Diagnostically, the vignette illustrated some important clue to lead us to diagnose James with depression, GAD and possibly Alcohol use disorder. For depression, there were two major symptoms reported by Joe which are sleep problems where he reported difficulty falling asleep, and psychomotor retardation where he reported having problem is getting out of bed in the morning. Also, his worries about losing his job and his mind won’t shut up, his anxiety, most probably GAD. His confession about drinking, and his Hispanic descent let us to thinking about alcohol use disorder (APA, 2013). In the same time, James’ job is in jeopardy which reflect an impairment of his occupation. This would support the diagnosis of depression, GAD and Alcohol use disorder, although more details needed to get more accurate diagnosis (APA, 2013).
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Two Important facts needs to be considered in this vignette, James been referred by EAP, and James problem of Alcohol use disorder. The first issue represents a challenge for the therapies as to engage coerced clients in the treatment process. Motivation and commitment to the treatment has to come from internal pressure not external (EAP) pressure. So, the therapist should be mindful that if the intervention was appropriate for the client, the coerced client would invest in the change process and benefit from the therapy even though the therapy was not voluntarily choosing. MI was originally developed for problems that involve alcohol use disorder especially client in early stages like pre-contemplation and contemplation stage. Although, MI was conceiving as an initiating way for the treatment, it became an approach that constitute an intervention in
It …show more content…
Two Important facts needs to be considered in this vignette, James been referred by EAP, and James problem of Alcohol use disorder. The first issue represents a challenge for the therapies as to engage coerced clients in the treatment process. Motivation and commitment to the treatment has to come from internal pressure not external (EAP) pressure. So, the therapist should be mindful that if the intervention was appropriate for the client, the coerced client would invest in the change process and benefit from the therapy even though the therapy was not voluntarily choosing. MI was originally developed for problems that involve alcohol use disorder especially client in early stages like pre-contemplation and contemplation stage. Although, MI was conceiving as an initiating way for the treatment, it became an approach that constitute an intervention in