatic experiences of war veterans.
Episode One
Mr. Levy does not perceive that he has an addictive problem that needs to be dealt with. While his wife Mrs. Levy acknowledges that she is hanging hangover for drinking every night, Mr. Levy is not concerned about it. Mrs. Levy believes it is a problem that should be addressed but Mr. Levy does not accept he has a problem. Mr. Levy is also not aware that the problem is making him feel sick and unable to report to work. He also seems less prepared to change his behavior by indicating that the problem is here to stay. However, the wife believes and prays for a resumption of their previous life before he started drinking.
The problem has an implication on the family since it is causing disagreement between the wife and husband. It might cause disunity or stress to the woman who is making efforts to eliminate the problem. Another problem is that the husband is unwilling to go to work. The failure to report to work may lead to unemployment and the inability to pay bills. Another challenge is a poor role model for the children. The woman is concerned that the children will see his father experiencing a hangover. The situation may also lead to divorce since the woman says her vows did not cover the irresponsibility and negative behavior of the husband due to drinking.
Episode Two
The social worker does not appreciate that every problem is unique and thus the best treatment should be selected based on the dynamics of a case study. I believe that the social worker places strategies before the welfare of the patients. She is excited about the case to try various strategies without first understanding the problem the client is suffering from. The social worker is also not informed about the various therapeutic approaches. She acknowledges she does not have data or research findings. Therefore, she could be new to the field or hse is ignorant about the role of research and data in selecting the best therapeutic approach.
The supervisor is concerned about the welfare of Mr. Levy and thus wishes him all the best. His questions indicate that he focused on ensuring the client gets the best treatment. For instance, enquiring about research and data shows he is mindful of Mr. Levy’s welfare. He does is inquisitive to ensure the therapeutic approach will suit the needs of the patient. He also believes that it is important to first meet the client before making any decision about therapeutic approaches. Therefore, he is cautious about using the wrong approach since it would not bear results.
Episode Three
The first response of the therapist is to ask the number of trips Mr. Levy made to Iraq. The response does not rhyme with the narration of the client. It would be interesting to give the therapist more time to explain their situation and experience in Iraq. Therefore, it seems the therapist is not well-equipped with strategies on how to deal with war veteran clients.
I believe the therapy session was short and less effective to the problems that the client is facing. The therapist did not seek to understand the problem that Mr. Levy is going through. For example, although he could be suffering from trauma, he did not address another major problem with alcohol. Mr. Levy is drinking excessively thus rendering him less effective at work and home. I also think the therapist rushed into providing treatment without understanding the different problems and their scope.
Breathing is a common technique that therapists utilize to help clients manage stress and anxiety. However, it is effective in changing blood pH. For instance, poor breathing can lead to ineffective elimination of carbon dioxide (Linardon et al., 2017). Accumulation of carbon dioxide leads to respiratory acidosis thus lowering the blood pH. On the other hand, effective breathing will improve blood pH (Linardon et al., 2017).
Exposure therapy is an effective approach to the problem the client is facing. According to the description of the client, he is unable to narrate the whole story due to traumatizing memories (Carl et al., 2019: 2024 – Online Assignment Homework Writing Help Service By Expert Research Writers). Exposure therapy is an effective approach for the client since it will help overcome negative memories. It will increase the ability to tolerate fear, reduce sensitivity to distressing situations, decrease fear of association, and improve the power to overcome challenges (Botella et al., 2017). Research and data indicate that exposure therapy is effective for war veterans with post-traumatic stress disorders (Botella et al., 2017). It helps address conditions such as negative memories, flashbacks, and nightmares that people experience about their past. For example, the client is remembering the night they got an explosion while working in Iraq. He does not like the memories and thus the therapy will improve positive behavior while reducing the negative behaviors (Hayes & Hofmann, 2017).
Episode Four
One of the best responses to the problem is to ask if Mr. Levy blames himself for what happened that night. If he feels responsible for the death of Mr. Kurt and guilty of not responding to the platoon officer’s final request. If the answer is in the affirmative, I would then focus on how to address the guilt.
The information would inform the therapeutic approach since it would go beyond exposure therapy. For instance, I would apply cognitive behavior therapy to help the client to eliminate the guilt by identifying the issues that are beyond his control and thus living guilt-free (Benbow & Anderson, 2019: 2024 – Online Assignment Homework Writing Help Service By Expert Research Writers).
Episode Five
I would respond by asking her not to personalize the client’s issues. She should be strong to avoid reliving the experiences she had from her clients. The therapist should be hopeful that Mr. Levy will make it. Hopelessness about the situation will ruin the ability to provide care (Benbow & Anderson, 2019: 2024 – Online Assignment Homework Writing Help Service By Expert Research Writers).
Conclusion
The case study of Mr. Levy is a testimony to the experiences of war veterans. It is the responsibility of therapists to apply effective approaches to address addictive disorders. Exposure therapy helps clients to relieve stress and anxiety. Therapists can utilize other approaches to address all the problems clients are facing. They should also remain hopeful that their condition will improve despite the current difficulties. Effective approaches will address the problems and provide war veterans with an opportunity to live a better life.

References
Benbow, A. A., & Anderson, P. L. (2019: 2024 – Online Assignment Homework Writing Help Service By Expert Research Writers). A meta-analytic examination of attrition in virtual reality exposure therapy for anxiety disorders. Journal of Anxiety Disorders, 61, 18-26.
Botella, C., Fernández-Álvarez, J., Guillén, V., García-Palacios, A., & Baños, R. (2017). Recent progress in virtual reality exposure therapy for phobias: a systematic review. Current Psychiatry Reports, 19(7), 42.
Carl, E., Stein, A. T., Levihn-Coon, A., Pogue, J. R., Rothbaum, B., Emmelkamp, P., … & Powers, M. B. (2019: 2024 – Online Assignment Homework Writing Help Service By Expert Research Writers). Virtual reality exposure therapy for anxiety and related disorders: A meta-analysis of randomized controlled trials. Journal of Anxiety Disorders, 61, 27-36.
Hayes, S. C., & Hofmann, S. G. (2017). The third wave of cognitive-behavioral therapy and the rise of process‐based care. World Psychiatry, 16(3), 245.
Linardon, J., Wade, T. D., De la Piedad Garcia, X., & Brennan, L. (2017). The efficacy of cognitive-behavioral therapy for eating disorders: A systematic review and meta-analysis. Journal of Consulting and Clinical Psychology, 85(11), 1080.

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