3. Ariana Grande is a 16 year old Latino female from Patterson who is referred t

Question

3. Ariana Grande is a 16 year old Latino female from Patterson who is referred to you because of a recent fight she got into with a classmate at a football game. Ariana went into the stands to physically fight a girl that was gossiping about her. Ariana was suspended as a result of this incident. Furthermore, Ariana is currently living at home with her older sister who is pregnant with twins, her younger sister, younger brother, and mother. Ariana feels neglected and pushed to the side because of the attention that her mother gives to everyone else in the family except for her. Ariana has been self-medicating with marijuana for the last year. Lastly, Ariana has been getting into frequent fights with her peers on social media which have resulted in the school's dean of discipline getting involved repeatedly to address the situation. What intervention or

Explanation / Answer

Ariana Grande is facing a stressful situation at home because of which she is feeling depressed, anxious, mad, or angry. These uncomfortable emotions drove her to self-medicate with marijuana. Self-medication can impact mental health. Too much marijuana can worsen symptoms of depression and lead to more serious mental disorders, such as schizophrenia, anxiety, and even suicide. Using marijuana as a coping strategy may make it harder for Ariana to stop using the drug.

Taking a closer look into Ariana's behavior she is having relationship problems because of which she gets into frequent quarrels with her peers. The ill effects of marijuana include distorted perceptions, difficulty in thinking and problem solving, loss of control, and irritability. Ariana's aggressive outbursts is mainly due to her addiction to marijuana. It's use can cause fear, anxiety, panic or paranoia, which can result in aggressive outbursts which reflects on relationship or interpersonal violence.

The interventions required to support Ariana Grande include the following:

- Family therapy - The first step here is to bring Ariana's family into the picture. Her progressive abuse of marijuana was initiated or worsened by her family environment. Therefore, educating the family members about marijuana addiction is important. Unless the family changes the enabling behavior that made Ariana's addiction easier, she will probably never have to change. Her mother's attitude towards her has led her to this. Ariana is looking for love and care from her mother hence it is necessary to educate her mother first. She must make positive interactions with her daughter and must encourage her to start and continue treatment. Reassuring and re-establishing the bond of trust between Ariana and her family members is important.

- introducing a structured rehab program for marijuana abuse is the best course of action. The goal of marijuana therapy here is to provide Ariana with the ability to avoid or cope with drug use triggers, so they won't relapse when put in sticky situations.The various treatment options used are:

1. Behavioral therapy - Behavioral therapy helps people understand their addiction and motivation better. This tackles psychological aspects of their addiction. Ariana tends to become aggressive, therefore interventions should focus on helping her calm down. Cognitive behavioral therapy where Ariana should learn to identify and correct maladaptive behavior patterns should be emphasized. CBT aims to enhance the patient's self-control by helping them develop effective coping strategies. Specific techniques include exploring the positive and negative consequences of continued drug use, self-monitoring to recognize cravings early and identify situations that might put one at risk for use, and developing strategies for coping with cravings and avoiding those high-risk situations.

2. Contingency management - This is a therapeutic management approach based on frequent monitoring of the target behavior and the provision of positive reward when the target behavior occurs. Positive reinforcement is used to modify behavior.

3. Motivational enhancement therapy - This form of therapy does not attempt to treat the person, but rather mobilize her own internal resources for change and engagement in treatment. It is designed to produce rapid, internally motivated change.

- Support groups for marijuana addiction such as Marijuana Anonymous can provide group treatment options. These seek help attendees maintain motivation, learn coping skills, manage thoughts and feelings, and learn about balance and self-care.

- To avoid future relapse, aftercare programs and peer recovery organizations provide support to assist the individual with the journey to recovery.

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