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Think about Relapse Prevention Strategies that would be effective for Katie. Then, imagine you’re meeting with Katie to design a relapse prevention plan with her. How would you approach designing the plan with Katie? Create a written Relapse Prevention Plan with at least 6 strategies.
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Katie
Client: Katie is a 35 year old woman, wife, mother of 2 young children, daughter, and rising professional.
Drug of Choice: Prescription Drugs. Mostly pain medication and soma (muscle relaxant).
Initial Contact: Lewis (husband) called to discuss the possibility of doing an Intervention with his wife,
Katie. He believed she had relapsed back into using pain meds about 4 months previously. All the signs
of the previous addiction were coming back. “I’ve had it. I’m not going to go through this again.” We
scheduled an appointment and agreed to meet and discuss whether or not Intervention was the right
option at this time. Lewis said he had been talking with Katie’s dad who lived across the country and that
he was very concerned and asked if he could call me as well. We set up a time to meet again the
following day.
Substance Abuse History: Katie had been to a residential treatment center 3 years before. The reason
for her admission at that time was that she was abusing pain medication. She spent 4 weeks there and
appeared to benefit from the program. She did not do any kind of follow-up. She did not attend any
counseling or self-help (AA/NA meetings). She felt that she had gotten the pain med abuse under
control and behind her. She didn’t care to go to the meetings because they reminded her of a low point
in her life. Her husband did not attend the family program offered at the treatment center and agreed
with Katie that they could put this unfortunate incident behind them and move on with their lives.
Katie initially began taking pain meds because of a low back pain she experienced in a car accident while
in her mid-20’s. She took the medication as prescribed at the time but remembered how wonderful it
made her feel about her whole life. Over the next several years there were times she had reason to visit
her doctor about one thing or the other and usually was able to walk out of the doctor’s office with a
prescription for some pain pills. As Katie’s life became more complicated with marriage, a child, her
career taking off, and the day to day pressures of life, Katie looked for ways to make herself feel better.
She began to seek out pain pills from friend, family, co-workers. If someone she knew had injured
themselves in some way she was quick to inquire whether or not the doctor had given them any pills.
When Katie found out how to get pain pills through the Internet, her abuse turned to addiction in a
short time. Things started moving quickly. Pain pills can be very expensive over the internet. Lewis
became aware of the situation because of the financial stress on the family budget. He talked with her
about this. She claimed she was only getting vitamins. Then he talked with her parents. The parents
decided to come for a visit and see what help they might be able to offer.
When the parents arrived, they along with Lewis sat down with Katie and expressed their concerns and
worries. Katie after some time admitted that she in fact was buying pills over the internet and had also
been seeing several doctors in her community for more pain pills. The family wanted her to enter a
treatment program. She agreed and did so. That was two months ago.
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