Treating Clients With Impulsivity

Assessing And Treating Clients With Impulsivity, Compulsivity, And Addiction

Assignment: Assessing and Treating Clients with Impulsivity, Compulsivity, and Addiction

The Assignment
Examine聽Case Study: A Puerto Rican Woman With Comorbid Addiction. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client鈥檚 pharmacokinetic and pharmacodynamic processes.
At each decision point stop to complete the following:
路聽Decision #1
路 Which decision did you select?
路 Why did you select this decision? Support your response with evidence and references to the Learning Resources.
路 What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
路 Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?
路聽Decision #2
路 Why did you select this decision? Support your response with evidence and references to the Learning Resources.
路 What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
路 Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?
路聽Decision #3
路 Why did you select this decision? Support your response with evidence and references to the Learning Resources.
路 What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
路 Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?

Learning Resources
Note:聽To access this week鈥檚 required library resources, please click on the link to the Course Readings List, found in the聽Course Materials聽section of your Syllabus.
Required Readings

Note:聽All Stahl resources can be accessed through the Walden Library using this link. This link will take you to a log-in page for the Walden Library. Once you log into the library, the Stahl website will appear.

Stahl, S. M. (2013).聽Stahl鈥檚 essential psychopharmacology: Neuroscientific basis and practical applications聽(4th ed.). New York, NY: Cambridge University Press.

To access the following chapters, click on the聽Essential Psychopharmacology, 4th edtab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.
路 Chapter 14, 鈥淚mpulsivity, Compulsivity, and Addiction鈥
Stahl, S. M., & Grady, M. (2012).聽Stahl鈥檚 illustrated substance use and impulsive disorder聽New York, NY: Cambridge University Press.

To access the following chapter, click on the聽Illustrated Guidestab and then the聽Substance Use and Impulsive Disorderstab.
路 Chapter 10, 鈥淒isorders of Impulsivity and Compulsivity鈥
Stahl, S. M. (2014b).聽The prescriber鈥檚 guide聽(5th ed.). New York, NY: Cambridge University Press.

To access information on the following medications, click on聽The Prescriber鈥檚 Guide, 5th edtab on the Stahl Online website and select the appropriate medication.

Review the following medications:
For insomnia
For obsessive-compulsive disorder
路 Citalopram
路 clomipramine
路 escitalopram
路 fluoxetine
路 fluvoxamine
路 paroxetine
路 sertraline
路 venlafaxine
路 vilazodone

For alcohol withdrawal
路 chlordiazepoxide
路 clonidine
路 clorazepate
路 diazepam
路 lorazepam
路 oxazepam

For bulimia nervosa and binge eating
路 fluoxetine
路 topiramate
路 zonisamide

For alcohol abstinence
路 acamprosate
路 disulfiram

For alcohol dependence
路 nalmefene
路 naltrexone

For opioid dependence
路 buprenorphine
路 naltrexone

For nicotine addiction
路 bupropion
路 varenicline

Book Excerpt:聽Substance Abuse and Mental Health Services Administration. (1999). Treatment of adolescents with substance use disorders.聽Treatment Improvement Protocol Series, No. 32. Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK64350/
路 Chapter 1, 鈥淪ubstance Use Among Adolescents鈥
路 Chapter 2, 鈥淭ailoring Treatment to the Adolescent鈥檚 Problem鈥
路 Chapter 7, 鈥淵ouths with Distinctive Treatment Needs鈥
University of Michigan Health System. (2016). Childhood trauma linked to worse impulse control in adulthood, study finds. Retrieved from https://www.sciencedaily.com/releases/2016/01/160120201324.htm
Note:聽Retrieved from Walden Library databases.
Grant, J. E., Odlaug, B. L., & Schreiber, L. N. (2014). Pharmacological treatments in pathological gambling.聽British Journal of Clinical Pharmacology, 77(2), 375鈥381. doi:10.1111/j.1365-2125.2012.04457.x
Note:聽Retrieved from Walden Library databases.
Loreck, D., Brandt, N. J., & DiPaula, B. (2016). Managing opioid abuse in older adults: Clinical considerations and challenges.聽Journal of Gerontological Nursing, 42(4), 10鈥15. doi:10.3928/00989134-20160314-04
Note:聽Retrieved from Walden Library databases.
Salmon, J. M., & Forester, B. (2012). Substance abuse and co-occurring psychiatric disorders in older adults: A clinical case and review of the relevant literature.聽Journal of Dual Diagnosis, 8(1), 74鈥84. doi:10.1080/15504263.2012.648439
Note:聽Retrieved from Walden Library databases.
Sanches, M., Scott-Gurnell, K., Patel, A., Caetano, S. C., Zunta-Soares, G. B., Hatch, J. P., & … Soares, J. C. (2014). Impulsivity in children and adolescents with mood disorders and unaffected offspring of bipolar parents.聽Comprehensive Psychiatry, 55(6), 1337鈥1341. doi:10.1016/j.comppsych.2014.04.018
Note:聽Retrieved from Walden Library databases.
Required Media

Laureate Education (2016c).聽Case study: A Puerto Rican woman with comorbid addiction聽[Interactive media file]. Baltimore, MD: Author
Note:聽This case study will serve as the foundation for this week鈥檚 Assignment.

Note:聽Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
路 Please save your Assignment using the naming convention 鈥淲K8Assgn+last name+first initial.(extension)鈥 as the name.
路 Click the聽Week 8 Assignment Rubric聽to review the Grading Criteria for the Assignment.
路 Click the聽Week 8 Assignment聽link. You will also be able to 鈥淰iew Rubric鈥 for grading criteria from this area.
路 Next, from the Attach File area, click on the聽Browse My Computer聽button. Find the document you saved as 鈥淲K8Assgn+last name+first initial.(extension)鈥 and click聽Open.
路 If applicable: From the Plagiarism Tools area, click the checkbox for聽I agree to submit my paper(s) to the Global Reference Database.
路 Click on the聽Submit聽button to complete your submission.
Grading Criteria

To access your rubric:
Week 8 Assignment Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:
Submit your Week 8 Assignment draft and review the originality report.

Submit Your Assignment by Day 7

To submit your Assignment:
Week 8 Assignment


Making Connections
Now that you have:
路 Assessed clients presenting with impulsivity, compulsivity, and addiction
路 Developed personalized plans of therapy for clients with impulsivity, compulsivity, and addiction
路 Examined factors that influence pharmacokinetic and pharmacodynamic processes in clients requiring therapy for impulsivity, compulsivity, and addiction
路 Explored ethical and legal implications of prescribing therapy to clients with impulsivity, compulsivity, and addiction
Next week, you will build on your assessment and treatment skills as you examine clients presenting for therapy for ADHD.

To go to the next week:
Week 9

 

ADDITIONAL INSTRUCTIONS FOR THE CLASS

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  • Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or 鈥済ood post,鈥 and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

  • Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else鈥檚 work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

  • APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

  • Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master鈥檚 level and deduct points accordingly. As Masters鈥 level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else鈥檚 words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

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The university鈥檚 policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

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