Jermaine Abuse: A Case Study Outline

SOCIAL HISTORY: Patient admits alcohol ingestion nightly and on weekends. Denies tobacco use and illicit drug us. He is married.

Her primary complaint was her frequent doubts, without reasoning, concerning the commitment of her current partner. She harbors a constant feeling of distrust while her partner is away at work and becomes suspicious if her partner has gone a few hours without contact. Phoenix is a moderate drinker and she proclaims this helps to suppress the obsessive thoughts. She has resulted to drinking for this chronic feeling for the past couple of years. Phoenix and her partner have been in numerous altercations because of these internal issues which exist and have not been laid to rest.

of the incident is currently being tested for substances that may have contributed to his poor

Counselor flagged Pt. on the AMS computer system to meet with this writer before dosing. Pt. met with counselor discussed and completed an AMS Dose evaluation to increase her dosage of methadone because she isn’t feeling well and experiencing side effects. Counselor prompted Pt. to talk about her pregnancy, medical appointment and to schedule her monthly therapy session with this writer. Pt. reported that her pregnancy is going well and she is having a lot of appointments at the Bay health hospital in Dover, DE. Pt. stated that they can’t determine the baby sex because her baby has the legs cross. Counselor told pt. that the Bay Health Hospital has a good nicu care unit and professional doctors. Counselor asked Pt.is

In summary, on 10/16/15 at 0005 hours Ofc. E. Babczak #293 and I were dispatched to 1830 S. 47th Ct. in regard to a subject violating an order of protection.

I left this residence at 601 S. Cedar and walked across the street and made contact with Mr. Anthony Boykins. I observed Mr. Boykins unstable on his feet as he was walking. I asked this subject what was he doing and he started waving his hands trying to explain to me that it was nothing. As this subject spoke, this subject speech was slurred and I smelled a strong odor of intoxicants coming from his person as he spoke.

Mr. Goins is a 52 year old male who presented to the ED via LEO following a 4 day binge on alcohol and requesting help with his dependence. Mr. Goins reports he moved to Asheboro recently and found work, however recently lost his job. He reported a history of alcohol use and depression. Dr. Keith requested an assessment on Mr. Goins.At the time of the assessment Mr. Goins denies suicidal ideation, homicidal ideation, and symptoms of psychosis. He reports 5 days ago he became unemployed. Mr. Goins reports his fiance who is his primary support system left town to go to a doctor appointment in their home state of Georgia. He reports binge drinking for the past 4 days attempting to cope with his recent stressor. Mr. Goins reports calling his fiance last night an expressed to her he need help. He states, "I told her I felt at the time no reason to live." Further Mr. Goins stated, "I just had too much in me last night, I had about 14 of them airplane bottles." Mr. Goins denies a history of self harm. He does report a prior hospitalization for depression in Georgia. He also reports a history of attending substance abuse treatment, which was a positive experience for him.

Saunders Niece, Rachelle, mother-n-law, and William were contacted for collateral information. Rachelle reports Mr. Saunders stated to her he put a gun into his mouth with suicidal ideation with a plan to end his life. She reports he informed her he was "going to blow his brains out" and "he might do something crazy". Rachelle reports he informed her of these thoughts the past 2 days. William reported Mr. Saunders told him he wanted to kill himself. He reports for the past 3 week he has notice Mr. Saunders has been coming to work under the influence and more depressed. The mother-n-law reports Mr. Saunders has been staying with her and he has informed her as well of putting a gun into his mouth and thoughts of hurting others. Mr. Saunders was confronted about these claims and states he can not recall states due to being under the influence. The mother-n-law informs this clinician Mr. Saunders does stay with her along with his 3 children and she has a gun in the home. She reports he has stated multiple plans to her. She reports he recently talked about putting a gun to his mouth in an attempt to hurt himself and overdosing on

Mr. Stevens is a 39 year old male who presented to the ED via LEO under IVC for alleged threatens towards others, recent delusions, and substance abuse issues. At the time of the assessment Mr. Stevens was calm and cooperative. He reports having a history of misuse of his medications. Mr. Stevens reports recently snoring prescribed medications and taking over the recommended amount. He states, "I have tripped out (referring to experiencing symptoms of psychosis) in the past taking my Adderall." Mr. Stevens reports for the past 6 months he has suspected his wife of having an affair with various people, however most recent his neighbor. Mr. Stevens reports he has stopped using his prescribed Adderall 4 months ago. He states, "Sometimes I would take em and get paranoid, my cousin put me on, and they would make me feel high." Mr. Stevens reports for the daily use of Adderall for the past 2 years. According to Mr. Stevens a Dr. Bill prescribed them to him after he told him he had a history of ADHD as a child. According to Mr. Steven for the

Mrs. Carroll stated on today’s date, she noticed her husband, James Carroll, was missing some medication. She advised the medication that appeared to be missing was listed as Fentanyl Transdermal, methadone 10 MG, and Morphine Sulfate. She stated the last time she seen the medications was approximately 3 days ago. She continued to state only immediately family was inside the residence the last few days. She also stated she can’t pin point anyone because she did not see anyone take the medication.

In summary, on 07/24/15 at 0554 hours Ofc. L. Duarte #232, B. Amilcar #230, and I were dispatched to 1540 S. 54th Ave. in regards to a Physical Domestic.

In summary, on 12/25/15 at 1557 hours Ofc. De La Fuentes #221 and I were dispatched to 1224 S. 49th Ave. in regards to a Domestic.

I had a very strong feeling when I watch the video. Having such a strong emotion is not a usual thing to me. It is not in front of the war or natural disaster, instead, it is only a documentary video on two girls who have addictions. I was uncomfortable seeing Tamela cutting herself and I feel sad when I saw Jerrie’s anxieties when her pills didn’t come in on time and the calmness after she swallowed the pills on the street. Cutting or doing drugs are something they must rely on to live. I am confused about their behaviors and the contributors for these behaviors. Many questions came up to my mind. This video has provided me the opportunity to examine my own inner thoughts about certain addictions and behavior patterns.

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.

A 32 year old woman was admitted to the Trauma Intensive Care Unit following a motor vehicle accident; she had multiple injuries and fractures, with several complications which continued to develop over the first couple of weeks. The patient rapidly developed Adult Respiratory Distress Syndrome, was on a ventilator, and was continuously sedated. Shortly after the patient's admission, her parents were contacted and remained vigilant at her bedside. The parents reported that the patient was one month away from having her divorce finalized. The patient's husband was reportedly physically and emotionally abusive to her