Substance Abuse Case Study Tony

He is extra sensitive to find his place in the world, as he is trapped between two competing cultural visions. Antonio is in search of role models to follow as he embarks on a quest for his destiny. In the process in finding himself Tony serves as the apprentice to Ultima the curandera, and Tony adapts to going to school, learning about his Christian faith, and an eyewitnesses some fatal events. Along the way on Tony’s path with Ultima he finds that there are so many clues to the answers to his questions. Answers that are incited by his dreams and I think this is why he has difficulties understanding the world around him.

Ronny is a 46-year-old white male who present to CRU from RRC-W on ACOT for PAD. He was amended by his OP clinic, Life Behavioral Wellness, for not complying with the terms of the order and treatment plan. Per collateral, Ronny has a hx of violent behavior including pulling knives on people and stabbing. According to his OP psychiatrist, Diana Havill, MD, Ronny pulled a knife on a pregnant woman. He also have a history of self-harm including attempted hanging. Patient is cooperative during admission, and answered all questions. He has a PMH of HTN, Asthma, TB, seizures, and Brain surgery (infant). His vital signs were WNLs. Patient will benefit from medication

1. Describe personal attributes you possess or life experiences you have had that will enable you to better understand patients with a culture different from your own. Please include your self-reflection on how this experience has changed your insights, beliefs, and/or values. (1000 characters)

Treatment: cognitive therapy, no medication for this disorder but you will need to treat pre-existing disorder(s) if there is one, family therapy, creative therapy, clinical hypnosis

There are differences in cultural attitudes in respect to health, impairments, and illness. Learn when to leave aside traditional assessment and ask the patient to best explain the impairment, and their expectations of the treatment process. Learn and try to understand the cultural background of the families. Be cognizant of body language when discussing important information. When necessary, and appropriate, use a trained interpreter, invite members of the family to actively participate in their

One of the biggest cultural issues encountered with the client is her lack of understanding about the health care systems and medical treatments needed for her son. In the past she has

How do you fell about the therapist’s quest for details about each family member’s ethnic background?

1. Describe personal attributes you possess or life experiences you have had that will enable you to better understand patients with a culture different from your own. Please include your self-reflection on how this experience has changed your insights, beliefs, and/or values. (1000 characters)

He grew up without a father, it was because of this loss that he often wondered what it would be like to have one. The fact that his own brother was hanging around the wrong people and falling deeper, and deeper into the world that demolishes any chances of a decent future for young people. A world full of violence, drugs, and imprisonment. Tony undoubtedly influenced Wes for the worst. This is obvious when the author writes, “To Wes, Tony was a “certified gangsta.”

They are diverse linguistic and religious backgrounds, varied health beliefs

In the treatment, I would provide structured sessions that are short in durations and with activities she chooses. During the sessions, I would reinforce the processes that are dysfunctional and attempt to create changes through an interpersonal approach. “Interventions should be concrete and tangible, and activities should be short term, simple and success enhancing” (MacRae, 2013, p. 238). Once the client has made changes to her processes then group treatments will be attempted to help reinforce the new beliefs, attributions, and appraisals she has with others that may have a similar diagnosis. In order to get her to come to these groups, I would reemphasize all the positive appraisals, attributions, and beliefs about herself during each session and also that others will also have the same thoughts about her. Another strategy is to have her engage in group treatment for shorter time span than gradually increase the time exposure based on her willingness. Exposure therapy enables an individual to weaken fears and avoidant behaviors (Cara & MacRae, 2013). The group can give her a sense of support and increase her ability to

The extent of his damage includes his broken form of rationalization, his already established damaged relationships, his lack of self accountability, his judgement of those around him. From the beginning of the novel, it is shown that Tony and his friends are different because of their philosophical ideas and discussions. Although nothing is wrong with philosophical questioning and reasoning, the problem arises when every answer to every question must be explained fundamentally. Philosophy has unanswered questions all the time, if it did not then there would be no more questions to discuss because everyone would already have all of the answers. Tony taught that he needed an answer to every question. With this mindset he could not possibly love or form relationships properly because everything that he did had to have rhyme or reason. Where there is induction and deduction he could only make out deduction. This is one of the bases of his damage, rationalizing things that have no answer to their questions. What arises falsely as an answer when there is none, is an assumption. “Old Joe Hunt said… that mental states can be inferred from actions… Whereas in the private life, I think the converse is true: that you can infer past actions from current mental states” (48). Tony believes that you can recognize one’s entire complex lifetime, simply by looking at who

It is important to note that culture intertwine with intervention strategies. Culture are may have a vital role in the intervention strategies. For example, Indian parents were more likely to notice social issues with the client more than Americans (). Another important aspect to examine when thinking about culture and intervention is the way symptoms are interpreted. According to, Pacific islanders and African Americans are less likely to agree with symptoms as disorders than Caucasian Americans, and effects whether the client’s caregivers choose to use interventions at all. Another important aspect

Treatment methods for personality disorders have proven to be extremely difficult in recent years. Though not futile, personality disorder treatments must be tailored to the individual’s needs so there is no specific therapy or medication that can actually solve all mental abnormalities. As Butcher, Hooley, and Mineka (2014) state, the enduring, pervasive, and inflexible patterns of a client’s behavior make personality disorders relatively hard to treat. As such, treatment methods have different goals due to the complex nature of a client’s inner experiences (Butcher, Hooley, & Mineka, 2014). Goals of treatment aim towards reducing subjective distress, altering specific dysfunctional behaviors,

Those who struggle with personality disorders find it difficult to fit in with others and usually do not have relatively normal social relationships. This is most likely because people with this disorder have maladaptive patterns in behavior and in ways of relating to others (Ciccarelli & White, 2017, chp. 14). While there are multiple types of personality disorders, those whose behavior are very dramatic, emotional, or erratic are known to have an antisocial, borderline, histrionic, or narcissistic personality. According to Lois Choi-Kain, a professor of psychiatry, people with a histrionic personality disorder find multiple ways to gain the attention of others as they lack a sense of self-direction and often act submissively to own the attention