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.
RELEVANT BACKGROUND INFORMATION
Current Living Situation Ms. A currently lives in a transitional housing and attends DIOP. This
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Ms. A reported she was exposed to domestic violence within the home. Reportedly, Ms. A’s said her father was physically, verbally, and emotionally abusive towards her mother and herself. The patient recalled being awakened at nights by her mother and being told they were going on “vacations”. According to Ms. A, as she grew older she understood the her family “vacations” her mother later explained that the “vacations” were merely an escape from her abusive father. The patient described her parent 's divorce as "messy". She opined that her parents’ divorce resulted in her “bouncing back and forth” between their homes. She reported living with her father for a brief period andbecause she was allowed to do "whatever she wanted". She further described her father as her “drinking buddy” during her adolescent years.
When asked to describe her childhood, Ms. A reported she has "blocked out most of her childhood" due to extensive sexual and physical abuse. She disclosed being sexually molested from 5 to 12 years old. She also disclosed being raped several times by her father’s friends while under the influence of alcohol or drugs. Ms. A statedaid she left home at age 16 and began supporting herself. She indicated that her parents remarried other partners, and she gained 5 stepsiblings with whom she currently maintains a "good" relationships. The patient reported having a close bond with her biological mother during childhood. She described
Client meets the diagnosis of severe alcohol use disorder (F10.20). Due to his continuous problems associated with alcohol use, along with lack of sober support system and relapse prevention skills, client can benefit from the alcohol and drug treatment.
Johnny Obrien aged 79 years, presented to the Emergency Department after a fall at the RSL, resulting in a laceration on his left elbow which required 3 stitches. He lives by himself with no family close by, and has a history of hypertension and alcohol addiction. Clinical reasoning is a cyclic process, where cues are collected and their data processed to come to a conclusion of the patient situation so that appropriate interventions can be implemented and evaluated through reflective practices which allows for further learning (Levett-Jones 2013). Applying these clinical reasoning skills in practice is important as it has a positive impact on patient outcomes, resulting in less adverse effects due to the detection of patient deterioration throughout this process to ensure safe and effective care (Levett-Jones 2010).Subjective data is information from the patient’s point of view, including their feelings, perceptions and concerns, whereas objective data is information that is observable or measurable (Delmar Cengage Learning 2015).
Susan is an 11 year old Latina/ Caucasian female who currently has been referred due many issues inside and outside the home. Susan is a victim of sexual abuse by her father. Susan is being put in adult situations of caring extensively for younger siblings, caring for the mother, and being a partner for the alcoholic father. Susan witnesses a great deal of violent behavior between her parents. The violence leads to the father becoming sexual with Susan. He looks to her for consoling and support. As a result, Susan is experiencing feelings of depression to the extent where she has attempted suicide and she reports that she cuts herself with safety pins when she witnesses her parents fighting. Susan has not learned appropriate interaction cues and due to the violent nature in the household,
The first assessment is the Alcohol Use Disorders Identification Test (AUDIT). The AUDIT’s purpose is to recognize how one’s alcohol consumption is an issue (Ash, 2001). This assessment will help the counselor to find out how detrimental the use of the substance is to the individual (Ash, 2001). The AUDIT has a few strengths that would encourage the counselor to use this assessment. The assessment allows the counselor to examine the possible options for the client and what treatment is the most appropriate (Ash, 2001). This assessment should not be used to diagnose the client (Bischoff, 2001). It has been proven that the assessment is reliable by using
Ms. Client is a twenty-two-year-old, Caucasian female was referred for a psychological evaluation by Dr. B., Clinical Psychiatrist and her therapist for her excessive use of cocaine, Xanax and other substances. Dr. B. stated Ms. Client has been experiencing loss of interest, feeling like a failure and frequently crying. Additionally, she complains that her struggle with substance abuse has impacted her social, emotional and behavioral functioning. Ms. Client was admitted to the facility following a relapse. This is her sixth substance abuse treatment program. The purpose of the current evaluation is to (1) assess present level of functioning, (2) determine diagnostic impressions, (3) to identify relevant treatment and service needs.
