web page works cited page. 1)Sketch a treatment plan experiencing anorexia. Make account long-term treatment . 2)Alcohol misused abused U.S.
Q1.Sketch out a treatment plan for one experiencing anorexia. Make sure to take into account both the immediate and long-term treatment needs.
For extremely underweight individuals suffering severe health consequences, the most critical initial aspect of treating anorexia is the restoration of body weight and addressing any resulting complications (such as heart problems). For some patients, this may require hospitalization; others may benefit from an outpatient setting which combines communal meals with a therapeutic program. “Cognitive-oriented therapies, focusing on issues of self-image and self-evaluation, are likely to be the most beneficial to the client” (Anorexia nervosa treatment, 2013, PsychCentral).
Some involvement of the family is often thought to be necessary, including using the family as an aid for the patient’s treatment and making eating a non-negotiable priority at home. However, it is vitally important to remember that weight restoration is not a cure and support for the patient must be maintained even after weight is normalized. Anorexics are often at great risk for developing other eating disorders such as bulimia (binging and purging) even if their weight does not plummet. “Weight is only the symptom in this disorder of poor body image and self-esteem problems” (Anorexia nervosa treatment, 2013, PsychCentral).
Q2. Alcohol is certainly misused or abused in the U.S. more than any other drug. What about alcohol promotes physical and psychological dependence? What are the long-term problems associated with alcohol abuse? Finally, please describe one widely used form of therapy for those struggling with alcohol abuse.
Alcohol releases “naturally occurring feel-good opioids known as endorphins in two key brain regions associated with reward processing” and “heavy drinkers released more endorphins in response to alcohol, and they reported feeling more intoxicated than the lighter drinkers after drinking the same amount of alcohol” (Boyles). Drinking also lowers the imbiber’s sense of inhibitions, which can make drinking feel freeing and relaxing. For persons who struggle with intimacy this can make alcohol a crutch to get through the day. Long-term problems associated with alcohol abuse include impaired functioning at work and school, as well as physical complications such as heart disease, damage to the liver, high blood pressure, gout, dementia, and early death from drunken driving or poor judgment when inebriated (Freedman 2013). By far the most famous and popular treatment for alcoholism is AA, a self-run support group with a highly specific structure designed to promote recovery through meetings, sponsorship from former addicts, and continued support even after the drinker has stopped using.
Q3. Using the information you received from question #2, imagine that a 20-year-old friend has expressed a desire to receive treatment for alcohol abuse. What form of treatment would you recommend your friend look into, and why? Please detail the strengths of the form of treatment you would recommend, along with its possible weaknesses.
AA is a very popular form of support for alcoholics because of the friendship and support it fosters. However, there is no form of empirical evidence which documents its effectiveness vs. other treatment methods. “A recent review by the Cochrane Library, a health-care research group, of studies on alcohol treatment conducted between 1966 and 2005 states its results plainly: ‘No experimental studies unequivocally demonstrated the effectiveness of AA or TSF [12-step facilitation] approaches for reducing alcohol dependence or problems” and a comparative study of Alcoholics Anonymous, cognitive behavioral therapy and motivational enhancement therapy found that the willingness of the participant to succeed not the program type determined its success (Johnson 2010:1). Much of the benefits may be anecdotal and there is no guarantee to its efficacy: “AA reported that 81% of alcoholics who began attending meetings stopped within one month. At any one time, only 5% of those still attending had been doing so for a year” (Johnson 2010:1). Although AA is one possible venue to seek out when looking for treatment, if the individual does not respond, he should not give up hope and consider other possible approaches. Many find the theological emphasis on a ‘higher power’ to be particularly troubling if they are not believers.
Anorexia nervosa treatment. (2013). PsychCentral. Retrieved from:
Boyles, S. (2013). Why is alcohol addictive? WebMD. Retrieved from:
Freedman, D. (2013). 12 health risks of chronic heavy drinking. WebMD.
Retrieved from: http://www.webmd.com/mental-health/alcohol-abuse/features/12-health-risks-of-chronic-heavy-drinking
Johnson, B. (2010). We’re addicted to rehab. It doesn’t even work. The Washington Post. Retrieved from: http://www.washingtonpost.com/wp-dyn/content/article/2010/08/06/AR2010080602660.html
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