Relapse: A Case Study

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

Attended all treatment group as scheduled and actively participated in the group discussion and provided supportive feedback to others group members. Client is in compliance with treatment and all his legal mandates, and appears to be in the action stage of change. Overall, client is making steady progress in treatment.

In relation to drug abuse, relapse is resuming the use of a chemical substance or drug after a period of abstinence. The term can be said to be a landmark feature of a combination of substance abuse and substance independence. The propensity for dependency, repeated use, and tendencies that take the form of the substance being used, are some of the issues that drug users’ experience. Substances that enhance most severe tendencies in users and pose high pharmacological efficacy, are those that are cleared quickly from the body, in addition to those that bring out the highest tolerance. There can be increased substance tolerance with the increasing dependency in relation to drug in question,

Field, C. A., Caetano, R., Harris, T. R., Frankowski, R., and Roudsari, B., (2009). Ethnic differences in drinking outcomes following a brief alcohol intervention in the trauma care setting. Society for the Study of Addiction, 105, 62–73.

Addiction has a way of pulling your attention away from your basic needs and making it harder for you to succeed in life. It's a sad truth that I've seen happen to so many people over the years. These are good people, with good brains and real potential, but addiction takes over and they can only focus on that aspect of their life.

The client met with his counselor on 05/06/2017 for his one on one session to discuss his treatment plan goals. the client has been on track with his goals and is working on his second step. the client discuss one of the things that his currently working on and that is acceptance. the client explained that he is having a hard time acceptance certain situations and things that happen in his life, and most of the time it result in him resulting to using drugs. the client as well talked about being disappointed in himself for relapsing after two years of being sober. the client reported that he didn't use the tools that were given to him from his last his was in the program, getting a sponsor and learning coping skills. the client reported that

He has a history of using alcohol to self-medicate, drinks 3-4 times a week and uses chewing tobacco.

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.

PO was on time and participated in the group activities. PO stated “I am in the maintenance stage of change because I am in treatment. My clean date was 12-14-2015”. It appears that PO is making a steady change while in recovery as evidenced by staying clean and sober, and attending treatment and going to self-help meetings on a regular basis to maintain his sobriety. PO had a positive response to treatment.

Substance Use History: The patient denies any drug or substance use except for Alcohol and Marijuana; started using in high school and everyday use.

DATA: Today’s group has been facilitated by Kirsten again, and includes relapse, what it is, and how each client can prevent it. Being that relapse is a process, it is an ongoing situation that can be interrupted, rather than a static event that is over and cannot be changed. It involves the individual reverting to old attitudes, beliefs, values, and risk behaviors. These are part of a progressive pattern, and will worsen until the process is interrupted or changed. Relapse is not a sign of failure, and, at times, may be part of the recovery process. There are times when individuals are more vulnerable to relapse, specifically, when they are too hungry, angry, lonely, or tired (HALT), and need to be aware of this vulnerability, and take

We also have the triggers which are situations that make you feel like you want to smoke a cigarette. Certain things that a person can do such as; activities, places, moods and feelings can be triggers for smoking. Any person who smokes tends to have their own unique smoking triggers. Strong urges to smoke brought on by triggers is one of the most common causes of relapse, so planning ways to cope with these urges now is an excellent way to increase your chances of success. More and above, If you are planning on how to deal with your triggers, it is very important to first understand and know what they are in order to be able to succeed. As you identify what your triggers are, think about different strategies of coping with (or avoiding) each

It has previously been found that following delivery, women are at an increased risk both for developing depression and experiencing a smoking relapse (Cooper and Murray, 1998) Researchers (should we use their names?) looked to find a correlation between an episode of major depression and smoking status 15 months following delivery. They hypothesized that either smoking or depression increased the likelihood of the other condition and examined this question by surveying new mothers following delivery and 15 months after delivery. Women were classified as having had a major depressive episode if they reported having had a two-week period in which experienced a dysphoric mood or anhedonia occurring almost every day. Additionally, they needed

clients ranged from 50 years old to older. At their intake appointment these individuals specified whether they had abused within the past year whether alone or co-occurring with a mental health diagnosis. The study sample consisted of 199 individuals who participated in the program. In this program a baseline interview and six-month check up interview were necessary. The curriculum is comprised of nine modules on substance use behavior, management of situations at home and social pressure, management of negative thoughts and emotions associated with substance abuse, recognition and management of feelings such as anxiety and anger, identifying substance use urges and how to cope with them, and relapse prevention strategies (CSAT, 2005). This

This essay is based on a client Ibrahim (30 year old, male) who is currently living with his three siblings with their biological father and step mother. The client has a history of juvenile delinquency with outrageous behavior. Due the suspensions from the school, he has a low academic performance. Currently, he is jobless due to abusing drugs and low academic performance, which made him feel depressed. The purpose of the essay is to evaluate the clients’ problems with the help of consistency theory and understand the possible neurological underpinnings that may have occurred in his brain. Also recommend possible interventions that are most fitting for client.