Case Study Goldfard

D- The patient arrived on time for her session and reports being stable on dose and haven't used any illicit drugs. This writer advised the patient that this writer was in fact in receipt of missed phone call about coming to the session at 10:30 am rather than 10 am due to her mother in the process of selling the house. This writer addressed with the patient about letter from CHR from her counselor, Jade Bray stating about the patient non-compliance with her appointment due transportation barrier. According to the patient, she is going through hardship as her mother is no longer taking her to her appointment as the patient says, " She's tired of bringing me everyone, Charlene. She complains about bringing me here and does not understand why I can't even get a bottle...:Like c'mon. What do I have to do?" This writer explained to the patient about TEAM decision, at which the patient disagree with the decision. This writer asked the patient about her "judgement." According to the patient, she feels she is making judgement by not engaging any further altercation with patient at the clinic, dosing daily, coming to her counseling session, and trying to get help from Chrysalis for

The client is already aware of his condition and wants to get better for his wife Nikki. He hates his illness and wants to control it but refuses to continue taking his medication. Pat states that the medication makes him feel foggy.

David Sheff’s purpose is to illustrate what it is like to live the life of a parent who is not only taking care of is addicted son but who has to learn to take care of himself and the rest of his

will schedule an appointment to discuss and create a budget plan. Patient is currently free from all illicit drugs, which has helped her Adderall medication to be more beneficial. Primary Counselor will encourage Pt. to follow through with all mental health appointments. Counselor will prompt Pt. to develop a positive self-image. Pt. has denied having any auditory or visual hallucinations during the last quarter as evidenced by group and individual session notes. Pt. has had some setback in achieving her goals of decreasing her family conflicts and resolving intimate relationship issues. Counselor will encourage Pt. to attend the AMS parenting group and share her expectations regarding having a more functional family unit. During the next quarter therapy sessions, Counselor will utilize role-playing, role reversal, modeling, and behavioral rehearsal to assist Pt. in order to develop positive ways to resolve conflict with ex-husband. Pt.’s current treatment plan goals focus on opiate use disorder, financial, mental health services and parent-child relational problems. During the upcoming quarter, current goals will continue to be

Objectives/Progress: As the Pt. has participated in the AMS program since 8/24/16 and he has been able to maintain abstinence from all illicit drugs for 6 months straight t. Pt.'s UDS has shown no evidence of drug use or lapse/relapse. Pt. is currently in the action stage of change as indicated by reminding himself of how much progress he has made and ability to change his behavior and achieve goals during the past quarter. He has currently obtained a full-time job as a shelving installer. Patient reports as scheduled to receive maintenance medication services as instructed by AMS Doctor and attends all mandatory one therapy session once a month. He continues to share his understanding of being powerless and unmanageable over his addiction. During the next quarter sessions, Counselor will support a realistic view of change through small steps.

Problem # 5 Illicit opiate use Goal(s): to be free from illicit drugs. Status: Active Objectives/Progress: Pt. has struggled with continued use of illicit drugs (marijuana, opiates and amphetamines) and his last quarter UDS reflect a pattern of heavy substance use. Pt. was encouraged to work with the medical staff to achieve a stable dosing level. Pt. is regularly taking his medication as prescribed by AMS Doctor and he stated his current prescribed methadone 90 mg is working "well". During the last quarter, Pt. made progress on developing a therapeutic relationship with his new AMS counselor for the upcoming quarter. Also, Counselor focused therapy session on establishing rapport and building trust with him. Pt. is currently in the contemplation stage of change because he more open to receiving information about his negative habits and willing to use educational interventions which he agreed with this assessment. Pt. was reinforced for any statement that reflected acceptance of his chemical dependence and acknowledgment of the negative consequences that opiates has had on his life. During the upcoming quarter, Counselor will assist Pt. to discuss and weigh the pros and cons of continuing his addictive

D-The patient reports she is stable on her current dose and haven't experienced any withdrawals and/or cravings. The patient further mentioned that work is going okay, but still exploring other job opportunities. This writer provided positive feedback towards the patient's recovery process. In addition, the patient reports she has to do a pneumonia test as it was suggested by her PCP today. This writer requested for the patient to detailed if she's experiencing any symptoms and would like to consult with the clinic medical doctor. Based on the patient, she reports she was experiencing some backaches, but now, feels okay. During the remainder of the session, the patient discussed her plans for the Easter holiday and also shared with this writer that today is her son birthday.

