Case Study Milestone One

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Palm Beach State College *

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CJ210

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Medicine

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Jan 9, 2024

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docx

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Uploaded by theresaadamson

Case Study Milestone One Theresa French November 12, 2023

Theresa French Page 1 In this case study the client was a 35-year-old woman named Katie. She was married to a man named Lewis and a mother of two young children. Her profession is unclear, however throughout the case study it mentions that her career was outside of the home and caused stress due to her rise in professionalism. This client has a substance addiction and not a process addiction. The addiction that the client is presented with is prescription pain pills. There is no mention of any other addictions in the study that she partakes in other than pain pills. Katie has had a long history of using prescription pain pills which started in her early twenties. She was in a car accident which led to an injury to her lower back and a doctor prescribed her pain medication to assist with the discomfort. Since then, she has been craving the “wonderfulness” she felt when she was first prescribed them. Even though Katie’s story is unique in its ways, she is not exclusive when it comes to misusing prescription pain pills. “16.3 million people misuse prescriptions in a year” ( Prescription Drug Abuse Statistics, n.d.). After this initial encounter with prescription pain medication, Katie found herself doctor-shopping. “In medicine, doctor shopping is a phenomenon where patients consult several different doctors to obtain a prescription for a drug of choice, often a drug of dependence such as an addictive pain medication” ( Doctor shopping and what it means for GPs , 2018). She would go in for different reasons every time and always somehow walk out with a prescription for pain pills. As time went on and the life of a married woman with two children and an advancing career, she found herself more and more stressed and sought out pills from family, friends, and co-workers. Her evolving addiction stretched so far that when she would learn about a person getting into an accident with an injury she would investigate to see whether or not they were prescribed prescription pain pills.

More time went on, and the availability of pills was running short so Katie had found another way. As the case study mentioned, her abuse shortly turned into an addiction when she learned how to purchase prescription pills on the internet. Although the pills were readily available, they came with a cost. And that cost was extremely noticeable to her husband when he was suddenly realizing how tight money was getting. Lewis decided it would be best to bring this up to her and have her parents join as well. She admitted everything and agreed to go to treatment, this was also three years ago. However, after Katie left treatment she decided she did not want to continue working on the tools needed to stay sober while out of the facility. As such, those behaviors returned and her husband decided an intervention was needed. During the intervention, Lewis expressed his utmost concern, which was that he wanted Katie to go away to treatment again or that he was leaving. After the discussion continued, he lightened up that demand and was okay with her empty promises of doing it on her own. It was heavily expressed that outpatient treatment would most likely not be successful due to her track record. “Less than 20% of those in outpatient programs maintain complete sobriety for an entire year” ( Sobriety, Relapse, and Addiction Recovery Statistics in 2023 , 2023). With no access to tools to assist Katie when the stress gets high enough and she wants to use, the outcome of relapse is extremely high. As anyone with an addiction. Katie’s greatly affected herself and everything around her. She was able to lie to herself to accept her actions for the ways that she was obtaining the prescription pain pills. Lying to others around her to make them believe that she truly needed them because of her back and not that she was in complete addiction. Spending tons of money made financial matters at home extremely difficult for her family to survive. The constant sneaking around created trust issues for not only her and her husband but her parents too. Being completely indulged in pain meds lessened her ability to focus on spending quality time with her

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