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In this practicum, I will apply key nursing and counseling theories to my addiction rehabilitation practice. My focus is on integrating Erickson’s modeling and remodeling theory with cognitive-behavioral therapy (CBT) to enhance patient outcomes and personalize treatment plans within the addiction rehab setting.

The nursing theory I have selected is Erickson’s modeling and remodeling theory, which emphasizes holistic growth and development by respecting individual needs and fostering a supportive environment. This theory aligns with addiction rehab because it encourages acceptance of the client’s current state while promoting positive change at their own pace, which is essential in addressing challenges like addiction where clients often resist change or feel stigmatized.

The counseling theory I have chosen is cognitive-behavioral therapy (CBT), recognized for its evidence-based approach to altering maladaptive thoughts and behaviors. In addiction recovery, CBT helps clients identify triggers, challenge negative thoughts, and develop healthier coping mechanisms, thus supporting relapse prevention and fostering sustained sobriety.

Application of Theories to Addiction Rehab Practice

Applying Erickson’s modeling and remodeling theory in addiction rehab encourages a client-centered approach. It fosters trust, allowing clients to feel accepted without judgment, which is crucial for engagement and motivation. As clients’ needs evolve, therapists can adapt interventions accordingly, facilitating gradual progress. This aligns with the holistic recovery approach, considering physical, emotional, and psychosocial aspects influencing addiction.

CBT complements this by providing practical strategies to address the underlying thought patterns that contribute to substance use. Through structured sessions, clients learn to recognize cognitive distortions, manage cravings, and develop resilient behaviors. Combining Erickson’s holistic, accepting framework with CBT’s targeted interventions offers a comprehensive approach to addiction treatment.

Goals and Objectives for the Practicum

Goals:

  1. Develop advanced leadership skills to guide behavioral change and promote recovery among clients dealing with addiction.
  2. Enhance diagnostic and reasoning skills specifically related to substance use disorders.
  3. Improve therapeutic communication skills to effectively engage clients from diverse backgrounds.

Objectives:

  1. Build and maintain trusting therapeutic relationships with clients, ensuring they feel safe and supported.
  2. Become proficient in cultural competency to address the diverse needs of clients in addiction rehab.
  3. Identify and implement the most appropriate therapeutic plan tailored to each client’s unique needs and readiness for change.

Practicum Timeline and Activities

Over the 11-week practicum, I will engage in the following activities:

  • Weeks 1-2: Orientation and assessment of clients, establishing therapeutic rapport, and reviewing clinical history.
  • Weeks 3-4: Applying Erickson’s modeling and remodeling theory to individual therapy sessions, focusing on acceptance and holistic growth strategies.
  • Weeks 5-6: Implementing CBT techniques to address clients’ maladaptive thoughts and behaviors related to addiction.
  • Weeks 7-8: Refining therapeutic communication skills, ensuring cultural sensitivity, and tailoring interventions accordingly.
  • Weeks 9-10: Monitoring client progress, adjusting therapeutic plans, and documenting outcomes.
  • Week 11: Reflecting on practicum experiences, evaluating goals, and preparing for future practice.

Attainable Goals at the End of 11 Weeks

  1. Establish a consistent practice of applying Erickson’s and CBT theories effectively during client interactions.
  2. Develop proficient skills in building trust and rapport with clients from diverse backgrounds within the addiction rehab setting.
  3. Create individualized therapeutic plans that incorporate holistic and cognitive-behavioral strategies, demonstrating measurable progress in client outcomes.

References

  • American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author.
  • Fournier, J. C., & Price, R. B. (2014). Psychotherapy and neuroimaging. Psychotherapy: New Evidence and New Approaches, 12(3), 290–298.
  • Holttum, S. (2014). When bad things happen our brains change but psychotherapy and support can help the recovery of our brains and our lives. Mental Health and Social Inclusion, 18(2), 52–58. https://doi.org/10.1108/MHSI
  • Petiprin, A. (2016). Psychiatric and mental health nursing. Nursing Theory. Retrieved from https://nursingtheory.org
  • Wheeler, K. (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). Springer Publishing.
  • Beck Institute. (2016). Cognitive-behavioral therapy (CBT). Retrieved from https://beckinstitute.org
  • Alligood, M. R. (2013). Nursing Theorists and Their Work. Elsevier.
  • Gonzà¡lez-Prendes, A. A., & Resko, S. M. (n.d.). Cognitive-Behavioral Theory. In Trauma: Contemporary Directions in Theory, Practice, and Research, 14-40. https://doi.org/10.4135/
  • Petiprin, A. (2016). Nursing Theory. Psychiatric and mental health nursing. Retrieved from https://nursing-theory.org
  • Fisher, M. A. (2016). Confidentiality limits in psychotherapy: Ethics checklists for mental health professionals. Washington, DC: American Psychological Association. https://doi.org/10.1037/

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