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Black Family Treatment Plan

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Running head: TREATMENT PLAN
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Black Family Treatment Plan
Maggie C. Cresswell
Mississippi State University
TREATMENT PLAN
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Treatment Plan
History
The Black family has 6 family members, but the identified patient is Ronald Black. He is
a 16 year old suffering with alcoholic abuse and regular drug use. He is a popular young man,
very intelligent and athletic. His drinking has recently gotten out of control. He is a parentified
child and his mother depends on him for support. He blames her for staying in an unhappy
relationship with his father. He has twin brothers who are 14, Fred and George. They are average
intelligence and athletic. They tend to be trouble-makers and tend to irritate their older brother.
They are aware of the tensions at home. Ginny is a 12 year old girl who is very fond of her father
and tends to withdraw when her family experiences conflict. She tends to not confide in anyone
and is envious of Ron. She has a new older boyfriend who is pressuring her to engage in sexual
activities and she has no one to talk to about this, as the family’s attention is all on Ron.
Ron’s father, Tim, is a teacher. He drinks and suffers from dysthymia. He does not
believe in counseling or medication and is incredibly critical and judgemental of his wife and
children. He says that Ron has brought shame on their family with this addiction. He and his
wife have a very tension filled relationship. Jennifer, Ron’s mother, is a school counselor who is
suffering from depression and disordered eating. She worries about Ron turning into his father,
as he becomes very angry when he drinks.
Description of Problem and Diagnosis
Ron’s presenting problem is alcohol addiction. Tim’s diagnosis is dysthymic depression.
Jennifer suffers from anorexia and depression and potential anxiety.
Intervention
TREATMENT PLAN
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The primary intervention that will be used to help our client’s alcohol addiction and
family issues is Cognitive Behavioral Therapy (CBT). This therapy is solution focused and
works on changing the client’s thoughts and behaviors which, in turn, affects their feelings. CBT
focuses on helping the client’s become their own therapists as they work through various
techniques and exercises, learning an array of skills that help them work on changing their
thoughts and behaviors. I think this would be very beneficial with this family while working
through their issues and changing their ways of thinking and behaviors.
Medication might be needed for Tim and Jennifer both. I believe that an SSRI or
Anti-depressant might be the most effective medications. I am not sure about medication for Ron
yet until after he has been sober and works through psychotherapy for a while. Lines of
communication must remain open during the family therapy, and each individual needs to talk to
one another about what they feel about the family issues. Jennifer might need to go to a treatment
center as well, if her anorexia is not treatable through psychotherapy solely.
Major Treatment Goals
Major treatment goals are to maintain Ron’s sobriety, ease family tensions, create family
support, treat Tim’s dysthymia, and Jennifer’s anorexia. I believe that this is attainable by family
therapy, individual therapy, and potentially medication and Ronald continuing treatment and
then eventually attending a regular 12 step program.. I hope that this is attainable within the next
year.
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