Dependency In Counselling

The alcohol dependency has determined him in numerous occasions to behave impulsively or to take actions that he might not otherwise taken, such as suicide or self-harm. He describes and evaluates the services provided by SEPT as 'good enough', as he has established good relationships with different professionals involved in his care plan, especially with the counsellors.
It is largely known that the role of a counsellor it is to provide non-judgemental confrontation, support and education in addiction treatment. Through counselling , the patient is encouraged to take initiative , to be self-directed exploring how to manage a problem in the best way. Those counsellors who adopt an active listening approach , emphasising collaboration ,
The counsellors 'mission was even more difficult ,as Peter is taking antipsychotic medication that helps him to control the symptoms of psychosis. He experienced the drug's side effects such drowsiness , tremor or involuntary movements of his lips which is a long -term side effect called Tardive Dyskinesia (TD) This type of medication definitely didn't help Peter to establish effective relationships , to help him to communicate well with other people or to increase his coping skills . Usually, the therapy for schizophrenia concentrates on improving the individual's cognitive function such as memory, social skills, attention, managing stress or building a mechanism of coping with persistent symptoms. In order to treat Peter's episodes of psychosis , in particular hallucinations and delusions , Cognitive Behavioural Therapy (CBT) was applied.
Kingdon& Turkington(1994), point out that CBT has been demonstrated to reduce distress, relapse rates or hospital admission
Peter has been frequently the subject of multiple risk assessments , carried out by clinicians and social workers. Having a history of suicidal attempts , Peter has been classified as high -risk patient, having a substantial mental disorder. Social workers are recognized as major providers of social services that operate in a wide range of settings, playing a crucial role in intervening with suicidal patients. Social workers take crucial, urgent decisions about the least restrictive and most suitable context in which people should receive care and treatment, playing a vital, statutory role in protecting people’s human rights and promoting the principles of the Mental Health Act Code of Practice (2015). ("Social Work: Improving Adult Mental Health - Publications - GOV.UK")
For this profession , the suicidal behaviour is the most visible, as very often the mental disorder is highly related to a major risk for suicide. (Harris & Barraclough, 1997 .In Peter's case , the social worker helped him to arrange appropriate low stress accommodation, to encourage him to comply with his medication and to make appropriate referrals to different voluntary and statutory agencies available within the community, and sporadically to act as an advocate when he had to go to tribunal to have his Personal Independence Payment