Psychology Question

Psychology Question

Attached is a finished essay, I need to add 2-3 paragraphs about my theory of change in correlation to my client. I will attach all the info needed on "client". Obviously focus on everything through symbolic experiential therapy which u will see when u read the paper.

Backround :

Number of Proir Sessions: 4

Theoretical Orientation: Symbolic-Experiential

Role of Therapist: Collaborator

Demographics:

Clients Age: N (40)

Gender: Heteronormative Male

Race: Native Hawaiian

Religion: Christian

Occupation: Unemployed

Marital Status: Not Married

Education: High school

Other things to note: none

Interview affect:

N presents with an eager and optimistic affect. Their demeanor is cooperative and engaged, reflecting a willingness to participate actively in the therapeutic process. N also presents with impaired developmental, emotional, and cognitive functioning that may be associated with a history of significant trauma and extensive substance use.

Presenting Problem:

The patient is in an IOP with substance abuse as the primary treatment concern. However, during individual therapy, the patient identified anger management difficulties and unresolved childhood trauma as significant underlying issues contributing to current functioning and likely related to substance use.

History:

• General History
  • The client reports exposure to various types of trauma, including sexual, emotional, and familial trauma, as well as experiences in prior abusive relationships.
  • N has a hard time describing the history of abuse due to large gaps in his memory.
  • In response to these experiences, N developed dependency on multiple substances, with opioid use emerging as the primary addiction concern.
    • History of Presenting Problem
      • Client demonstrates a pattern of using anger as a means of protest or self-expression, which appears connected to impaired emotional regulation. Substance use appears to have functioned as a coping strategy to manage unresolved trauma and emotional pain.
      • Family History
      • • N reports a family background marked by significant instability, trauma, and substance use.
        • N does not have children and has never been married.

Diagnosis:

• F33.2 Major depressive disorder, Recurrent episode, Severe
• F43.10.Post-Traumatic Stress Disorder
• F11.20 Opioid use disorder, Severe
• F13.20 Sedative, hypnotic, or anxiolytic use disorder, Severe

Treatment Plan/ Goals:

Short-term goals include

• Patient will develop and begin using anger management skills to improve emotional regulation and reduce reactive responses.
• Maintaining sobreity

Long-term goals include

• Patient will engage in exploration and processing of childhood trauma to better understand its impact on current emotional and behavioral functioning while maintaining sobriety

Interventions

• Empty chairs to represent family members for emotional access and release. The client re-enacts significant family scenes to access denied affect and create new experiences.
• Exploring what anger is expressing symbolically, such as protest, fear, helplessness, betrayal, or grief.
• Providing psychoeducation on PTSD symptoms and the trauma response.
• Developing emotional regulation strategies for anger management.