Principles of Psychopathology: Diagnosis and Treatment

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Running Head: Co-disorders of Substance Abuse

Principles of Psychopathology: Diagnosis and Treatment

Abstract Addiction in general, but opioid dependence has become a billion dollar business for the treatment industry. Heroin used to be the only widespread opioid used. The new opioid users are those who are given pain pills by their family and ER physicians. What happened to the old adages that if it hurts take an aspirin? Today’s unusual mix includes cultural differences of people who do not speak English and those who suffer from mental illness or personality disorders. No one wants to be in physical pain; however, the giver should investigate the family history of alcohol and drug abuse and adhere to a
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The counselor can then refer him out to the proper medical channels.
DSM-IV Multiaxial Evaluation
Axis I 304.00 Opioid Dependence with Physiological Dependence
Axis II 301.83 Borderline Personality Disorder
Axis III None
Axis IV Victim of child abuse, Parent’s death, Brother incarcerated for murder, Past legal issues
Axis V 41 (on admission)

Client Map
Diagnosis
Opioid Dependency and Borderline Personality Disorder
Objectives
Short to medium goal: Cease using any illicit drugs outside of treatment, establish guidelines for proper behavior, determine a session time that can be met weekly, give input into his desire of treatment plan and attend three outside meetings of NA weekly with signed sheet presented to counselor Long term goal: To be working towards recovery, have his behavior more stable and be out of the treatment program
Assessments
Outside referral of psychiatric evaluation, mental health and addiction counseling
Clinician Characteristics Consistent Able to set limits and boundaries Portray empathy without appearing overly sympathetic, reassurance of non-abandonment from counselor control of frustration with client and elude calmness in light of anger outbursts Have specific topics of discussion to examine with obtainable goals
Location
Outpatient setting within the counselor’s office of two meetings
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