At The University of North Dakota, 18 year-old freshman, Zac was stressed about his schedule; balancing academics, work, and athletics all while maintaining a social life. With another busy week ahead and an important exam coming up, he felt the need to do something about his situation. He knew caffeine it wouldn’t be enough this time. Within 10 minutes, he found himself knocking on the dorm two doors down and within 15 minutes had Adderall in his possession. This pill that was supposed to be a one-time thing became a daily ritual in order to make it through the day. Zac, like many others who abused the prescription had become addicted. Adderall is a highly addictive medication most commonly prescribed to those who have ADHD or attention deficit

This writer met with the patient to address her non-compliance with treatment, referring to her attendance to the cocaine group and her AWOLs. This writer explained to the patient about the purpose of the clinical intervention as the patient continues to test positive for cocaine, opiates, and fentanyl. The patient appeared to be surprised to learn about the fentanyl results in her UA's and believes that her "dope" could have been laced. The patient is aware of her non-compliance and made excuses by reporting that she tends to oversleep as she often times cannot hear her alarm from her cellphone. In addition, when the patient AWOL from the clinic, she tends to relapse and her most recent was relapse was on 5/29/2017-3 bags of heroin by inhalation.

He has admitted that he has an issue and that he wants to heal from this condition. He is simply in need of the appropriate guidance that a treatment intervention is able to provide. Nonetheless, there will be plenty of hindering obstacles along the way. Some of these obstacles include the fact that he will need doses of the drug periodically in order to slowly dwindle his dependency. He will also have to receive additional monitoring support while withdrawing. His close loved ones will have to be prepared to give additional support to Li during his intervention because of the mental and physical attachments he may have on the

D- The patient arrived on time for her counseling session. Reported unstable on her dose and accepted a dose increase of 5mgs as she is still experiencing withdrawals and cravings. The patient admits to using illicit drugs recently- heroin-5 bags by inhalation, cocaine-a couple of lines by inhalation, and smoke a couple of days of THC. Alternatives were discussed, which led to a discussion about the patient's treatment plan goals. The patient reported that she has a hearing with SSA, referring to her Disability hearing on September 7, 2016.

" When I missed my dose, I did not have any withdrawals. I felt fine, Charlene.....I am just tired of having to come there everyday and its affecting my work schedule. I tried to call you and I know you were busy as you just returned from vacation.....I have a lot going on. I do not need doctor to tell me that I cannot go down because I am still using." This writer explained to the patient as to why the doctor made the comment due to past consultation over the summer. The patient is aware of the clinic's concern, but does not feel to continue due to the risk

“As Good As It Gets” Melvin Udall is the most dysfunctional of men who is a sharp tongued romance novelist who suffers from obsessive-compulsive disorder. During the movie, you come to realize that Melvin can control his condition with the help of medication, but has chosen not to take them. After some research into the side effects of the most popular OCD medications, I have found that there are very few side effects, ranging from the lowering of sex drives to possible insomnia. But there are new drugs that boast of none of these side effects. This makes me wonder why anyone would go off of their medication. A lot of the time, there may be a stigma attached to taking drugs of this nature and that is a possible reason people decide to quit taking them.

When he began to take the drug he feel relief and did not to leave it have a powerful effect on him and he want it to last.

On February 2, 2017 CMSW Tisch Hernandez and Intern Mary Perez arrived at the home. The home was cluttered but clean and organized. CMSW gathered information regarding the mother’s background, such as child hood, culture, mental health, and substance abuse. The mother disclosed her mother is an alcoholic and her father who is deceased used substances. The mother disclosed that she started to use substances when she was a teenager and has been clean for a few years now. Mother provided information regarding Gabriella’s mental health problems and informed the CMSW of the child’s diagnoses of ADHD and has seen a clinician as well as psychologist in the past. The mother reported that Gabriella has been prescribed Vyvanse 70 mg and Adderall 5mg