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Case Of Betty Ford

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Ivan Smirnov

on 2 April 2014

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Transcript of Case Of Betty Ford

Most alcoholics who have been imbibing for years will need initial period of (Drying out)
Treatments
Detoxification
Hospitalization
Controlled family settings.
After this conditions are met

Motivation Enchantment Therapy.
First most important step is getting patient to admit.
"Effective Patient" programs.
Confrontational techniques.
Psychodynamic Therapy
Uncover conflicts and needs that could of led to substance disorder.
Behavioral Therapy
Aversion Therapy - an approach based on the principal of classical conditioning
Contingency management
Cognitive-Behavior Therapy
Help clients to identify and change behaviors and cognition that keep contribution tp their substance misuse
Help to develop effective coping skills.
prominent goal to help client to gain control over their substance related behavior
Learn from mistakes and lapses & confront them.
Self-help Group
Case Study of Betty Ford

Betty Ford Background
DSM-IV-TR Criteria for
Substance Abuse

Etiology
Psychopharmacological
treatments.



Cause
Approx. 40-60% of the risk of alcohol dependence is genetic
Father and brother were both alcoholics
Problems with relationships
Depression, anxiety disorder
Had easy access to alcohol
Body built tolerance to the drug

There are some important things in psychotherapy, that therapist should be aware of when dealing with a client with psychological disorder.
Know patient's background and patterns that could of led to psychological disorder
Client's current motives and attitudes towards change.
Betty's Condition
Disruption in the family.
Unreliable father
Perfectionist mother
Started drinking under peer pressure, due to her unsuccessful carrier in college.
Low self-esteem
From strong to unimportant -
" If I look smart and act smart, everyone would think i am smart"
Alcoholics often experience conflicts, anxiety and self esteem issues
“A maladaptive pattern, signaled by impairment or distress, with three of the following seven occurring in a 12-month period"
1. Tolerance
2. Withdrawal
3. Unintended use of larger amounts of for longer than intended
4. Inability to control or persistent desire for the substance
5. High time cost to obtain, use, or recover from the substance
6. Giving up of important life activities because of use
7. Continues use in the face of use-related psychological or physical problems

The diagnosis of substance abuse requires impairment or distress from a maladaptive pattern within a 12-month period as evidenced by at least one of the following:
• Failure in a major life role obligation in some recurrent pattern
• Recurrent hazardous behavior such as driving impaired,
• Recurrent consequent legal problems
• Persisting use despite use-related sociointerpersonal problems.

Danger signs of possible abuse
• Disruption in job, marriage, or other significant relationships
• Deteriorating financial or physical health
• Frequent job changes
• Arrest record
• Complaints of anxiety, depression or insomnia
• Direct signs of addictive personality and social patterns

Symptoms
Stressful lifestyle
Unable to control alcohol intake
Continues to drink regardless of consequences
Makes excuses to drink
Becomes violent when drinking
Betty started socializing enjoys the nightlife and dancing and partying with friends.

She was an aspiring model and dancer.

She went to New York to pursue a career as a dancer .

While in New York she began to drink more socially due to peer pressure.

She returned Grand Rapids Michigan.

At 24 she met and married a young man.





Betty wanted to settle down but her husband still wanted to live the party life and their marriage ended in divorce.

Betty soon met and married Gerald Ford a laywer and aspiring politician who was described as the most eligible bachelor and Grand Rapids.

She soon was the mother of four children three boys and one daughter.



In 1964, she developed the first of many medical problems. She had a pinched nerve in her neck that caused excruciating pain.

She was given medication and therapy for the pain.

Betty was worried about the recurrence of pain. The doctors advised her not to allow the pain to even begin and that she should keep her pain medication close.This started a vicious cycle as she developed tolerance to a drug and doctors would simply prescribe another one.

She developed the attitude to act smart look smart which concealed her growing problem of addiction and alcoholism.




In 1966 Betty began to drink alcohol while on medication.

Betty pulled a stunt that got her an appointment with a psychiatrist.

The doctor focused on her self-esteem not her alcoholism.

Betty was later diagnosed with pancreatitis.

The doctors just told her to lay off liquor for a while.

Like most alcoholics Betty was surrounded by enablers.

Gerald Ford became President of the United States on Aug. 9 1974.

Betty realized that she had an opportunity to the person that she actually wanted to be.

Betty was soon diagnosed with breast cancer and had to have a breast removed.

She used this to become an advocate for all cancer victims.




Betty enjoyed her time as First Lady. She was very outspoken and advocated for the causes she felt strong about.

In 1976 for during her husband's campaign for reelection she was constantly on the road with him. Betty was suffering from extreme pain from the pinched nerve in her neck.

After her husband was defeated in his reelection bid they moved to California. Betty's condition had grown much worse over this time.

Her husband continued a hectic schedule and as a result Betty felt truly alone.
She was taking multiple medications combined with alcohol throughout the day.

Her daughter initiated an intervention.This first intervention was a failure, but it gave the attending physician an idea of how bad her illness was.

A second intervention occurred on her 60th birthday. This time the whole family was involved.

Betty denied that she had a drinking problem.She did admit to her problem prescription drugs.

Betty was informed of what to expect from detoxification.
She agreed to undergo a week long detoxification and checked herself into the Naval Hospital for a month-long treatment program.

After this Betty became an advocate for drug and alcohol treatment.

She was one of the co-founders of the Betty Ford clinic in California.

This clinic has been on the cutting edge of drug and alcohol treatment since its inception.


Symptoms
Attempts to hide addiction
Hostile when asked about drinking
Uses alcohol to get through the day
Eats poorly or not at all
Psychotherapy
Would not admit that she struggles with alcoholism
Background
Attitudes
Substance Abuse Disorder
Could be highly beneficial, if the right sitings are met.
Spiritual support
Born In 1918

Grew up in Grand Rapids Michigan

Her mother was a strong woman and her role model

Her father died when she was 16

Her father was an alcoholic

She was prude about drinking until she was about 18.


Social network that encourages abstinence
Family therapy
Restore connections & get support
References

Comer, J.R. (2013). Abnormal Psychology. New York, NY;
Worth Publishers.

Medline Plus: Trusted Health Information for You.
(2011,March 20.) Retrieved from
http://www.nlm.nih.gov/medlineplus/ency/article/000944.htm

Meyer,R.G,& Weaver, M.C (2013). Case Studies
in Abnormal Behavior. Boston, MA;
Pearson Education Inc.

First and most important step is getting them do admit
Naltrexone- effective in reducing the need for alcohol
Buprenorphine- effective with opiate- based addicitions
SSRIS
Barbiturate/amphetamine
Depression
Helps adequatel functioning alcoholics
causes severe nause if alcohol is consumed
Disulfiram
more than one substance in the body
doctors would enable Betty
antaonist drugs
Acamprosate
Biocodone
Ambien
Cholrdiazepoxider
Campral
Supervised withdrawal from a drug
completed at the ford home
Different Medications
Antabuse
Detoxification
Synergistic effect
More Medications
Full transcript