Vignette Analysis 3

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VignetteAnalysis 3




Ithink the couple is not having a healthy relationship, and the use ofdrugs is affecting their marriage. If the problem facing the coupleis not early addressed it could lead to undesired consequences. Thefact that both couples were raised in alcoholic homes could be theprimary reason that they too indulge in alcohol and drugs use.

Itis easy to determine if substance use is problematic. First andforemost is to assess whether, through the use of the drugs, thecouples have neglected their responsibilities. Next, is to check fora long-term effect of drugs, if there exist symptoms such asaddiction, loss of hair and drowsiness. It is important to look atother effects such as influence to those people surrounding them suchas their children. If it is found that the above effects are present,then it is right to say that substance is problematic.

Itis correct in saying that Kevin`s use of drugs has been due toparental influence. Seeing his parents use drugs has made himperceive drugs as not harmful. It is important that Kevin is taken toa counselor in time so that he can be helped to stop using the drugs.Additionally, Kevin’s parents have majorly contributed to theirson’s use of drugs, and they should be informed of the influencethey are posing to their child.

Shouldthe couple fail to stop using drugs, it will be difficult for theirson to do the same. It is, therefore, paramount that the whole familyseeks services of a counselor who can take them through a process ofchanging and to stop using the drugs.


Fromthe obtained information the provisional diagnosis below can beposited.


Itis highly likely that Kevin`s immediate surrounding that is his homehas majorly contributed to his use of drugs. Similarly, Kevin`sparents started using drugs since they were brought up with alcoholicfamilies.


Giventhat Kevin is a teenager, it is very likely that peer influence couldhave made him start using drugs just like his friends.

Cognitive–Behavioral Therapy

Cognitive–behavioral therapy (CBT) is effective in preventing relapse whentreating substance abuse addicts. CBT strategies use the concept thatlearning process is essential in dealing with maladaptive behaviorssuch as drugs abuse. Clients in CBT learn to correct problematicbehaviors using different skills that are helpful in stoppingsubstance abuse.

Onemajor aim of CBT is to anticipate likely challenges that substanceabuse addicts are prone to fall into and enhancing self-control inpatients most (Sexton&amp Alexander, 2015).Some of the techniques that are used include self-monitoring,exploring consequences of continued use of drugs, identifyingchallenges that addicts face while trying to seek treatment anddeveloping counter strategies for drugs users to cope with cravings.

Onthis note, the family of James and Anna and their son can be helpedto stop substance use through applying CBT techniques such asself-monitoring. What this mean is that the family will have toidentify their cravings and develop strategies to avoid situationsthat will make them go back to using drugs. They should also beinformed the consequences of continued drug abuse. The significanceof this is that it will help the family to change for good so as notto be victims of effects such as cancer and death.

Researchhas shown that skills acquired through cognitive –behavioraltechniques last even after completion of treatment. Therefore, if thefamily seek treatment, they stand to be more skilled on how to handleaddiction and it will be difficult for them to relapse. Anothersignificance of learning cognitive-behavioral approaches is that thepatients after treatment become good role models in the society andcan be used to help other addicts stop using drugs.

ContingencyManagement Interventions

ContingencyManagement (CM) principles have been found very useful in treatmentas it involves giving patients reward so as to encourage positivebehaviors. In this case, the James and Anna family can be encouragedto abstain from drugs through being given incentives. Some of thecommon incentive approaches used are discussed in detail below.

Voucher-basedreinforcement (VBR), with this treatment approach, patients who usedrugs are given vouchers for any drug-free urine sample. This methodhas been found useful in promoting drug abstinence in youths, and itcan work for James` Family (Nathan&amp Gorman, 2015).It is important that the counselor taking the family through thetreatment process mash up different voucher benefit such as those forfood value and entertainment related.

AnotherVBR approach is the prize incentives contingency management. Withthis method, clients seeking treatment have chances of winning cashprizes rather than vouchers as in VBR. It is possible for patients toeasily win cash prizes with this approach. James` Family can stand todouble benefit from reward incentives if they win and also throughstopping using drugs.

CommunityReinforcement Approach

CommunityReinforcement Approach (CRA) uses recreational and vocationalactivities to help addicts to adopt a non-drug lifestyle which ismore rewarding than substance use. CRA is two-folds in that itmaintains abstinence for an extended period so that patients canlearn new beneficial life skills. It also reduces dependence on drugsfor those who are addicted to drugs (Arkowitz,Miller, &amp Rollnick, 2015).Patients are required to attend one or two sessions where they learnskills to reduce drugs use and improve family relations. Besidesthat, they get vocational counseling and can develop social networkswhich play a significant role in helping them stop drug use.

James`family can benefit from CRA by adopting a non-drug lifestyle which isbeneficial. They can do this by just attending all counselingsessions where they will be able to learn skills on how they can stopusing drugs and involve themselves in activities such as hiking whichwill depart their mind from drugs (Nathan&amp Gorman, 2015).Especially for Kevin, this approach can be helpful as it will assisthim to get skills on how to handle drug abstinence given that he is ateenager who can be easily be influenced.

MotivationalEnhancement Therapy

MotivationalEnhancement Therapy (MET) is important in helping individuals to stopusing drugs through motivating them to engage in seeking treatment.With this approach, the counselor monitors the patients and assessthem to see if indeed they are coping well with the new environment(Arkowitz, Miller, &amp Rollnick, 2015). The therapist should evokemotivated change in patients. On this note, James’ Family can bemotivated to stop using drugs through MET.

RelapsePrevention Strategies

Thereare several relapse prevention strategies. Some of them are discussedbelow.

Counselingsessions are very significant as a mean of relapse prevention asquitting drinking alone is not enough. One needs advice on how toavoid going back to using the same drugs and avoiding situations thatcan tempt them to use the drugs again (Nathan&amp Gorman, 2015).It is, therefore, important that people who have decided to quitdrugs seek counseling services. If James’ family consider seekingcounseling’s services, then it will be easy for it to tame relapse.

Medicationtechniques such as yoga and Tai Chi can play a great role in relapseprevention so as to encourage addicts to deal with emotionalupheavals. Considering that these medical techniques have mental andphysical benefits is another added advantage most (Sexton&amp Alexander, 2015).Should James’ family consider medical techniques as a mean oftaming relapse, the family stand to find it easy as these techniquesare involving and for that reason, there would no time to think ofdrugs.

Grouptherapy sessions are very significant in preventing relapse forpatients and helps in problem solving and support. Patients can beeasily be helped whenever they face problems that can make them to goback to using the drugs again.

Hobbiescan also be used in relapse prevention as they are an excellentsource of stress relief and patients are more likely to enjoy doingsomething that they enjoy most (Sexton&amp Alexander, 2015).If James’ family is involved in doing what they love such as soccerplaying, hiking and canoeing then it will be possible for them toforget about drugs.

Writingand journal keeping has been used for some time as a relapseprevention, and it has been found to be very effective. However, thisshould be tried for those people who love reading so as to avoidcreating boredom.


Arkowitz,H., Miller, W. R., &amp Rollnick, S. (Eds.). (2015).&nbspMotivationalinterviewing in the

treatmentof psychological problems.Guilford Publications.

Nathan,P. E., &amp Gorman, J. M. (Eds.). (2015).&nbspAguide to treatments that work.Oxford


Sexton,T. L., &amp Alexander, J. F. (2015). Functional familytherapy.&nbspHandbookof family therapy,


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