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
When referring to quality of life for an individual with substance abuse, also referred to as substance use disorder (SUD), through practice and research, the nurse is able to identify, test, and apply interventions that promote quality of life (QOL). According to Lubkin and Larsen (2013), “Application of research findings to an individual’s quality of life enables nurses in clinical practice to plan and deliver evidence-based care” (p. 183). With the use of evidence base practice, the nursing interventions can be individualized to the preferences and values of the client, which will ensure better adherence to along term commitment plan. Quality of life assessments can be used to evaluate the impact of substance abuse on the client and their
Alcohol Use Disorder, most commonly known as Alcohol Abuse or Alcohol Dependence, is widely known as problem that occurs with individuals who consumes an enormous amount of alcohol on a regular basis often in a single use. The individual is consumed with the thought of drinking most of the time and often feel as though they need it to continue with living their daily lives, even though, they are not really living at all because the enormous amount of alcohol causes a dysfunction for their daily tasks. It inhibits their ability to take care of their family, have social relationships and performing activities at work. It is believed that genetics can play a massive role towards an individual developing an Alcohol Use Disorder.
Janet who is currently in her early 30’s has been married four times, each marriage resulted with a child. Janet describes her life as a chaotic state with a stuggle of continunous drug and alcohol use, and raising children on her own. Janet describes her childhood as problematic, her parents were both involved with alcohol, she was sexual abused by a family member on one or more occasions during her teen years. Janet states that her use of drugs and alcohol began around the time of the sexual abuse from a family member during her early teens.
Biological father physically and emotionally abused the pt and her younger brother numerous times. Biological father have supervised visits due to the emotionally and physical abuse towards pt. Pt mother have a protective order against mother biological father due to domestic abuse. Pt describes her relationship with her biological father to be “great”. Pt seems to be in denial about the abuse that have happen to her from biological father, she avoidant communicating about him. Pt stated “ I hate my brother I wish he would die”, pt has a conflicted relationship with her 6 y/o brother. Pt states that she has a good relationship with her mother and loves
Thank for the reply to part one of this assignment. After much consideration, it was necessary to include the alcoholism in the diagnosis. This was great critical thinking on your behalf. Dr. Burks provided information that guided my thinking to abuse use disorder. CW smells of alcohol, drinks 24 ounces 4 to 6 times a week, and has been described by his son as acting “strange”. He has an important history of paranoid schizophrenia with mania noted in the physical examination. To this end, a plan was formulated for CW using the differential diagnosis of alcohol use disorder.
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).
Everyday around the world alcoholics attempt to quit drinking, with many succumbing to addiction once more. Alcohol can be highly addictive and plaguing the lives of alcohol abusers. When alcoholics do attempt to quit drinking alcohol, they go through various withdrawal symptoms that complicates the road to sobriety. Quitting alcohol is far from a simple process and will require initiative and perseverance. Although many attempt to quit alcohol by simply by going “cold turkey,” there are various steps people can follow to successfully quit drinking alcohol. For those struggling with alcohol abuse, sobriety can revitalize and save the life of the addict.
The term “alcoholism” describes a drinker who is mentally and physically dependent on alcohol, and who would most likely have withdrawal symptoms upon trying to quit. This dependence prevents most alcoholics from being able to control when they drink and how much they drink. For that reason, alcoholics usually drink to excess despite the consequences. Alcoholism, like any addiction, is a chronic disorder which involves continued use despite negative consequences and requires ongoing treatment and management. This research paper will cover many aspects of alcoholism including the causes and effects of drinking and different treatment approaches.
Alcohol is the number one drug problem among America’s youth. More senior high school students use alcohol than any other psychoactive drug. Family doctors, pediatricians, schoolteachers, and parents know that alcohol is overwhelmingly the drug of choice among today’s youth, although trendier substances such as cocaine are often given more attention in the headlines (Carla Felsted, p. vii). Furthermore, it is widely acknowledged that drinking alcohol is a part of the youth culture in America; it may also be understood as a culturally conditioned and socially controlled behavior.