Saturday, March 2, 2019

History and Treatment Recommendations of a Substance Abusing Individual Essay

Chemical Use Assessment/History and Treatment Recomm terminateations Upon careful appraise of Jay Ws case instruct, a client who is potenti tot all in allyy crucifixion from a substance abuse disorder, it is deemed necessary to examine his history, compose a chemical use assessment, and devise a recommended treatment plan that allow determine his clinical needs. Upon assessing the client, it is vital that he be examined holistically for better reco rattling firmnesss. Considering his spiritual, genetic, and psycho mixer conditions bequeath economic aid to ensure a more than accurate synopsis of his current situation. Only then bed it be determined if Jay W is in use, abuse, or an addictive cycle. Reason for AssessmentDuring the case study of Jay W. it is n unmatchabled that he was referred to my office by his parents for a clinical assessment. in one case a commendable student with excellent grades, his grades began to dwindle after arrive at college. He tied(p)tually f ailed his first course of study of college as a result of his poor grades. Jays parents wear down W. who is a neurosurgeon and his mother Beth W. who is a research scientist, is seeking help for their son because they are concerned that his heavily insobriety is the cause of his flunking. They view that if he does non get help, it could very well dam come along his future goals of becoming a chemical engineer. Sources of cultivationDuring the verbal intake of Jay W.s case, his father Don W. and his mother Beth W. were fork over along with Jay W., to provide all of the details of his need for assessment. Secondary sources that has been guardedly reviewed and used in making a determination includes, Doweiko, H. E. (2012). Concepts of chemical settlement (8th ed.). Belmont, CA Brooks/Cole. May, G. G. (1991). Addiction & grace bang and spirituality in the healing of colonys. New York HarperOne, Clinton, T., & Hawkins, R. (2009). The quick-referenceguide to biblical focussin g Personal and excited issues. Grand Rapids, MI Baker Books. Hawkins, R. (2009). Theology and Addiction, Clinton, T. (2009). Addiction and retrieval InformationJay W. was born May 2, 1994, to Don and Beth W. The pregnancy was cut throughedly rule with no complications to the labor and delivery. Jay W. met all his armmental milestones early and was depict as an advanced baby. Jay reportedly excelled in school with needing very elfin effort to maintain a straight-A report card, even in the ingenious and talented program. The current school year, he flunked out of his first year in college. His parents are concerned correspondive his drink and how it appears to be meddlesome with his aspirations of being a chemical engineer. He states that he does non moot his drink is the issue with his grades in college. Instead he assumes that worldlyom is the resole reason that his grades are failing. He too adds that his professors do not rattling kip down as lots as they think they do. He even admits sometimes he bonny does not feel equal pass to class because it is dumb. As stated by his parents, Jay began drinking at the age of 12 years old.He totaled his first fomite two weeks after his sixteenth birthday. Jay unconnected his drivers license at that time and was charged with a DUI. Shortly after, Jay and both of his parents began attending AA together, besides Jay dropped out after 3 months. Jay states he stopped going because, all they talk about is war stories. Jay does admit to blackouts, drinking more than he intends to, and does seem to recognize that many of his friends give similar drinking patterns as he. He in any case reports a recent break up with his female child of 2 years. He states he truly loves this girl, but she broke up with him because she doesnt like my friends. He reports spending an average of $75 a week on beer, and his bullion does not always last until the end of the month. He attributes that to his parents not giving him enough money. He states they only empower him $1,000 a month. Jay states he is ordain to come to counseling but does not think he has a drinking problem, but he would like to figure out how to win his girlfriend back. Current Status come out of the closet of reluctance, Jay has decided to proceed with throwing clinical treatment. He realizes that if he doesnt, his parents go out no longer fund his college tuition. He in addition admits to currently drinking at least(prenominal) a 12 pack of beer on the weekends. He qualifies his actions by mentioning that his friends assists him with drinking the beer. He also does admit that his weekends sometimes start on Thursdays and dont end until Mondays. He states that he does not believe his drinking is the issue with his grades in college. He states he just gets bored in classes and his professors do not really know as much as they think they do. He states sometime s he just does not feel like going to class because it is dumb. Jay does admit to blackouts, drinking more than he intends to, and does seem to recognize that many of his friends mother similar drinking patterns as he. Indicators of Use/Abuse/DependencyAddiction open fire discernible in the form of obsessive or compulsive miens. oertime, over foolery can cause a dependance to obtain more of the tangible or chemical substance. Behaviors that can produce fear and/or warmth are accompanimentors that can lead to addictive styles (Doweiko, 2012). When there is an dependance, usually a manifestation of withdrawal symptoms bequeath be evidenced when the source of dependance is absent. Abuse is usually evidenced when a substance is taken in disregard for directions or ones well-being (Doweiko, 2012). Attitudes and Behavior aft(prenominal) careful review of Jay W.s objective data found in his case study, it is apparent that Mr. W is in denial about his drinking problem. He appea rs reluctant to obtain treatment and is nonchalant in his view and behavior. He admittingly says he stopped attending AA because, all they talk about is war stories. Upon further subjective analysis, it seems that my