Mr. Landaverde reported that he does not have any medical illnesses and has not been prescribed any medications. Mr. Landaverde reported that he went to the doctor in August 2016 for a regular checkup. Mr. Landaverde stated that he normally goes to the doctor every six months. Mr. Landaverde reported that he has never been hospitalized in the past. Mr. Landaverde reported that he does not have any emotional or psychiatric problems. Mr. Landaverde stated that he has never been to counseling. He stated to the best of his recollections, neither one of his parents have ever suffered from a substance related disorder. VI. ASAM-DIMENSION 3 – Emotional, Behavioral, or Cognitive Conditions and Complications Mr. Landaverde was on time for his evaluation. Mr. Landaverde appeared neat and appropriately dressed for the interview. Mr. Landaverde had no noticeable tattoos. Mr. Landaverde was able to establish good eye contact throughout the interview. Mr. Landaverde’s posture appeared to be nervous when he first sat down for the interview. He appeared to have normal and steady psychomotor activity throughout. Mr. Landaverde’s general attitude and behavior appeared positive and cooperative. By the end of the interview, Mr. Landaverde appeared to become more relaxed in his posture. It seemed that he was cooperative and …show more content…
Landaverde reported that he feels that he has already made some changes in his life. Mr. Landaverde stated that he now spends a lot of time with his girlfriend. Mr. Landaverde stated that he has “cut off” friends that consume drugs and alcohol. Mr. Landaverde reported that he has also moved away from the drug infested neighborhood that he once lived in. Mr. Landaverde reported that his motivation to stop consuming drugs and alcohol is going to school. Mr. Landaverde stated that he did not think that he had a problem. He stated that peer pressure was “causing” him to consume drugs and alcohol. Mr. Landaverde is in the precontemplation stage of
Moreover, there are numerous inconsistencies in the claimant’ reports between the two psychological consultative examinations. For example, at the initial examination the claimant reported he dropped out of high school and got a GED. However, at the follow up examination, he indicated that he graduated from high school. At the initial examination, he reported that his longest job was for four years at a construction company. However, at the follow up examination he reported that his longest job was for 12 years as a foreman in construction. At the initial examination, the claimant reported he attended Henderson County Junior College. However, at the follow up examination, he reported he attended Trinity Valley College. At the initial examination, he reported he lives in the town of Wikieup and “likes where he currently lives.” At the follow up examination, he was very critical of the residence and did not like where he lived. The claimant was not cooperative at both consultative examination with numerous inconsistencies between the two reports. Dr. Doss did not address any of the blatant differences with the two consultative examinations. Her opinion was highly speculative, based heavily on the claimant’s reports projected potential limitations, and was not supported by longitudinal data. Therefore, both of Dr. Doss’ reports are given little weight (Ex. 13F,
Mr. Landaverde is a twenty year old Hispanic male. Mr. Landaverde reported that he was born in Marietta, Georgia. Mr. Landaverde reported that he has lived in Georgia for twenty years. Mr. Landaverde reported that he is single and does not have any children. Mr. Landaverde has been required to complete a substance abuse evaluation as a result of a possession of an illegal drug related offense. The evaluation is to determine whether Mr. Landaverde is suffering from a Substance Related Disorder and to recommend a course of treatment, if appropriate. The interview was conducted directly and entirely in English, Mr. Landaverde’s native language.
