Suzy Case Study Essay

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Case Study of Suzy Suzy presented to counseling due to symptoms associated with increasing anxiety over the past several years. She is a 27-year-old female who was referred by her primary care physician over anxiety concerns, and has admitted that she drinks in excess 3 days per week. Furthermore, Suzy also reveals that there are biological and genetic predispositions to substance abuse within her family, citing both her mother and father’s struggles with substance abuse. During the very first session, Suzy expressed concerns related to her ability to even come to counseling without sedating medication (Laureate Education, Inc., 2012). Potential Pharmacological Treatment Plan Based on the case study, and at this point in the…show more content…
One of the medications that may be beneficial for Suzy would be Buspirone (Buspar). Buspirone does not produce often desired side effects of benzodiazepines, and works by binding to 5-HT receptors, particularly 5-HT1A receptors (Mahmood & Sahajwalla, 1999; Preston, O’Neal, & Talaga, 2017). Buspirone has demonstrated particular effectiveness when used with individuals suffering from substance use disorders, particularly alcohol abuse. Haq (2010) found that there were not only vast improvements in anxiety symptom-reduction, but also increased adherence to treatment programs, reduced cravings, and reported reductions in the amount of drinks consumed. Additionally, in consideration of Suzy’s drinking patterns, Mahmood and Sahajwalla (1999) found that not only did alcohol have zero effect on the concentration of Buspirone in individuals’ systems and minimal to zero risk of abuse or dependence, “buspirone appeared to reverse the effects of alcohol,” (p. 285). Since the use of Buspirone for anxiety disorder may take 2 to 4 weeks to truly begin to have a therapeutic effect (Haq, 2010), one may also consider a fast-acting alternative for symptoms. Hydroxyzine (Vistaril) is an antihistamine blocker which can cause reduce symptoms of anxiety through relatively fast onset, while having very
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