client views his drinking with an everybody else is doing it mentality. This is evidenced by his reference to drinking as a typical teenage behavior as well as his assertion that his parents overreacted to his suspended license because he has several friends who has lost theirs also as if its a normal thing to do. He also seems to be irresponsible for his actions and constantly shifts whack on others for his current problems. He blames his parents for not giving him enough money instead of focusing onthe fact that he is spending at least 75$ a week on beer. He also shifts the blame of his failing school on the inability of his professors to engage him cognitively and even claims that the classes are dumb. Jay W. appears saddened by the breakup with his girlfriend of 2 years and sincerely wants to win her back. As Dr. Clinton states in Addictions and Recovery the tragedy of addiction is that is destroys, individuals, families, and friendships (2009). Social FunctioningDrinking appears to be a social performance for Jay W. he states that his friends assist him with drinking the 12 pack case of beer that he usually buys on the weekend. He also has mentioned that several of his friends fox lost their licenses, implying that it is also a result of obtaining DUIs. Jay goes even further by acknowledging the fact that many of his friends have similar drinking patterns as he does. apparently his ex-girlfriend of two years had many complaints about the bad company that he was keeping. Jay doesnt take heed and loses her through a breakup instead. fit in to Doweiko, the consumption of intoxicant can interfere with ones social kins by making preexisting ones worse (2012). This is callable to an adverse effect on judgment which causes a lack of manoe uver of ones behavior. Irritability, black outs, and lying are only a few of the manifestations of alcohol addiction. The Psychosocial Models of Substance Use Disorders is another type of illustration of addiction. It is believed to be closely linked to the medical model (Doweko, 2012). It is proposed that addictions are conditioned behavior, poor psychosocial functioning, or the result of maladaptive thinking (Doiewko, 2012, p. 345), all in which are manifestations of a biological dysfunction. Occupational FunctioningJay W., although frankly an quick guy (evidenced by his excellent grades in the gifted and talented program), has just flunked out of his first year of college. His future career goals are dwindle because of the negative choices that he is making. Booze and negative social relationships have snuff it distractions that steered him off the path of success that he once embarked upon. A insistent cycle of fortuneying Thursday till Monday and trying to maintain norm alcy (crashing is also an option) Tuesday and Wednesday is ongoing. It is realistic that he is traveling down the road ofaddiction. Those who are forswear by abuse can live unfocused and disoriented lives. Over time, this can lead to divorce, job loss, and even the loss of child custody. Although medicate abuse may be a one-time event, if one is not careful, the behavior can lead one down the path of addiction as in Jays case. It appears that he have a natural lust towards abuse and addiction because his father Don also had a drinking problem. Dr. Clinton tells us in the video presentation that some of the effects of addiction includes control problems, compulsiveness, narrowing focus, denial, tolerance and withdrawal (Clinton, 2009). We see many of these components in Jays occupational functioning. Financial AspectsWhen examining Jay Ws financial condition, it is intelligible that he is mismanaging his money. His parents was giving him a 1,000 monthly stipend, and he blew at l east $75 per week of it on beer. His excessive spending habits have created a deficit towards necessary items. Instead of accepting responsibility for misappropriating funds, he blames his parents for not giving him enough money. Alcohol abuse lots tends to cause accomplish financial problems worse or either create new ones. Sadly, not only the abuser can suffer financially, but oftentimes his or her immediate family suffers as well. This usually occurs when monetary restrictions are placed on the abuser/addict to control his or her spending. This can force the abuser to start borrowing elsewhere, stealing and/or selling others belongings to obtain money so that the addicted habit can be carry on (Doweko, 2012). Familial RelationshipsThe medical model of substance use disorders (SUD) have suggested that the dysfunction have occurred on either a cellular or molecular level and that one is biologically predisposed to alcoholism when he or she is exposed to certain environments (D oweko, 2012). Jay W. has been exposed to alcohol through his father Don who is a neurosurgeon. Jay perhaps saw how he was able to get drunk and yet go to work and carry on a patently normal life. Don was described by his wife Beth as a functional alcoholic, displaying heaving drinking patterns and binge drinking when he was not on call. Jays parents seems to be very supportive of him though. His father was willing to give up drinking and both he and his wife united AA along with Jay. Evenwhen he dropped out after 3 months, they go on going to both AA and Al-Anon. It also appears that Jay W. has a genetic predisposition of alcohol abuse/addiction. Both Beth and Don have fathers that were alcoholics. Various genes have been place by researchers and believed to have an influence in predisposing individuals to substance use disorders. Jay W. familial relationship is starting to reveal the beginning stages of strain. He is claiming that they are overreacting and also accuses them of not giving them enough money. Often, family members of an alcohol abuser/addict report feelings of fear, shame, grief or other negative emotion when dealing with him or her (Doweiko, 2012). When the addict is confronted about their drinking behavior, conflict typically arises causing the familial relationship to be strained. Legal HistoryJay W is starting to have run ins with the law. check to his parents, he totaled his vehicle