Referral Proposal

Helen has reported that she has mood swing and that she has suicidal ideation as well having feeling uncontrollable over her own body. She denies and audio or visual hallucinations. Helen is showing signs of bipolar disorder DSM 296.62.

Substance Abuse Update Client she drinks on occasion but for the past weeks she being sober.

I don’t know what to do. No matter what I am doing never satisfied her.” Client reported participating in self-help meeting regularly and will continue to do so. Verification of self-help meeting attendance was provided. No other problem was identified. Reviewed initial ISP dated on 03/19/2018, to identify new ideas about addiction and learn to practice coping skills, reported still working on completing the ISP. Reviewed ISP dated on 03/26/2018, to maintain sober and not to use drugs and alcohol. Reported that he has not started working on it yet. Both ISPs were extended for 04/25/2018. ISPs are continued to be monitored. No new ISP was developed at this time. Discussed relationship issues, and assisted client to understand the importance to have health boundaries with oneself and others. Discussed the reasons to complete ISP on time and to abstain from alcohol and drug with client. Discussed personal

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.

Client was considered to be in semi-compliance with treatment during this reporting period. Client attended two secheduled groups with two absences. UA were negative for all tested substances. Client reported participating in self-help meeting regularly; verification was provided. Treatment attendance needs to be improved in 30 days.

Marc’s central issue was substance abuse, more specifically an issue with alcohol abuse. Marc has been drinking since he was 17 years old when his friend gave him some to try. He would drink with his friends and they would get other people to buy the alcoholic beverages for them. He would have at least four alcoholic beverages on a daily basis. He did not

According to the Dual Diagnosis website, “In 2012, as many as 87.6 percent of American adults over age 18 were reported in a SAHMSA…study to have consumed alcohol at some point in their lives…The National Institutes of Health…estimated that 17 million adults in the United States in 2012 had an alcohol use disorder” (“Disease…”). Approximately one in every 12 people either are abusing alcohol, or they are becoming, if not are, victims of alcoholism (National…). Alcohol consumption is especially known in our society’s culture. There are numerous people who like to drink every now and again in moderation; however, there are far too many people who abuse the alcohol and may even be completely dependent on it. Several

Emotional Symptoms leading to depression, worry, intense guilt, numbness, loss of interest in previous enjoyed activities, insomnia, intense guilt,

SUBSTANCE ABUSE UPDATE: Client has a history of alcohol abuse. Client reports she drinks one or two cans of beer once a week. intoxicated. Once again CM tries to refer the client to a substance abuse program. Client refuses

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

I met with Joe Olivares on March 21st, 2016. The client was referred by Family Services Agency. His wife has reported an increase in alcohol use. When asked about his current drink habits, Mr. Olivares stated that he, “only has 4-5 drinks on the weekend and never during the week”. He later reported to drinking wine each night with dinner. He also reports going to the bar until he blacks out. Additionally, he says that at family events, his drinking increases. He has reported calling in to work to recover from drinking.

The client has two equally important mental health problems, which are schizophrenia and alcohol use disorder. According DSM-5 (2013) schizophrenia and substance related disorders often co-occur. Furthermore, he has a childhood sexual and psychological abuse history, which is also highly significant risk factor

Using the symptoms check list, the client recalls feeling the following daily: overly sad, uncontrollable crying, easily irritated, difficulty concentrating and making decisions, loss of interest in things she once

The intervention approached should be gentle with caution to translate what the client’s story means to them and guide them towards change in a meaningful and productive way (Phipps & Vorster, 2015). For example, the this particular client may explain their series of events as devastating and life altering. Using a narrative theoretical approach externalizing the words the client uses. The client expresses

-Step 1: First identify your symptoms. Although some of them might be common to many (can happen to anyone, sometimes), these symptoms range from constant feeling of sadness, sudden loss of interest in things, a lack of sleep, lack of concentration/ focus, loss of appetite, no energy and in the worst cases constant thoughts of suicide. You might not have all these symptoms at once, just identify the ones you know you have. Write a list.