Case Study Jeff COUC 6671

CASE STUDY ASSIGNMENT JEFF 1 Case Study Assignment Jeff Stacey Y. Lloyd School of Behavioral Sciences Liberty University Author Note Stacey Y. Lloyd I have no known conflict of interest to disclose Correspondence concerning this article should be addressed to Stacey Y. Lloyd Email: sylloyd@liberty.edu

Case Study Assignment Amara 2 Majority of the information located in this paper was taken from the Diagnostic and Statistical Manual 5th Edition, Text Revision (American Psychiatric Association, 2022). Clients Concerns – Alcohol Use Disorder (AUD) Symptoms Behaviors Stressors Physical dependence, craving Drinks 4-8 beers after work 6- 8 beers a day when off and a few shots, starts wanting beer can’t think of anything else Want to be with friends to drink, rather drink than work Increase tolerance for alcohol Takes more alcohol to get a buzz, 5-7 beers feel like nothing, 4 to 6 shots more to get drunk, longer to recover from drinking, drink alcohol from 5p-2a Strain on family and coworkers Loss of control over alcohol intake Domestic Violence incident 3 times with wife. Loss his wife and kids Problems Sleeping, health, headaches, weight loss 2 months struggled to sleep, felt extremely fatigued, loss weight (25 to 30lbs) Would like to drink all night Impaired ability to function at work Late for work once a week, struggle to finish a full day at work, Suspensions and possible terminations Continue to drink alcohol even though it is causing social. Work and relationship problems Late for work, struggle to get out of bed due to drinking all night, 4 violations for blood alcohol above the maximum level allowed. Leave work early to drink a few beers in hotel, Possible job loss Alcohol use resulted in DWI’s Arrested for DWI in 20’s and 30’s spent time in jail, Loss his wife and kids, wife is getting remarried. Sadness, Suicidal Thoughts, Depressed, irritated, hopeless Loss interest in all activities, thought about suicide multiple times, felt sad since he was 15 years old, “Sad episodes” depression Counselor and ex-wife telling him he had an alcohol problem, wife left, separated from children and brother Assessment The AUDIT is a tool used to assess alcohol consumption and any associated issues that may have occurred in the past 12 months (Brummer et al., 2023). The AUDIT-10 questionnaire consists of 10 questions that assess various aspects of alcohol consumption (Brummer et al., 2023). The questions inquire about the frequency and quantity of alcohol consumption, the frequency of heavy drinking episodes (defined as consuming six or more drinks), the difficulty in stopping drinking once started, the impact of drinking on meeting personal expectations, the urge to have a drink first thing in the morning after heavy drinking, feelings of guilt or remorse after drinking, difficulty in remembering events due to drinking, harm caused to others due to drinking, and whether someone else has brought up concerns about your drinking habits. Each

Case Study Assignment Amara 3 question is given a score between 0 and 4, which then contributes to a total score that can range from 0 to 40 (Brummer et al., 2023). Diagnostic Impression DSM-5 TR Diagnostic Criteria: Alcohol Use Disorder (F10.20) Client’s Signs/Reported Symptoms: Criterion A: A problematic pattern of alcohol use leading to clinically significant impairment or distress, as manifested by at least two of the following, occurring within a 12-month period: Alcohol is often taken in larger amounts or over a longer period than was intended. A great deal of time is spent in activities necessary to obtain alcohol, use alcohol, or recover from its effects. Craving, or a strong desire or urge to use alcohol. Recurrent alcohol use resulting in a failure to fulfill major role obligations at work and home. Continued alcohol use despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of alcohol. Important social, occupational, or recreational activities are given up or reduced because of alcohol use. Recurrent alcohol use in situations in which it is physically hazardous. Alcohol use is continued despite knowledge of having a persistent or recurrent physical or psychological problem that is likely to have been caused or exacerbated by alcohol. Tolerance, as defined by either of the following: A need for markedly increased amounts of alcohol to achieve intoxication or desired effect. A markedly diminished effect with continued use of the same amount of alcohol.  Drinks 4-8 beers after work  6- 8 beers a day when off and a few shots, starts wanting beer can’t think of anything else  Takes more alcohol to get a buzz, 5-7 beers feel like nothing, 4 to 6 shots more to get drunk, longer to recover from drinking, drink alcohol from 5p-2a  Domestic Violence incident 3 times with wife.  2 months struggled to sleep, felt extremely fatigued, loss weight (25 to 30lbs)  Late for work once a week, struggle to finish a full day at work,  Struggle to get out of bed due to drinking all night,  4 violations for blood alcohol above the maximum level allowed.  Leave work early to drink a few beers in hotel,  Arrested for DWI in 20’s and 30’s spent time in jail,  Loss interest in all activities  Thought about suicide multiple times  felt sad since he was 15 years old  “Sad episodes”  Depression Other DSM-5-TR Conditions Considered Major depressive disorder was considered because Jeff discussed depressive episodes lasted eight months feelings of sadness or a notable decrease in interest or enjoyment in almost all activities such as staying away from family and friends as well as distancing himself from his children. Jeff’s symptoms of disorders included low appetite, weight loss, and loss of sleep. As indicated in the DSM-5-TR manual A decreased interest or enjoyment in typical activities is almost always present, even if only to a certain extent. Additional symptoms included feeling fatigued, hopelessness and episodes of sadness. Lastly, Jeff experienced suicidal thoughts and