Selina recovery process on alcoholism.

Selina, a 23-year-old Caucasian female, is struggling with the pre-contemplation stage of alcoholism. Like many other people struggling with a severe alcohol disorder, she is defensive about her situation and does not understand that alcohol is causing it. She’s finding it hard to understand that she is an addict, and the addiction is ruining her life. For example, she has not had a decent job for three months. Rather than admitting to her side of mistakes, she blames the jobs for having problems. Again, when she is asked why she was sent for treatment, she says that she does not know, and they seemingly sent her there for no reason. She shows very little concern about her consumption patterns as well. She says that she enjoys drinking like any other 23-year-old would. As such, she seems psychologically unready for change. She is, in fact, resistant to the change and feels like she is being bothered when required to attend the AA meetings and treatment. It all seems like an unfair, biased procedure meant to punish her. Thus, it calls for an evidence-based treatment procedure for her.

Recovery Process

Selina’s recovery process starts with her identification of patterns of problems related to her alcoholism. She has to identify that the other people are not responsible for her mistakes and own up to her contribution to the series of problems she is experiencing. For example, she has to understand her problem with employers. It would be very hard or rather impossible that all her potential employers have issues. Secondly, she has to understand alcoholism as a huge issue in her life. She has not been attending the AA meetings, which she should. She has been given three DUIs, which increases her chances of rearrests. As such, here recovery process starts with accepting the alcoholism problem.

The second part of the recovery process starts with her acceptance and willingness to participate in the recovery program. She has to find value in the recovery process and understand that her life would have been better without the addiction. As such, the recovery process becomes visible when she starts embracing therapy, AA meetings, and other helpful processes. Again, it shows when she actively seeks employment and becomes more positive about employers and her work. The biggest part of them all is when she starts to avoid or stops using alcohol. The process has to be voluntary to show full recovery. Again, she needs to stop rejecting the medication process.

Considering that Selina is more likely to be admitted to a rehabilitation center, she may find it hard to acclimatize in the facility for some time. At this point, it would be expected that she might be rude, violent, and severely uncooperative. Understanding that she has a problem and that the professionals are trying to help her is an important part of this process. Once she understands that she is in need of help and change, she will become very cooperative. Full recovery comes when she is completely free from alcoholism and has changed the perception about it.

Treatment Process

The opening session has three processes. The first process is establishing a rapport and trust between the addiction counselor and the patient. In this case, establishing the connection requires that one understand Selina’s point of view. The counselor does not have to agree with the view; they just have to understand the view to tune it effectively. Selina is completely unaware that her alcoholism is dangerous, and it is causing her problems. Therefore, she would find it hard to open up or accept directions from someone she cannot trust. As such, the first part would be to create a friendly and trustworthy relationship with the patient. The counselor can gain trust by telling the client about themselves or the program. Explaining how the two could work together also works ineffectively, gaining the patient’s trust. While some institutions may use coercive approaches in such a stage, motivation strategies work better in pushing the patient through the treatment. It is always better when the patient voluntarily accepts the treatment than when they have to be forced to undergo the process.

The next part is exploring the emotional state of the patient. The context is also vital in this case. In this case, Selina was entering the treatment after arrests. As such, it is expectable that she feels angry, defiant, and withdrawn. Such strong emotions could block her treatment process. The counselor-patient dialogue focuses on the most recent events and uses them to motivate the patient. As such, the process will take gentle but progressive steps right from the start. While some force may be used to put the patient in a rehabilitation facility, the counselor and other medical professionals must keep a gentle tone and hand on these patients.

Impact of the Group’s Involvement

The group engagement allows the patient or recovering alcoholic to derive a sense of belonging. Selina and other alcoholics and drug addiction victims experience different challenges. For example, Selina’s records show that she had experienced depression for a part of her life. In this regard, they need a group of people that they can depend on. Selina needs to feel like she belongs to a group. This sense of belonging will go a long way in developing her sobriety, relaxing her mind, and avoiding post-sobriety complications. She will feel like she is not alone and that she can share her challenges for the group.

The group will also be a source of motivation. One of the challenges that Selina may be facing is taking the journey alone, especially if she had been used to a groupie-hype. That is, she will want to participate in something that others find cool and exciting. In this regard, the group will show her the sobriety is cool, exciting, and liberating. These reasons will change her mentality and attitude towards the rehabilitation program. It will also motivate her to struggle and rehabilitate herself so that she can fit into the new group. As such, the group will be a major source of motivation for Selina.

Honesty is an important part of growth, especially for recovering addicts. The group’s involvement will be an important part of the growth. It will allow her to take a deep and honest look at herself and admit her mistakes. The group will speed up the process of acceptance, where she accepts that she is an addict and needs help. It will also help her to avoid shame in her new decision to recover from addiction. Thus, the group will be a part of her transformation in every step. The group’s support will also be available at any time. The accessibility makes it easy for Selina to grow her trust and confidence in the process, which ultimately drove her to better and faster recovery.

