Resistencia terapéutica de pacientes fármaco dependientes en el Centro Pastoral de escucha y orientación para la farmacodependencia en la ciudad de Cúcuta
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Fecha
2024-09-12
Autores
Contreras Gamboa, Ana Maria
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Ediciones Universidad Simón Bolívar
Facultad de Ciencias Jurídicas y Sociales
Facultad de Ciencias Jurídicas y Sociales
Resumen
Se trabaja con un paciente transexual de 26 años, se aplican pruebas psicotécnicas para determinar su estado mental, su motricidad y su estado emocional, los resultados arrojaron que en el área cognitiva, emocional, conductual y social presenta datos importantes que impactan su vida diaria y su bienestar psicológico. Los síntomas depresivos requieren atención especializada. el paciente ha experimentado pensamientos suicidas recurrentes e ideas catastróficas, lo que indica un malestar emocional y psicológico significativo. Su trastorno de ansiedad y su dificultad para establecer relaciones interpersonales sanas también son aspectos importantes a considerar en su tratamiento y recuperación. La situación familiar y socioeconómica del paciente también presenta desafíos importantes,
con discriminación y falta de objetivos de vida definidos. Sus experiencias traumáticas pasadas y el apoyo de su familia contribuyen a su adicción y vulnerabilidad. El diagnóstico inicial sugiere un posible trastorno de disonancia de género, lo que indica una incongruencia significativa entre su identidad de género y el sexo elegido. El abordaje terapéutico propuesto es integral y multidisciplinario, involucrando a psicólogos especializados, medicina general y terapia familiar. El tratamiento tiene como objetivo reducir el consumo de drogas, mejorar la calidad de vida y fortalecer los vínculos familiares y sociales del paciente. Aunque se han logrado algunos avances en el comportamiento, la comunicación y la definición de un plan de vida, aún quedan desafíos importantes que
requieren atención continua y una intervención cuidadosa.
we work with a 26 year old transsexual patient, psychotechnical tests are applied to determine his mental, motor and emotional state, the results showed that in the cognitive, emotional, behavioral and social areas he presents important data that impact his daily life and psychological wellbeing. The depressive symptoms require specialized attention. The patient has experienced recurrent suicidal thoughts and catastrophic ideation, indicating significant emotional and psychological distress. His anxiety disorder and difficulty in establishing healthy interpersonal relationships are also important aspects to consider in his treatment and recovery. The patient's family and socioeconomic situation also presents significant challenges, with discrimination and lack of defined life goals. His past traumatic experiences and family support contribute to his addiction and vulnerability. The initial diagnosis suggests a possible gender dissonance disorder, indicating a significant incongruence between her gender identity and chosen sex. The proposed therapeutic approach is comprehensive and multidisciplinary, involving specialized psychologists, general medicine and family therapy. Treatment aims to reduce drug use, improve quality of life and strengthen the patient's family and social ties. Although some progress has been made in behavior communication and the definition of a life plan, important challenges remain that require ongoing attention and careful intervention.
we work with a 26 year old transsexual patient, psychotechnical tests are applied to determine his mental, motor and emotional state, the results showed that in the cognitive, emotional, behavioral and social areas he presents important data that impact his daily life and psychological wellbeing. The depressive symptoms require specialized attention. The patient has experienced recurrent suicidal thoughts and catastrophic ideation, indicating significant emotional and psychological distress. His anxiety disorder and difficulty in establishing healthy interpersonal relationships are also important aspects to consider in his treatment and recovery. The patient's family and socioeconomic situation also presents significant challenges, with discrimination and lack of defined life goals. His past traumatic experiences and family support contribute to his addiction and vulnerability. The initial diagnosis suggests a possible gender dissonance disorder, indicating a significant incongruence between her gender identity and chosen sex. The proposed therapeutic approach is comprehensive and multidisciplinary, involving specialized psychologists, general medicine and family therapy. Treatment aims to reduce drug use, improve quality of life and strengthen the patient's family and social ties. Although some progress has been made in behavior communication and the definition of a life plan, important challenges remain that require ongoing attention and careful intervention.
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Palabras clave
Ansiedad, Depresión, SPA, Factores Precipitantes, Familia disfuncional
