Sr's Alcohol Addiction: A Case Study

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

Abuse and SUD can be separated by categories. The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), define substance use disorders that are mild, moderate, or severe. It is within these levels that certain criteria’s are meet Substance use disorders occur when the recurrent use of alcohol and/or drugs causes clinically and functionally significant impairment, such as health problems, disability, and failure to meet major responsibilities at work, school, or home (“Substance use disorder”, 2015). Other determining factors that define substance use disorder in the DSM-5 manual is the impaired control, social impairment,

The addiction to alcohol emulates the Biopsychosocial-spiritual model. According to the text, the “biology of chemical use relates to the formidable hereditary components in the etiology of this illness and the physical problems that may arise with extended use.” (Wormer & Davis, 2018 p.12). Nick’s father an alcoholic and could explain the heredity and learned behavior portion of this model. Psychological concepts are present in Nick’s life such as the

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.

This recommendation is that Mr. Turner attend outpatient alcohol and other drug counseling to address his dependency and his depression. His alcohol and drug use is severe enough that outside help is warranted. Despite the consequences of his alcohol and other drug use, Turner is in denial and does not think he needs further professional

First, before I could answer this question, I had to do a little research. Alcohol addiction is a physical dependence on alcohol which occurs gradually. Over time, drink too much alcohol changed the balance of chemicals in your brain associated with the pleasure aspects of drinking alcohol. Excessive, long-term drinking can affect the balance of these chemicals, causing your body to crave alcohol to restore good feelings or to avoid negative feelings. “Alcoholism was officially recognized as a disease by the American Medical Association in 1991”. ( http://www.learn-about-alcoholism.com/alcoholism-disease.html ).

Patient states that he was on unit in April of this year. Patient states that after discharge he tried to get into a program (Salvation Army in Manhatten), but there were no beds available. Patient reports that he went back to his same enviromemtn, Jersey City and started drinking and using heroin. Patient said that he had no health insurance so he was unable to fill his prescription. Patient reports that he applied for Medicaid and is currently waiting to see if he is going to be approved. Patient stated that he would like to go to Meadowview in Seacucus. Patient states that he reason why he uses is to self-medicate because he has no insurance. Patient stated that he would like to get into long-term rehab that does not require him

112). While living with his parents he could have used drinking as a way to both connect with his parents and coping mechanism to avoid his feelings. Furthermore the veteran may be using substances as a coping mechanism for the symptoms of the mental health conditions that he has been diagnosed with. “Hyperarousal may be lessened by alcohol and stimulants may counter numbing and avoidance, as well as symptoms of depression (Litt, 2013, p. 536). This could explain why he has been successful, up until his recent short relapse, from using crack cocaine since 1995, but has not had similar results with abstinences from alcohol: he has been avoiding and numbing himself since childhood. The veteran was fearful of his mother when she were drinking and attempted to avoid her; he appears to have been in constant fear of his father and likely avoided

Ms. A is a 24-year-old, Caucasian female. She was referred for a psychological evaluation by her therapist for her excessive use of Alcohol and Substance Abuse Disorder. Additionally, Ms. A stated she has been experiencing a loss of interest, low self-esteem and feeling anxious. She complains that her struggle with substance abuse has negatively impacted her interpersonal relationships, behavioral, emotional as well as her health. The purpose of the current evaluation is to (1) evaluate her level of functioning, (2) determine diagnostic impression and (3) recommend relevant treatment and service needs.

Alcohol use disorder (AUD) has a major national health impact in the United States, affecting over 17 million people, causing more than 100,000 deaths and costing over $200 billion annually (Bouchery et al., 2011; Grant et al., 2004; Hardwood, 2000). Alcohol use and abuse is currently the third leading risk factor for premature death and composed of nearly 4% of all deaths worldwide (World Health Organizations). Despite a large amount of effort focusing on the development of new medications for AUD, currently there are only 3-FDA approved treatments on the market, all of which have only yielded limited success even when combined with psychosocial support (Harris et al., 2010; Litten e al., 2012). This is evident by the high rates of uncontrolled heavy drinking that continue to persist and the high relapse rate in patients even after long-term inpatient treatment and support (Substance Abuse and Mental Health Services Administration). As such, novel approaches that allow for rapid development of new and effective medication to treat and/or prevent AUD is an important public health goal (Bouchery et al., 2011; Heilig and Egli, 2006; Johnson, 2010; Johnson et al., 2007; Steensland et al., 2007).

Does the environment that one grows up in contribute to alcoholism or is alcoholism determined by genetics? It wasn’t until 1991 that alcoholism was considered both a medical and psychiatric disease by the American Medical Association. Alcoholism is defined in the dictionary as a chronic disorder characterized by dependence on alcohol, repeated excessive use of alcoholic beverages, the development of withdrawal symptoms on reducing or ceasing intake, morbidity that may include cirrhosis of the liver, and decreased ability to function socially and vocationally. (dictionary.com). It is also defined as an addiction to the consumption of alcoholic liquor or the mental illness

Addiction has been around for hundreds and hundreds of years. There have been millions of people who have been victims of addiction for as long as we can remember. One of the main addictions that have affected many people is alcoholism. At one point, addiction was viewed as a criminal offense. Benjamin Rush, one of our Founding Fathers of America, believed that alcoholism was not a matter of someone’s self-control but more of the alcohol itself. He believed that the concept of addiction to alcohol was more of a disease.

Overcoming alcohol addiction can be a long and arduous task. I commend Bill for recognizing that he has a problem and wanting to control his drinking to only the weekends. Any addict that stop drinking “cold turkey” could be very dangerous for them and has a high risk of relapse. However, with the help of medication and counseling, an addict could learn how to control his drinking, so that he will still be able to enjoy a drink socially without abusing it. Once the detoxification and withdrawal process begin, an addict may even avoid using alcohol altogether. Based on the information provided, I would recommend Bill for ASAM Care 2.1 or 2.5. Bill was recommended for intensive outpatient treatment by his probation officer for his second DUI.

People drink in many ways, for many different reasons. We drink socially, to gain acceptance into a group. We drink alone to ease stress, to cope with our problems, or we “drink because we like the taste or how it makes us feel”#. Often drinking is a learned behavior, starting out as a social drinker; you quickly become psychologically and physically dependent. When someone reaches this stage they are often classified as an alcoholic. To an alcoholic, drinking becomes a compulsion; they cannot stop themselves from having another drink, like a social drinker can. In many cases alcoholics don’t even have to drink continuously in order to be an alcoholic. One the problems of alcohol addiction is that it’s something that doesn’t just effect the individual but it effects, friends and family as well. Spouse abuse, child abuse and dysfunctional family relationships can all be influenced by alcohol abuse.

Another cause of alcoholism is distrust. When growing up people can become either scarred or traumatized in some way or another, and as a result that created a voice in the back of their head that said it’s better to not trust someone in fear of being hurt in the same way again. The effect of that ideology is turning to another medium as comfort; hence alcoholism becoming the long term result. Alternatively as stated before that being in families where alcoholism is ever so apparent the effect that can be drawn up from alcoholism is instead of directly following your parents footsteps you learn to not place trust in people. They learn from their alcoholic parent(s) that it’s better for their own well being to not place their trust into anyone. That becomes a never ever ending circle with alcoholism, as those