Selina has been struggling with Jobs and the authorities recently. The group will be effective in teaching her proper work etiquette, which will guide her in getting and retaining a job. Again, some of the group members will help her to gain knowledge of different places with job vacancies, which will guide her in her employment process. The group will also give her moral support that will be an important light to becoming a better law-abiding citizen.

The impression of the 12 Step or Peer Group model

The 12-step model is an effective process that can guide addicts like Selina in their recovery process. The larger percentage of the addicts find their way and flourish after going through these steps. Selina is not an exception. The process gives these addicts various abilities, which guide and hasten the recovery process. One, the 12 steps give the addicts like Selina the ability to understand and recognize their addiction problem. Admitting that they are addicts is the first step. The process also allows the addicts to understand that they have an active role in the recovery process. They have to seek help and adhere to the recovery program. The 12 steps also help the addicts to accept that addiction is a larger problem, which needs to combine efforts and cooperation with the healthcare providers and counselors. Te process also teaches the recovering drug addicts restraint, which is a vital factor in the recovery process. The addicts need to fight the urge to relapse and go back to addiction. In the same process of gaining restraint, the recovering addicts gain self-esteem. They begin to understand their positive capabilities and work towards more positive achievements. Again, the process teaches them to have compassion for other recovering addicts, and those still lost in addition. With such genuine developments, the 12 steps become an effective guide for people like Selina.

When to use the 12 Steps Program

The 12 Step program is applicable in various situations, especially when dealing with common drug addiction. One of the situations that would necessitate the program is when dealing with a group of addicts. The group has its strengths and weaknesses, especially when the counselors are few. As such, as a counselor, I would employ the 12 steps in group guidance because of the following reasons. One, the 12 steps allow the formation of guidance groups, which, in this case, would use the current group. The group would join hands to uplift each other and resist drug addiction. Secondly, the process gives some crucial steps that are applicable to the majority of addicts. In this regard, the tactics would be applicable to a large number of addicts with different addiction problems and perspectives. The flexibility of the steps makes them easy to operate in different environments, and therefore, a group with diverse needs would need the 12 steps.

I would also use this program while dealing with individuals with self-denial or those at the pre-contemplation stage like Selina. These individuals are particularly difficult to deal with because they believe that they do not have a problem. The 12 steps allow them to understand their problems, and accept that they need help. The steps also help them to understand that they can do something to change their situation. This is the beginning of the recovery process, which gives a chance to other motivational tactics. In this regard, the 12 steps would be an effective tool while dealing with individuals like Selina.

professional ethical and legal challenges

There are situations that would call for a change in methodology. One dealing with secular addicts or those who are not inclined to spirituality may make it hand to use the 12 steps. The 12 steps insist on people finding spirituality and coming closer to God. However, there are some people who do not share these beliefs, and this would be inflicting on their 4th Amendment Rights. As such, the process may heavily interfere with the recovery of such individuals. There are other individuals who believe in internal control. That is, they believe that they are responsible for the decision they make and the consequences that come after. However, the 12 steps insist on people being helpless against alcoholism and substance abuse. These believe may not work for recovering addicts who believe in self-determination and secularity.

The 12 steps engage the AA meetings, which have portrayed a long-term struggle against addiction. Even after recovery, the addicts have to count the number of days or years that they have gone without the substance abuse. Such long-term commitment and battles may become tiresome for some addicts and affect their psychology. For example, when Selina quits alcohol, she will still say that she was an alcoholic for the rest of her life. Other addicts will have to deal with these burdens or labels for the rest of their lives, which becomes very tiresome. This calls for some other program with short-term goals and struggles. In this regard, the 12 steps guide is losing control of other modern, short-term addiction solutions.

For less severe cases, pure abstinence may be difficult and unacceptable for some alcoholic or drug users. As such, forcing them into the 12 step program will only result in failures after a short time. There are other alternatives like Moderation Management, which seek to reduce the harms caused by alcohol use. This could work for some addicts who have severely rejected rehabilitation.

Despite the different situations that may oppose its applicability, the 12 steps have proven to be an effective method towards addiction recovery. However, there is a need to change the method to adapt to the new society if it has to work universally. Some of the changes should be on spirituality. The spirituality and dependence on external power may not work for every American citizen. Instead, the program should adopt new methods like connecting with one’s understanding of spirituality and self-determination to fight the addiction.


The 12 step method will be an effective tool for Selina’s recovery and other addicts like her. It will give her a chance to identify her addiction problem and accept help. The process will also be effective in building her esteem and responsibility. The addiction has already taken a toll on her personal and career life. As such, recovery will help her to take back a position in society and begin a journey of self-development.




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