2-2 Case Study Milestone One Short Paper

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Southern New Hampshire University *

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Psychology

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Dec 6, 2023

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2-2 Case Study Milestone One: Short Paper Tiffany White Southern New Hampshire University PSY-200 Maryann Gardner July 9, 2023

The client is Katie who is a 35-year-old woman, a mother of 2, and a wife. The information provided does not specify her race or profession it only states that she has a budding career. Katie presents with a substance addiction to prescription drugs, more specifically pain medication and muscle relaxers. Katie's addiction can be classified as a substance addiction to prescription drugs. The addiction primarily involves pain medication and soma, which is a muscle relaxer. The initial trigger for Katie's drug use was a car accident in her mid-20s, which led to her being prescribed pain medication for her low back pain. She initially took the medication as prescribed, but she started to experience the euphoric effects and found that it made her feel better overall. As her life became more complex with marriage, motherhood, and career responsibilities, Katie sought ways to cope and make herself feel better. Over time, Katie began seeking pain pills from various sources, including friends, family, co-workers, and eventually through online channels. This escalation in her drug-seeking behavior led to her addiction becoming more pronounced. The financial strain caused by her drug purchases raised concerns for her husband, Lewis, who eventually discovered evidence of FedEx deliveries containing pills. Katie's addiction came to light when her parents visited and confronted her about their concerns. She admitted to buying pills over the internet and visiting multiple doctors to obtain prescriptions. “Doctor shopping, double doctoring, and overlapping prescriptions are often used as synonyms for multiple physician appointments in the same disease episode.” (Biernikiewicz et al., 2020) As a result, she entered a residential treatment program three years before the present situation. However, after completing the program, Katie did not engage in any follow-up care, counseling, or support meetings such as AA or NA. The current relapse and resumption of pain pill-seeking behaviors occurred over the past several months, coinciding with Lewis's accident at work and subsequent

temporary disability. “It is important to document patterns of prescription drug use to inform both clinical practice and research.” (Kantor et al., 2015) The added stressors in their lives, including Lewis's role as the primary caregiver for their children and ongoing home improvement projects, likely contributed to the re-emergence of Katie's addiction. Katie's addiction to prescription drugs has significant impacts on herself, her family, her workplace, and the community. Katie's addiction negatively affects her physical and mental health. Continued substance abuse puts her at risk of overdose, physical complications, and impaired judgment. Her self-esteem may suffer, and she may experience guilt, shame, and a sense of loss of control over her life. When it comes to her family the addiction has strained Katie's relationship with her husband, Lewis, and their two young children. Lewis expresses frustration and threatens to end the marriage if she doesn't seek help. The family dynamics are disrupted, causing emotional distress and instability. The children may experience confusion, stress, and a lack of emotional support. If Katie's addiction remains unresolved, it can affect her job performance, leading to absenteeism, reduced productivity, and potential job loss. Her addiction may also impact her reputation and credibility within her professional community. As for the general community addiction can have broader social consequences. Katie's addiction places a burden on the community's healthcare system and resources, including hospitals, clinics, and addiction treatment facilities. It may also contribute to the perpetuation of the prescription drug abuse epidemic in society. While it is not explicitly mentioned in the given information that Katie has lost her family, job, friends, or community standing, the potential consequences of her addiction could indeed lead to such outcomes. “The abuse of and addiction to opioids such as heroin, morphine, and prescription pain relievers is a serious global problem that affects the health, social, and

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