Relapse: A Case Study

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,

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.

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

D-The patient arrived on time for her appointment. Reported stable on her new current dose. Deny craving and withdrawals. According to the patient, her weekend was good and again, happy to have her take home bottles. Then the patient reported, she continues to keep all appointments with her mental health provider and its going very well. This writer then discussed with the patient about the next step to her recovery. The patient reported, she wants to continue with her methadone until she's ready to start tapering off on the methadone. The patient has some fears to tapering off on her methadone because she does not want to experience any craving and have a relapse.

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

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.

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.

For this type of clientele, counselors need to be aware of the chances of relapse and how to address it, such as being knowledgeable between the differences of a “lapse” and a “relapse”. Jackson-Cherry and Erford (2018) state that a lapse is one episode of using a drug then becoming abstinence and a relapse is when the client begins to abuse the substance for a period of time following a phase of abstinence. Nevertheless, clients can attend support calls called Alcoholics Anonymous (AA) and Narcotics Anonymous (NA) outside of therapy. Becoming a part of these support groups can influence the client in staying abstinence and form alliances with other members who desire to stay clean from drugs or alcohol (Jackson-Cherry & Erford, 2018).

A major issue when treating alcoholism is the likelihood of relapse. A lack of social support may contribute to an increased likelihood of relapse, while maintaining positive social support can decrease this risk. One study discussed the possibility of social interaction influencing relapse behavior in the prairie vole. This study focused on the alcohol deprivation effect (ADE), where animals that had been previously exposed to ethanol show increased consumption after a period of abstinence, modeling relapse behavior commonly seen in addiction. The aim of the study was first to observe whether prairie voles, like mice and rats in previous experiments, could display an ADE and second, to determine whether this effect could be influenced by social

According to the National Institute on Drug Abuse, the relapse rate is 40-60%. Not only do we need better alternatives to recovery for alcohol and drug addiction, but we must lower the relapse rate. In order to successfully lower the relapse rate we must inform people on the effect gateway drugs can have on future addictions, educating about relapse and addiction and focusing on key factors to making a treatment a successful one. My research on lowering relapse rates taught me that the problem is not getting sober, its staying sober.

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

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

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

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.