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3 pages/β‰ˆ825 words
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APA
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Health, Medicine, Nursing
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English (U.S.)
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Client-Centered and Court-Ordered Therapy

Essay Instructions:

Joanna is a 47-year-old school district administrator who was ordered by a court to treatment after she forged a prescription for Klonopin®, an anti-anxiety medication, and was arrested. Because she had no prior history with the criminal justice system and wanted the drugs for her own use, Joanna was referred to a drug court, which mandated treatment.
Joanna recently separated from her husband, who, according to Joanna, left the family because he was tired of being a grown-up and having grown-up responsibilities. While he does occasionally see their two adolescent children, he does not contribute financially to their welfare, and Joanna is reluctant, given her current circumstances, to take him to family court to get a legal separation agreement and child support order. Joanna was struggling to pay the family’s expenses and keep up with her responsibilities at home and work, so her family physician prescribed Klonopin® to help with her anxiety and Ambien® to help her sleep. In a matter of weeks, Joanna increased her dose of Klonopin® and ran out before she could legally get a refill. She was able to convince her physician to increase her prescribed dose up to a point, but soon began doctor shopping to get more and more anti-anxiety meds. Finally, she forged a prescription, which led to her arrest.
When she comes to you for her court-ordered treatment, she tells you that she believes she is not at fault for her current struggle, because “I got through 47 years without any of these problems and that tells me I’m not the problem.” She asks how she can just complete the required treatment so that she can move on.
1.How do you reconcile the client-centered therapy belief in the sovereignty of the person with the idea of court-ordered treatment?
2. Client-centered therapy asserts that the individual is the architect of her therapy. Using the propositions of client-centered therapy, how might you help Joanna become the architect of her therapy?
3. Using the idea of principled nondirectiveness, how would you respond to Joanna's questions?

Essay Sample Content Preview:

Client-Centered Therapy
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1 How do you reconcile the client-centered therapy belief in the person’s sovereignty with the idea of court-ordered treatment?
The court orders a treatment to control the behavior of the patient, who is also the offending party in a legal case. There is an existing argument on the effectiveness of mandated versus voluntary treatment of drug-dependent patients. Accordingly, most of the literature states that mandated treatment makes the patients more resistant to treatment than those who voluntarily come for medical or supportive therapy. This is attributed to the perceived coercion between the law enforcement agents and the health providers, reducing the ability of the patients to become fully honest and open to possibilities during the treatment process. Hence, it creates a poor relationship between the patients and the health providers and will make the treatment fail because it is the critical element to trust and satisfaction (Hachtel et al., 2019).
Client-centered therapy is based on self-actualization strategies that require comfort and trust as it focuses on the practices of relationship therapy to fully reveal the client’s purpose, skills, and values. The clients are the center of the therapy and proceed to expressing themselves with the therapist’s guidance (Rowe, 2017, pp. 37-40). Applying the information on court-ordered treatment, the principles between these two are contrasting and prevent the client from trusting the therapist or health provider.
To enhance their relationship and make client-centered therapy useful in court-ordered treatment, the health provider should follow the steps in engagement with the client. It is generally composed of three stages, namely, stabilization, remediation, and observation. Cognitive-behavioral therapy (CBT) should be employed during the initial phases to increase the patient’s motivation and prevent relapse and treatment resistance. The initial phase is frequently prolonged; when this happens, it is critical to ensure client alliance and attendance. Such strategies shall assist the client in readying oneself for a client-centered approach. During the middle phase, the client’s complex life histories and experiences shall be addressed, which will be led by the client but guided by the health provider. In the last phase, the health provider shall teach ways to rehearse the skills, including coping mechanisms and strategies, the detachment process’s start, and the consolidation and preparation to consign the court-ordered treatment (Hachtel et al., 2019).
2 Client-centered therapy asserts that the individual is the architect of her therapy. Using the propositions of client-centered therapy, how might you help Joanna become the architect of her therapy?
As mentioned, the critical element of the client-centered approach is self-actualization while allowing the patient to be the director of the therapy (Hachtel et al., 2019). This should be combined with adequately assessing the patient’s needs at one specific time and analyzing the most appropriate therapeutic approaches, actions, and resources needed (Marchand et al., 2019).
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