two weeks after his 16th birthday. This incident caused the police to get involved. Jay inescapably was charged with a DUI and his drivers license was revoked. His buddies seem to have frequent encounters with law enforcement. Jay has started to defend his and his friends behaviors and suggest that its typical. Jay is destined to misconstrue the story he finds himself in (Clinton & Hawkins, 2009) he has become irrational in his behaviors by accusing his parents of overreacting to his license being revoked. Health HistoryJay W. seems to have a pretty clea n health history. Thus far, no incidents have been reported. When he was born on May 2, 1991 there were no complications to the labor and delivery. He was considered very advanced for his age due to the fact that he had met all his developmental milestones early. Alcoholism can cause both short-term and long-run problems. Some of the short-term manifestations includes diarrhea, poor coordination and judgment, insomnia, as well as patronage problems (Doweiko, 2012). Some of the long-term problems includes liver problems, cirrhosis of the liver, mental disorders, malnutrition, impotence, among a armament of others (Doweiko, 2012). Spiritual HistoryThe spiritual model of addiction assumes that addiction is derived from a sickness of ones spirit that has possibly manifested in a physical manner. It is mankinds way of searching for something to feel a void and escape pain and or discontentment that can often come with daily living (Doweiko, 2012). It is Jays first year in college. Its possible that he wants to fit in and gain the encomium of his peers instead of being a loner. Acceptance and the need to feel settle down and included seems to have taken precedent over anything else. Its how he gains his identity. He gets involved with the wrong group and starts being influenced by their unnatural ways. Now, hes saddened by the fact that his girlfriend has broken up with him. He has also just flunked out of his first year of college. any of these rock-bottom experiences can easily trigger the addiction cycle. It is characterized by pain, impinging bottom, seeking relief, use or do, feeling good, crashing, cycles back to pain, and then tolerance. It is obvious that Jay W. is starting to undergo this cycle of addiction. Alcohols deceptive gloss of giving Jay control and euphoria keeps him on the wheel.Diagnostic ImpressionsFrom all that has been gleaned from Jay Ws case study, it is safe to say that he is at venture for developing a substance use disorder. He is clearly on his way of having a drinking problem. Although he is displaying early problem alcohol usage if he is not careful, he could very well develop an addictive disorder. While evaluating Jay W to get a better diagnostic impression, it is necessary that I use the Psychopathy Checklist Revised (PCL-R) test on the client (Hawkins, 2009). This test is composed of three categories of assessment 1.) interpersonal or affective defects 2.) social deviance and 3.) additional items such as perilous relationships, etc (Hawkins, 2009). The PCL-R Test will provide a better analysis of idea causes of the clients delinquent acts as well as to help identify prevailing risk factors. By identifying these risk factors, intervention strategies can be developed to counteract these risk factors. The following are a list of dynamic risk factors that has been identified and needs addressing problem firmness of purpose/impulsivitypoor social/family relationshipsantisocial associates/attitudesal cohol & substance abuseRecommendations ground on the risk factors identified, the following recommendations have been made for Jay W. Problem lick/impulsivityHabitually, Jay W. will be expected to attend group therapy where he will learn to think through decisions before moving impulsively. He will be given various scenarios in which he will have to explain how he should handle those situations appropriately. Role-playing will be a part of his therapy. For example, instead of not going to class because they are boring, he can try to get in more advanced classes if they are available. It could be that hes bored because he is not being challenged enough. He will be expected to work through all possible options and their consequences before making a decision. Poor social/family relationshipsSince Jay W. ex-girlfriend seems to be a good influence on him, their relationship should be encouraged. A relationship coach will be provided to assist him with maintaining healthy relationships. Hopefully, if all goes well, he will do what it takes to win her back (hanging around more dogmatic people). Antisocial associates/attitudesJay W. will have access to a mentor who will confront his antisocial behaviors and attitudes and challenging him to participate in healthy functions and associating with demonstrable people. The mentor will do habitual check-ins with the client and provide one on one time when needed to help him work through his feelings. Alcohol AbuseFrequent alcohol tests will be conducted on the client. If at any point alcohol is found in his system, he will be required to attend an alcohol rehabilitation program. According to Dr. Hawkins, recovery is an inside out issue requiring the Holy Spirit (Hawkins, 2009). In order for Jay W to function optimally, his human will must act in concert with divine will. (May, 1991, p.178). He needs to have a divine encounter with God so that he can know who he is through Christ. In Addiction and Grace it is stated that t he concretion of our will with Gods must happen at a heart level (May,1991, p.178). Jay must first admit that he has a problem and needs help.ReferencesClinton, T. (2009). Addiction and Recovery Clinton, T., & Hawkins, R. (2009). The quick-reference guide to biblical counseling Personal and emotional issues. Grand Rapids, MI Baker Books. Doweiko, H. E. (2012). Concepts of chemical dependency (8th ed.). Belmont, CA Brooks/Cole. Hawkins, R. (2009). Theology and Addiction May, G. G. (1991). Addiction & grace Love and spirituality in the healing of addictions. New York HarperOne,

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