Matching ESTs to Client`s Presenting Problems Alex

Matching ESTs to Client`s Presenting Problems 1

MatchingESTs to Client`s Presenting Problems



Substanceand Alcohol Use Disorder

Alex‘searlier addiction to drugs and substances has developed intodependence. Her relationships act as mere distractions to heraddiction and that is why she is often obsessed with her partners.The relationship fills the void that she drugs used to occupy.However, once the relationship is very she is left emotionallyunstable and thus has to rush back to the drugs. The multiple sexpartners are also a sign of her desire to fill the emptiness that shefeels.


GuidedSelf-Change for Mixed Substance Abuse/Dependence

Aguided self-change therapy is best suited for Alex. The guide isdesigned to help the individual understand the dangers he or she isexposing herself to so they can make a conscious decision to quit thesubstance (Emmelkampand&nbspVedel,2012).The other alternative would be the friends care program s. However,her tendency to get too attached to people around her means she couldget attached to her helpers and if the helper does not reciprocatethe attachment them the treatment will suffer a setback. Herunsuccessful visits to different therapists also indicates that it isbest for her to attempt helping herself since outside help has failedso far.




Sam’sfinancial problems have caused uncertainty in his life and this iscausing him to have the panic attacks. The racing and pounding heartis one of the key symptoms of panic attacks (Sanfelippo, 2006). Thisis what Sam is mistaking for heart attacks and since it is apsychological disorder, the doctors cannot detect any physicalindication of illness.


1.CognitiveBehavioral Therapy

Cognitivebehavioral therapy is designed aims to assist the patient toidentify, challenge, and finally modify the dysfunctional ideas thattrigger the panic symptoms (Sanfelippo, 2006). In this case, Samalready knows the thoughts that trigger his panic attacks problems and the impact they could have on his marriage andfamily. The therapist would guide him into more positive thoughts,such as appreciating what he has at the moment. The positive thoughtscould also guide him into finding possible solution to his currentsituations.


Thisshould be used to compliment the Cognitive behavioral therapy.



Maryis suffering from Adult Attention Deficit Hyperactivity Disorder. Hercondition has been aggravated by her divorce. Through the monthsafter the divorce, the loneliness developed into depression. Thedepression is depicted by the many instances she cries sporadicallyand without warning. The depression was enough to trigger disinterestin activities that were used to give her satisfaction i.e. job andhobbies. The lack of interest and the inability to concentrate ontasks indicate that the depression had developed into AADHD.Moreover, the facts that she leaves tasks unfinished signify adeveloped level of AADHD.


1.CognitiveBehavioral Therapy for Attention Deficit Hyperactivity Disorder(Adults)

CognitiveBehavioral Therapy will assist has been noted to reverse the negativethoughts that plagues the AADHD patients. The negative energy inMary’s situation probably emanate from the divorce. Her marriagecould have been the drive behind her desire to work. The therapy willremove the worthlessness she views her job and hobbies with.

2.Emotion-FocusedTherapy for Depression

Sincethe AADHD began as depression, it is necessary to address it first.This will tackle the emotional problems that led to the condition.


EmmelkampPaul and&nbspVedelEllen (2012). Evidence-Based Treatments for Alcohol and Drug Abuse:&nbspAPractitioner`s Guide to Theory, Methods, and Practice

Sanfelippo,Augustin (2006). PanicDisorders:&nbspNewResearch