Monday, November 24, 2014

Divorce

The diagnosis typically assigned for clients and families dealing with divorce is depression. The symptoms are usually the same for children, adolescents, and adults.

Symptoms:
•        Persistent sadness
•        Inability to enjoy favorite activities
•        Increased irritability
•        Physical problems such as headaches and stomach aches
•        Poor school performance
•        Poor work performance
•        Persistent boredom
•        Low energy
•        Poor concentration
•        Changes in eating and or sleeping patterns

Long-term Treatment Goals for Treating Depression due to Divorce
•        Improved mood and stability
•        Prevent further episodes of depression
•        Help the client become well established in a new family living arrangement

Short Term Objectives
•        Develop therapeutic rapport
•        Identify feelings and anxieties about divorce
•        Increase social contacts and create a support system
•        Develop coping skills to deal with depressive thoughts and feelings
•        Discuss the feelings about the loss of the family relationship is it was
•        Help client adapt to new situation

Interventions
•        Verbal therapy to discuss feelings
•        Play/ Art therapy:
        o        Pairing emotions and colors
        o        Draw different representations of emotions symbolically
        o        Use clay or other materials to recreate story
        o        Puppets to tell a story
        o        Board games designed to discuss feelings
•        Writing:
        o        List positive and negative emotions or changes
        o        Journal feelings
        o        Unsent letters
•        Parent Education
        o        Teach parents about typical emotional reactions they will see in their children and how to handle them.
        o        Encourage parents to make teachers aware of the situation.
        o        Have parents engage in an activity with the children each week, teach dyadic techniques.


Infertility- inability to conceive during one year of sexual intercourse without the use of contraception, or the inability to carry a pregnancy to live birth.

There are two kinds of infertility diagnoses:
•        Primary infertility - couples who have never had a child
•        Secondary infertility - couples who are unable to conceive or to achieve a live birth after having previous children.

Male infertility
•        Lifestyle habits can markedly affect the quality of the semen.
        o        Alcohol can damage sperm-producing tissue.
        o        Tobacco decreases sperm survival and function.
        o        Diet and vitamins have been researched to affect sperm production.
        o        Sexual practices can be altered to increase fertility.
•        Abstinence periods of three to four days produce larger semen quantities and greater viability.
•        Certain common lubricants such as KY jelly, lotions, and oils can kill sperm and decrease fertility.

Female Infertility
•        Can often lead to profound distress for women and may affect sexual functioning in couple’s relationship and is associated with a wide range of factors:
        o        Physical- hormonal, anatomical, genetic, immune system
        o        Psychological- denial, grief, helplessness, anger, anxiety, and guilt
        o        Environmental- work related stress, family issues, gender role expectations.

Goals of Therapy
•        Explore their beliefs about creating a family
•        Identify and explore feelings and reactions to infertility
•        Create a support system
•        Provide educational materials related to medical procedures
•        Assist partners in communication about sexual relationship




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