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THARAGAY ASSESSMENT SERVICE

Concerned parties often disagree about when alcohol or drug use behaviour constitutes a problem. It can be very difficult to decide. When it comes to the other addictive behaviours like gambling, sex related activities and food related issues, it is even more difficult to decide whether the behaviour is an addiction or just excessive normal behaviour. Yet, these decisions can have huge implications on people’s lives –

  • Is a treatment programme required?
  • It can impact on child custody and divorce related matters
  • There could be criminal justice implications
  • Someone’s reputation might be stigmatised
  • So, the presence of an addictive disorder needs to be carefully explored before a diagnosis is made and advice is given or treatment recommended. In addition, addictive behaviours are often disguised against a background of a psychiatric disorder.

In most instances where there is a substance use problem, very few of the different parties involved will be in agreement about anything related to the problem.

  • the nature of the problem – is it substance use or depression or just a “bad patch”?
  • the severity of the problem – “things could be much worse”
  • the cause of the problem – “if you nagged less, I would drink less”
  • whether treatment is necessary – “I just need a holiday and everything will be ok”
  • what type of treatment would be best – “I am prepared to see a psychologist but I am not ready for rehab”

There is some truth in each of these responses and the purpose of an assessment of a substance use problem is to get as close as possible to the truth and then devise a treatment plan based on that information. It can be a tricky task because people with substance use disorders subconsciously minimise the problem, even when they openly admit they have a problem. Family members and significant others, on the other hand. driven by concern or resentment tend to exaggerate the issue in a desperate attempt drive a solution. The truth of the situation lies somewhere in between and the purpose of the assessment is to identify this point and devise an appropriate intervention plan.

The two most fundamental issues in assessment are determining the most appropriate treatment option and developing a plan of care that is consistent with the client’s particular needs and preferences. After a thorough assessment, we can offer guidance and a recommended treatment plan. This might entail referral to appropriate psychologists, psychiatrists and/or other experienced professionals. We can also assist in arranging a detox where necessary, as well as a period of residential treatment where extra support is needed. Lastly, we can also help family or significant others to confront a loved one, where a substance abuse problem exists but the abuser is unwilling or unable to accept it.

The Tharagay Addiction Assessment service has a wealth of experience in advising on these matters and providing impartial advice regarding treatment or any other intervention that might be appropriate

 THARAGAY INDIVIDUAL COUNSELLING

When it is appropriate, Tharagay will arrange for individual counselling with a Tharagay approved professional. We are associated with a team of counselling professionals, each with a specialised are of expertise, who can provide individual support when this is indicated. This  usually occurs pre treatment when someone is unconvinced that they have an addictive disorder and needs some time and space to work it out or post treatment, when there may be areas of unresolved  issues that, if left unaddressed, will contribute to a relapse risk profile.

Family members, often deeply traumatised by the addictive behaviour, often benefit from individual counselling support and hold more power than they realise in breaking the addictive cycle. Family members, for understandable reasons, often unwittingly enable the addiction, despite their fervent wish that it will stop. Family support counselling can often empower the family members and break the cycle of despair.

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