Thursday, September 1, 2016

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.
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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.

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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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