Peter is a twenty-year-old Caucasian college student referred for counseling by the dean of academic affairs....

Peter is a twenty-year-old Caucasian college student referred for counseling by the dean of academic affairs. Peter has been suspended from school for drinking and fighting on two occasions over the past six weeks. He has a history of recurrent detentions and classroom dismissals for similar, though less severe, behavior since high school. Peter was suspended for having a pint of vodka and a small quantity of marijuana in his locker. Peter has recently started experiencing mood swings and is feeling depressed and agitated. Earlier, having felt that the stress of home life was the root cause of his depression, Peter thought that leaving home and living on-campus would resolve his mood swings. He has been practicing self-medication with marijuana and alcohol. He disclosed that he had been prescribed medication for depression when he was in high school but has since then stopped all medication and follow-up on mental health counseling. Presently, he has no desire to enter or seek treatment voluntarily. He has come in for therapy only to avoid being expelled from the college. He denies having any problem with either alcohol or drugs and feels marijuana should be legalized. In addition, he compares his alcohol and drug use to others' and does not think his intake of substances is a problem. He feels that everyone is just picking on him; he works hard and should be allowed to do. He takes alcohol or marijuana because he just wants to relax after a tough day's work.

QUESTIONS:

how might the interventions within IDDT be structured? That is, what type of psychological intervention might work best? What type of educational and social interventions might be best?

Expert Solution

Integrated dual disorder treatment covers all type of treatments including social,economical,political and also have material substance disorder dealing.Here Peter is suffering from material substance disorder that is drug addiction and also from facing mental illeness which has interupted his social,economic and eductaional well being.He often goes to a stage of depression and emptiness in life.

Best pscychological interventions

Avoid loneliness by accepting himself and others.
Be always busy at some sort of work
Cultivate more relationships
Prepare goals for him to achieve and take some daily steps
Do a new thing everyday.

Educational interventions

Treat every student equally
Assign leadership roles in the instituition
Make participation in games
Conduct arts and fests

Social interventions

Attending counselling classes
Provide healthy food items
Include in group activities
Do good deeds

Hayet Jeridi answered 3 months ago

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