Substance/Medication-Induced Anxiety Disorder Research Paper

Client stated that she first started using alcohol at the age of 14. Client reported most recently consuming alcohol within the past 2 days of this assessment. Client reports out of the last 90 days prior to her evaluation, she used alcohol on 70 of those days, 45 of those days she drank herself into intoxication. Client reported over the past 2-12 months, she has had repeated

As clinicians, there is a duty to provide as clear of a diagnostic assessment as possible, particularly in relation to substance use, in order to provide the best care. In Substance Abuse Counseling: Theory and Practice, the authors state “as with other diseases and disorders, the earlier a therapist diagnoses a substance abuse problem, the better the prognosis for the client.” (Stevens & Smith, 2013) This makes assessment crucial to the diagnostic process. In “Screening, brief intervention, referral to treatment (SBIRT) for illicit drug and alcohol use at multiple heathcare sites,” written by Madras, Compton, Avula, Stegbauer, Stein, & Clark (2009), the reported 2006 NSDUH survey statistics estimated that “22.6 million people harbor a diagnosable alcohol or illicit drug use disorder.” (Madras et.al, 2009) Over the years, researchers have developed

Alcohol abuse is growing rapidly throughout U.S. society. One in every twelve adults is being diagnosed with alcohol abuse (Barlow and Durand, 2006). All that are diagnosed with alcohol abuse must meet one or more of the following criteria within a twelve month period: he/ she must fail to accomplish major work, school or home

Research findings suggest that there is comorbidity between substance abuse and anxiety disorder. In the case of Laura, her abuse of alcohol, psychotic drugs and caffeine was triggered by anxiety as well as suppressed grief related to the untimely death of her father. The early and unexpected death of her father and fear that it would impact her work performance led to

There are many assessment processes that are used to identify substance abuse as well as many other disorders that are addictive. These processes include the SBIRT, AUDIT (Alcohol Use Disorders Identification Test), NIDAMED, CAGE AID (which is used frequently within the counseling foundation), AUDIT-C, and also the DAST-10 which is an assessment process used to evaluate drug abuse within the patients. These are many different processes that are currently used to identify these addictions in clients. The activity of identifying these processes can be over a period of time or can be evaluated in that same day or after the evaluation is completed.

Long term, it is much easier and cheaper to perform preventive health care than to try to manage acute and/ or chronic diseases. All at risk individuals should be given education on the dangers of developing a substance abuse problem, emphasizing that it can happen to anyone- young or old, rich or poor, etc. Health care providers need to address the supposed invincibility commonly associated with those who excessive drink alcohol or use drugs. These individuals are not quite as invincible nor do most have everything as under control as they may think. Although many may know the dangers, it is important to explain that the negative health impacts may not be noticeable right away, but the damage is still being done. Additionally, these at risk patients should work with social workers or case management to set up referrals to substance abuse cessation programs within the

Alcoholism has become one of the most prevalent diseases in our society today. The everyday pressures of life and the burden of worries that we face every day have served as a catalyst for this growing affliction.

The reading entitled “The Treatment Plan” focuses on developing treatment plans, particularly for those in substance abuse rehabilitation programs. First, the interdisciplinary team, which consists of a variety of professionals such as doctors, nurses, and therapists, writes a summary of the client at intake to determine the problems, how they came about, and the potential solutions. Next, a problem list is created. The problem statement is one sentence explaining the problem, which is abstract and not tangible. Therefore, signs and symptoms are also listed underneath, such as history of DUI and the blood alcohol level. These are used as evidence to back-up the problem statement. After, for each problem statement, several goals are listed that

One of the reasons that depression and anxiety occur so often with an addiction is because patients try to self-medicate. Often, they may not realize that they have a mental disorder. They may try to use drugs or alcohol to feel normal and alleviate their depression. Over time, this type of self-medicating can lead to an addiction.

The standardized Screening, Brief Intervention & Referral to Treatment (SBIRT) instrument form is a comprehensive, integrated tool that can enable health professionals in any setting to quickly assess persons with substance use disorders (SUDs) or at risk of developing these disorders, to deliver early intervention to at-risk substance users, and assist those in need of a brief intervention or more intensive treatment receive appropriate treatment services (SAMHSA, 2015). The SBIRT form consists of few sections. It incorporates a 10-item Alcohol Use Disorders Identification Test (AUDIT) questionnaire made of two sections: the alcohol pre-screen which is the first level screen that assesses patients or clients for alcohol use and consists of questions one to three, and the full screen which consists of questions four to 10 and identifies signs of dependence with questions four to six and related problems with questions seven to 10.

He then described the five testing instruments, Steps Questionnaire (“To assess adoption of attitudes associated with AA steps 1, 2, and 3”), Step Questionnaire (“To assess practice of AA steps 11 and 12”), Brown-Peterson Recovery Progress Inventory (“To assess patient functioning in terms of working the AA program”), AA Involvement Scale (“To assess AA attendance and involvement”), AA Affiliation Scale (“To assess AA involvement”) and the Surrender Scale (“To assess surrender” to a higher power) (Allen, 2000, p. 228). Researchers then suggested that by utilizing these instruments, clinicians could better determine the likelihood of success of an individual’s continued sobriety in conjunction with that of therapeutic

Implementation of behavioral interventions require careful attention to many factors as outlined by implementation science models.7,8 Such models9 highlight the importance of considering setting and patient characteristics and related research10 has found that programs in primary care practices (PCPs) with successful alcohol screening rates adjusted

Social anxiety often precedes alcohol use disorder. Alcohol use disorders can have further negative effects on anxiety disorders, as evidenced by research showing that anxiety symptoms are increased with the abuse of alcohol. Furthermore, the effectiveness of standard treatment options for each disorder is diminished when comorbidity occurs (Book, Thomas, P. Randall, & C. Randall, 2009; Black et al., 2012; Boschloo et al., 2011; Miller et al., 2013; Stapinski et al, 2014).

As an example, individuals suffering from an anxiety disorder may start using a substance (eg. alcohol or drugs) in an effort to decrease their distress. These substances produce positive, rewarding short-term effects to the individual (Stewart & Conrod, 2008). However, this has negative long-term effects and can result in alcohol dependence. Hall and colleagues (2009) found that people with comorbid generalized anxiety disorder and substance use disorder had higher rates of alcohol and drug use in order to relieve symptoms of their anxiety, compared to those with only generalized anxiety disorder. In further support of this pathway, research has shown that 75% of the time an anxiety disorder is present in an individual before a substance use disorder develops (Smith & Book, 2008). However, Kushner, Krueger, Frye, and Peterson (2008) note that this does not demonstrate the anxiety disorder caused the comorbid substance use disorder in these 75% of cases, nor that the substance use disorder caused the anxiety disorder in the remaining 25%; it is merely a

According to the American Psychiatric Association chronic drug abuse may occur together with any mental illness that may include some of the following disorders. “Some common serious mental disorders associated with chronic drug abuse include schizophrenia, bipolar disorder, manic depression, attention deficit hyperactivity disorder (ADHD), generalized anxiety disorder, obsessive-compulsive disorder, post-traumatic stress disorder, panic disorder, and antisocial personality disorder” (Center, 2004). Some of these disorders carry with them an increased risk of drug abuse. Another example of a drug that can cause a mental disorder, is MDMA (3, 4-methylenedioxymethamphetamine) which is commonly known as ecstasy. It produces long term deficits in serotonin function in the brain, leading to mental disorders such as depression and anxiety.