Substance abuse

Full Answer Section

      Psychodynamic Theory and Cognitive Behavioral Therapy (CBT):

• Psychodynamic Theory: Sally's resentment towards her parents and feelings of abandonment could be contributing to her substance use as a way of self-soothing or acting out.
• Cognitive Behavioral Therapy (CBT): CBT can help Sally identify and challenge negative thought patterns that fuel her substance use. It can teach her coping mechanisms for dealing with stress, overwhelm, and feelings of anger or resentment.

3. Motivational Interviewing (MI):

• Motivational Interviewing (MI): This approach focuses on helping Sally explore her own motivations for wanting to change her behavior. MI can help her develop a sense of ownership over her recovery and build intrinsic motivation to stay away from drugs.

4. Trauma-Informed Care:

• Trauma-Informed Care: Sally's experiences of neglect and feeling trapped might indicate underlying trauma. Trauma-informed care ensures a safe and supportive environment where she can address past experiences without judgment.

5. Addressing Social Determinants of Health:

• Social Determinants of Health: Living in poverty in a challenging environment like the "projects" creates significant stress. Addressing these factors is crucial. Advocacy for affordable housing, after-school programs for Sally's brother, and potentially connecting Sally's mother with resources to reduce work hours could lessen some of the burdens contributing to her substance use.

Additional Considerations:

• Substance Abuse Treatment: Depending on the severity of Sally's cocaine use, a combination of medication-assisted treatment (MAT) and behavioral therapy might be necessary.
• Peer Support Groups: Connecting Sally with support groups for teenagers struggling with substance use can provide her with a sense of belonging and connection with others facing similar challenges.

By integrating these evidence-based approaches, Sally can receive a well-rounded treatment plan that addresses the various factors contributing to her substance use. It's crucial to tailor the approach to her specific needs and preferences, ensuring her active participation in the recovery process.  

Sample Solution

     

Sally's case highlights the complex interplay of social, psychological, and biological factors that contribute to substance abuse. Here's how multiple theories and evidence-based treatments can be integrated to address her situation:

1. Social Learning Theory and Multisystemic Therapy (MST):

• Social Learning Theory: Sally's exposure to her father's addiction and peer pressure normalized substance use. She may have learned to cope with stress and negative emotions through substance use.
• Multisystemic Therapy (MST): This family-based therapy focuses on improving communication, parenting skills, and conflict resolution within the family. It can help Sally's mother understand Sally's struggles and develop a more supportive environment. MST can also address the chaotic home situation and its contribution to Sally's stress.