Mr. Holliday And The Treatment Program

Substance use history: Charlie substance use began when he started his freshman year in high school when his new friends introduced it to him. He has experimented with marijuana, LSD, and alcohol. Client has no preferred drug of choice and only participated in substance use when it was given to him on a few occasions. When on LSD he began to hallucinate and the flash backs of his aunt caused him to pass out on the side of the road where the police found him the next morning. No charges where filled.

The definitions have progressed from tolerance or withdrawal symptoms from a specific drug to chronic intoxication, continued use with increased dosage, dependence, and damaging effects to user (Reinarman 2005). Both of these definitions proved to be too restrictive because all drugs do not have the same effects on every user. The current definition used by physicians and the criminal justice system is based on seven criteria (Reinarman 2005). The constant evolution of how the professional world views drug dependence mirrors society’s change in the understanding of addiction. Historically, “the drink” was viewed as the devil and drugs were often thought to be the cause of many criminal acts (Schneider 2003). After the medicalization of addiction and dawn of decriminalization of drug abuse, public opinion of deviant alcohol and drug use has changed. For the family unit, it is much simpler to accept and approach treatment for addiction if it is classified as a medical disease. In society, drug users can be framed as patients instead of criminals based on current standards. By looking at addiction as a treatable set of signs and symptoms instead of holding the individual accountable for actions they committed while intoxicated, the disease concept releases a lot of the stigma that goes along with

The DSM–5 incorporates the two DSM–IV syndromes, alcohol abuse and alcohol dependence, into one disorder - alcohol use disorder (AUD). AUD has sub-classifications of minor, moderate, and severe. A person who meets one or more of the criteria for abuse within a 12-month period would receive the “abuse” diagnosis. Anyone with three or more of the “dependence” criteria (see items 5 through 11) during the same 12-month period would receive a “dependence” diagnosis ( American

The choices he used to cope with his life events created his disorder. It almost seemed as inevitable for him to avoid this path because the cues that presented themselves were all just factors that amplified his poor mental health outcome. The biological indicator, the alcohol dependence for stress relief, and then the substance abuse that was evoked by the physicians were all measures that built on top of each other. The DSM-V categorizes substance use disorder as a combination of substance abuse and substance dependence. It is said that only two symptoms need to be apparent in order to be diagnosed with the disorder. Mark’s pharmacological effects of tolerance and withdraw of the pain medication are alone enough criteria for the diagnosis. In conclusion, Mark substance use disorder is a cluster oh his behavioral, cognitive, and physiological symptoms which resulted in his continue use of the substances despite the evident

Remember all of the damage that I cause when I am high, loss of job, trust, family

Met with client for ISP review and to discuss treatment progress. Client appeared to be stable and engaged in the conversation. Client reported that she completed the FAFSA and is planning to go to Everette Community College in the summer. Client reported no use of substances. Client reported coping with temptation by walking away from the situations. Client was reminded that her relapse potential was moderate to high at this time and that she thus would be cautioned to avoid any unintended consequences; with help and support from treatment and her family, client would make his treatment a success. Reviewed ISP in Dim.5 dated 11/29/17, reported completion on approach C, but was unable to identify which peer pressure could be positive (approach

“A maladaptive pattern of substance use leading to clinically significant impairment or distress, as manifested by one (or more) of the following, occurring

The diagnosis of Robert Jones disorder is identified in the following DSM-IV-TR. He has alcohol dependence with physiological dependence. Roberts Blood Alcohol Concentration (BAC)] was .20" and even with this he was in denial of his state. He had a plea bargain so as to avoid jail time, he was on probation and he still believed that he had no reason to be treated for alcohol dependency. He later on developed a craving for alcohol claiming that he missed his beer; at one point he thought he was sick. He then revealed that he had been drinking for a long time almost 30 years. His DSM-IV-TR diagnosis also revealed that he was sexually dysfunctional. According to Healthwise (2011), one is said to have alchohol dependance when;

A “Substance Use Disorder” is new to the DSM-5. Previously, the terms “abuse” and “dependence” where used instead. In general, the DSM-5 considers a Substance Use Disorder to be recurrent drug use that causes impairment and continued use despite substance use related problems. The DSM-5 also focuses on how substance use causes a change in brain functioning. The change is primarily responsible for intense drug cravings, as well as repeated relapses. Finally, the DSM-5 divides the criteria for Substance Use Disorder into four groupings: impaired control (Criteria 1-4), social impairment (Criteria 5-7), risky use (Criteria 8 and 9), and pharmacological criteria (Criteria

Substance abuse is the harmful or dangerous use of any psychoactive substances including drugs, alcohol and even tobacco. The term ‘Substance Abuse’, as understood today was first used in 1987’s DSM-IIIR, before that social & cultural factors were not considered. Even with that change, many Americans still today consider drug and alcohol abuse to be moral weakness or character defect.

Substance abuse disorders is easily defined when an “individual continues to use the substance despite experiencing negative consequences from their use. These negative consequences can include health problems; difficulties in their family, work, and social life; and financial and legal problems. They are said to be dependent on the substance when,” in addition to theses negative consequences, they build tolerance and experience withdrawal if they stop using the drug” (Martin, 2007, p. 265). Substance abuse dates back to the early Americans colonies with beer that was brought over by the pilgrims and more popularly the ratification of the Constitution to prohibit the use of alcohol

Finally, chapter eleven discusses how the alcoholic, fully accepting his recovery, will not seek to drink again. The alcoholic will change the people, places, and things that have made them an alcoholic as much as possible and will live a life of sobriety and become a living success for others. The chapter reiterates Doctor Bob and Bill’s first visit together and their eventual creation of Alcoholics Anonymous. Lastly, the chapter continues

Relaxation, celebrating, and socializing are often reasons people engage in alcohol. However, the enjoyment of alcohol in moderation may become difficult for some individuals to manage when using alcohol as coping mechanisms or scapegoat, for other underlining issues: personal, social and work-related concerns. Unfortunately, lack of proper management may or can result into alcoholism. According to the DSM-V alcoholism is diagnosed as alcohol use disorder or alcohol addiction, in which a person becomes physically and psychologically dependent on alcohol to the point that he or she cannot function without it (American Psychiatric Association,2013).

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.

Chapter 14 and the DSM IV defines substance abuse as “a maladaptive pattern of substance use manifested by recurrent and significant adverse consequences related to the repeated use of substances” (Ashman, 4th edition 2013, pg. 442).