A Native American patient describes difficulty learning as a child, living on a reservation, and being sent away to a Native American boarding school
The patient began using alcohol as a teenager to escape feelings of isolation but stopped 10 years ago when gastritis developed. The patient now says, "I feel stupid and good for nothing. I don't help my people." How should the treatment team focus planning for this patient? a. Group therapy for treatment of posttraumatic stress disorder
b. Simultaneous treatment of depression and alcohol abuse
c. Psychoanalytic approach
d. Holistic approach
D
Native Americans, because of their beliefs in the interrelatedness of parts and about being in harmony with nature, respond best to a holistic approach. No data are present to support dual diagnosis, because the patient has resolved the problem of excessive alcohol use. No data are present to support a diagnosis of posttraumatic stress disorder. Psychoanalysis is a long-term therapy that is very expensive. Cognitive therapy might be a better choice.
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