Alcohol Use Disorder Case Study

Discuss genetic factors and vulnerability to alcohol use disorders. How does your reading for this unit both confirm and challenge your previous conception of genetic factors in addiction?

Plan - Client Objectives until next review: attend monthly group as scheduled, verify sober support meetings, schedule and attend individual sessions, provide UA when asked, and comply with legal mandates to maintain the privilege of deferred prosecution. Client is to work on treatment plan on a timely manner.

This clinician would recommend that Jared get enrolled into an outpatient program for his depression and his alcoholism. Jared just completed an inpatient treatment facility and he needs more stabilization to build upon his sobriety. This clinician would also recommend that Jared attend Alcoholics Anonymous (AA) meetings to reinforce the outpatient treatment. The AA meetings will reinforce the church activity that Jared is already attending, as AA is a spiritual program and welcomes everyone regardless of their sexual orientation, religions or lack of religions, or their ethnicity.

This clinician wants to open his own dual diagnosis center with substance abuse disorders and mental health disorders. Many individuals with substance abuse issues also suffer from mental health issues. This counselor suffers from the disease of substance abuse and has made it his lifelong goal to help individuals with these types of issues.

The client is a 35 year old African American female who presented as open and anxious during the assessment. In 2011, the client was diagnosed with Bipolar and Anxiety. In 2015, the client was hospitalized for 7 days at Richmond Behavioral Health Authority. The client was admitted due to symptoms of irritability, lost track of time and blacked out. The client was prescribed Seroquel and Topamax.

Alcohol Use Disorder, most commonly known as Alcohol Abuse or Alcohol Dependence, is widely known as problem that occurs with individuals who consumes an enormous amount of alcohol on a regular basis often in a single use. The individual is consumed with the thought of drinking most of the time and often feel as though they need it to continue with living their daily lives, even though, they are not really living at all because the enormous amount of alcohol causes a dysfunction for their daily tasks. It inhibits their ability to take care of their family, have social relationships and performing activities at work. It is believed that genetics can play a massive role towards an individual developing an Alcohol Use Disorder.

: Met with client before IOP group this date for ISP review, and to address overall treatment progress. Presented a good attitude and engaged well in the conversation. Reported no use of Methamphetamine or other substances, C/S date as 2/28/2018, although UA on 03/21/18 was positive for methamphetamine. Client reported he is excited that he is in treatment, stating “I never been to treatment before. I would like to learn about the addiction, but I am also affair of treatment because I am worried that I won’t make it.” Client reported main arears of concern is “staying clean and sober and complete treatment”. Stated “My ex-girlfriend is not supportive, and she drives me crazy. I work and pay the bills, but she never happy. She asked me to do this to do

The point at which the client’s symptoms were most extreme was towards the end of her alcoholism, which was in her early thirties. She used humor, felt incomplete and fragile, oversensitive to other’s reactions of her, felt the need to hide from people whether it was through work or through drinking, and was aware of her drinking problem. She also presented with anxiety, excessive exercising and healthy eating, and denial of drinking in excess.

In the case of Jared, he is seeking treatment after being in an inpatient alcohol treatment center. In patient services helped him focus on addressing his addiction to alcohol and what triggers him to drink. Jared can benefit by using outpatient services. Outpatient services will help Jared by giving him more freedom to allow his commitment to family responsibilities at the same time attend his sessions (Erford, 2013). Jared must abstain from alcohol which requires a lot of willpower but outpatient can offer him support groups, individual counseling, and family counseling, so Jared will never feel like he is alone in his recovery.

CPI arrived at the family residence located at 149 S Calhoun Avenue, Eatonville, FL 32751. CPI completed a joint visit with Taina L. Ramos FIS Counselor. Taina completed a BHC screen with Mr. Clayborne. Mr. Clayborne admitted to have a history of alcohol misuse and impulsive and aggressive behavior while under the influence. He began drinking while in his 20’s and drinks 1 to 2 times weekly. Mr. Clayborne drink preference is beer, but sometimes drinks vodka. He usually drinks when is stressed out. He has been to Alcoholics Anonymous meetings in Springfield, MA. The last meetings he attended was about 2 years ago. While in prison was seen by a psychiatric five times a day for 3 months, but is it not diagnosed with a mental health condition.

The mental health services Jared should utilize should be flexible but focused in nature. It should also include aftercare in order to provide Jared and his partner, Kyle, support with adjusting to life outside of an in-patient alcohol treatment center. For example, a component of Jared’s treatment should include on-going alcohol treatment in the form of group support. An example of this type of support is the 12-step program called Alcoholics Anonymous (AA). According to Erford (2014), AA is comprised individuals who wish to lead a sober life. The program also includes a non-religious, spiritual component that has no religious affiliation.

The client stated that due to his addiction, he would place himself in dangerous situations. The client has been able to identify previously unknown triggers that lead to relapse. For example, the client stated that he would drink large amounts of alcohol because it "wasn’t my drug of choice". The client soon relapsed on his drug of choice. The client stated, "I never thought about why I relapsed before". The client expressed the importance of aftercare to maintain long-term sobriety. The client attends weekly AA/NA and Big Book meetings in the PWC ADC. The client will continue to work on identifying and developing healthy coping skills, learning and building an awareness of triggers, understanding the importance of aftercare, and working on a relapse prevention

With this client’s extensive team of supports case management is critical to her success in maintaining sobriety and

. Would he have support outside what the service has to offer? I.e. close relationships who may have more positive influences on his behaviour. Michael’s actions towards change may mean social exclusion, friendships and relationships may end. What were his relationships like before his drink related behaviour? Does Michael feel his relationships with his girlfriend and parents are repairable if he takes steps towards change?

A client admits to alcohol dependency on a consistant and regular basis because the loss of job. The client exhibits hopelessness and depression. The client has explained they experiencing insomnia, and decreased energy to do anything. This explains their poor personal hygiene. As the clinician the safety of the client is of the utmost importance.