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
The client is an 18-year-old African American female presented to Norfolk State University Substance Abuse Center after a positive urine test for cocaine and marijuana. The client tested positive for both psychoactive drugs during a mandatory routine screening administered by her employer at a local grocery store. She indicated smoking marijuana (pot) every day and uses cocaine typically on the weekend. However, the client has an increase tolerance level of cocaine as evidence by her stating she is using "more and more cocaine to maintain the same effect. She reported in the past snorting only one line of cocaine, but this has increased to five lines of cocaine in the last past 12 months. In addition, she stated she occasionally smokes a couple
Cintron reported he was diagnosed with Anxiety and Insomnia in 2016. He stated experienced sweaty palm, twitching, withdrawals and feeling that someone is out to get him. He further noted these symptoms are mostly presented when he is surrounded by a large crowd. He noted he was prescribed Ambian for his Insomnia and Klonopin to help with his anxiety. When asked about his substance abuse usage, Mr. Cintron reported he started using drugs when he was sixteen years old. He noted while in high school, he was first introduced to "weed", which he used often. The client reported he later tried Percocet, cigarettes and alcohol. He stated he has experimented with several other narcotics, but noted his drug of choice is both "alcohol" and "xanax". Mr. Cintron reported he used daily and last used three weeks ago because he was in detox. When asked about his substance abuse treatment, he reported he has been in treatment programs in the past. He stated his last treatment he discharged himself because he had the urge to use again. Mr. Cintron noted during his time in treatment he participated in AA meetings and found it to be rewarding. He denied ever participating in the 12 Step program. In regards to his legal involvement, he admitted being arrested several times for his drug use, but denied ever being
Patient stated that he was on detox unit in October of 2016. Patient stated that after his discharge and went to Salvation Army in Jersey City. Patient stated that he AMA'd from Salvation Army in February of this year. Patient stated that he felt that it was time to go get his own place, start working, and get his life together. Patient started working in construction Stated workin. got house care and within two to three months started using. Patient stated that he was stressed from life and physically tired from work as the reason for his relapse. Patient stated that he was fired two week ago. Patient will attend groups to identify coping skills for maintaining sobriety from drugs. Patient will increase socialization by interacting
Relevant Symptoms: Benjamin is a 16-year-old male, single, who presented to treatment with family conflicts and poor academics performant as the client started is trying to adjust in a new environment. Ben as he wants to be called, is actively drinking alcohol and using cannabis with some peers. (substance dependence, adolescent/parent conflicts, communication, and adjustment issues in a new location).
Focus: Loshane’s family will assist Loshane with the ability to establish and demonstrate healthy, meaningful relationships to transition to adulthood. Ms. Smalls (MHS) and Mrs. and Ms. Blakeney (MHS) and Loshane Treatment Plan Summary.
Mr. Charles reported that he considers his mother to be a support system. Mr. Charles stated that she lives in Tampa, Georgia. Mr. Charles reported that his mother is against consuming marijuana. Mr. Charles stated that his mother does not consuming alcohol or marijuana. Mr. Charles stated that his friends and co-workers use drugs and alcohol. Mr. Charles stated that he is around drugs and alcohol when he is working as a DJ at times. Mr. Charles appears to understand the concept of the treatment program and seems ready and willing to start recovery relating to his mental and physical health, learning to live without substance use/abuse.
The counselor met Reynaldo for his scheduled individual session. Mr. Reynaldo denies any substances use this week. Reynaldo and I went over the AA meeting scheduled for the 24hour group in his community. Reynaldo agreed to attend two AA meeting by our next individual session. Reynaldo denies any HI/SI during the session. Reynaldo appears to be in the contemplation stage of change as evidenced by him continued to seek recovery. The counselor next individual session with Mr. Ventura is on Tuesday September 8, 2015 at 2:30pm.
According to the SAMHSA (2010) report on the national survey on drug use and health almost 22.5 million people are reported to be associated with substance abuse disorder (SAMHSA, 2010). This illness was found to be very common in all age groups, both sex, and seniors. There are several effects on these individuals and their families. Many people who suffer from substance abuse disorders fail to acknowledge these serious consequences. First of all, no response of pain relief can be seen with smaller doses of pain medications, as their bodies are used to high levels of various substances at the same time. Nurses become frustrated when they try to treat and help these patients with pain. Sometimes it is difficult to think about ethical principles when nurses have to deal with such patients with pain and suffering.
Tony is 39 years old. He is very manipulative and charming, but struggles with substance abuse issues. Tony has a history of incarceration and hospital stays. As a child he didn’t have the best upbringing. Tony suffered from substance abuse, anger issues, and PTSD from when he was a child.
Rob is a thirty-two-year-old male presented with increased depression and anxiety. Rob endorses suicidal ideation with no plan. Rob reported four months ago, he had a suicide attempt with a plan to shoot himself in the head. He reported daily substance abuse. However, stated he has continued his sobriety for the past twenty-eight days since the completion of a substance abuse program. This is the first time in six years he has been clean. Experiencing a poor upbringing, Rob stated he has lived "a hard life". At the age of eight, Rob began drinking and at age twelve, reported he began using drugs. Since early childhood, Rob reported experiencing family discord with his parents and witnessing domestic violence.
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,
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.