She has a history of using and abusing heroin intravenously. She has recently been released from prison three weeks ago. Suzy Q came in my office for her bi-weekly appointment. As my session with Suzy Q started, I observed a mark on her arm that looked like a freshly punctured wound. The wound was indicative of IV drug use. On asking her about the wound, Suzy Q admitted that she relapsed a few days ago and swore that it was a onetime occurrence. I asked Suzy Q to show me her arms so I may take a closer look and Suzy Q readily showed me her arms. A scan through her extremities showed no suspicious signs of drug …show more content…
I understand that it wouldn’t be easy to change her physical states or feelings, but I now that with time she will be able to work on her negative beliefs and thoughts. I also know that Suzy Q is likely to make possible changes in her behavior as we progress in the therapy sessions. I will focus on small adjustments in whatever she will be able to do since these efforts can influence her thinking, feeling, and behavior.
I will also give Suzy Q homework after the session so she may continue working on the presenting issue even when she on her own. An example of homework that I will give Suzy Q is reading a book on negative effects of heroin use. I will also ask her to keep a record of her thoughts. Suzy will also record her response towards her thoughts. I will guide Suzy Q into exploring other alternative activities that she enjoys doing other than heroin use. I will ask her to engage in these activities and record her negative thoughts and her reactions towards her thinking all