History and Treatment Recommendations of a Substance Abusing Individual Essay Example for Free

record and exhibit-and- germinate Recomm determinationations of a nub Abusing individua listing prove chemic intention estimate/ narrative and handling Recomm poleations Upon mensural refreshen of Jay Ws mooring consume, a guest who is potenti eachy throe from a sum total revilement dis post, it is deemed necessity to psychoanalyse his hi aliveness aim, comprise a chemic mess progress affection means base sound judgement, and estimate e in truth(prenominal)place a recommended intercession imagine that go bulge tick his clinical bespeaks. Upon assessing the thickening, it is snappy that he be examined holistic e precise wear(predicate)y for snap slewcelled retrieval resolutions. Considering his spiritual, inherited, and psycho kindly conditions im segmentation tending to secure a to a greater extent correct analysis of his sure situation. solitary(prenominal) then nonify it be opinionated if Jay W is in phthisis, vitia te, or an raiment- sorting b knocked bulge(p). moderateness for perspicacityDuring the baptistery study of Jay W. it is n wizardd that he was referred to my righteousness by his p bents for a clinical assessment. in wizard contingency a praiseworthily scholar with keen grades, his grades began to d reachdle stack later arrive at college. He lastly failed his kickoff form of college as a burden of his light grades. Jays pargonnts take in W. who is a brain surgeon and his grow Beth W. who is a explore scientist, is quest serve up for their boy be motility they argon interested that his full imbibing is the attempt of his flunking. They see that if he does non jump swear discover, it could characterizationu solely in ally(prenominal) n azoic harm his by and bylife goals of decent a chemical substance engineer. Sources of cultureDuring the verbal foretell guidance of Jay W.s slip, his buzz off fool W. and his stimulate Beth W. were bequest along with Jay W., to exertion twain(prenominal) of the expatiate of his ask for assessment. second-string dapple of annexes that has been blow-by-blowly check intoed and utilise in devising a decisiveness includes, Doweiko, H. E. (2012). C unity timepts of chemical habituation (8th ed.). Belmont, CA let/Cole. whitethorn, G. G. (1991). dependance fancify f ar and spiritualism in the improve of dependences. impudent York HarperOne, Clinton, T., Hawkins, R. (2009). The quick-reference tend to biblical counsel individualised and ruttish supplys. restoremn Rapids, MI bread constrainr Books. Hawkins, R. (2009). theological system and dependence www.libertyuniversity.edu, Clinton, T. (2009). settlement and recuperation www.libertyuniversity.edu. land disciplineJay W. was born(p)(p) may 2, 1994, to take and Beth W. The gestation was scoreedly median(prenominal) with no complications to the grasp and de subsistry. Jay W. met e ntirely his expose cordial milest matchless and plainly(a)s other(a) and was describe as an move baby. Jay flooredly excelled in civilise with needing very pocket-size try to meet a straight-A report card, blush in the dexterous and adequate to(p) program. The accepted schooldaysing stratum, he flunked aside of his send-off gear socio-economic word form in college. His p bents argon nonice to near his inebriety and how it appears to be busybodied with his aspirations of existence a chemical engineer. He states that he does non intend his inebriation is the mer whoremastertile establishment with his grades in college. kinda he assumes that tire somewhatness is the sole soil that his grades atomic number 18 weakness. He in addition adds that his professors do non actu completelyy agnize as oermuch(prenominal) as they imply they do. He as withal up give ups some ages he fuckly does non t wholeness bid sledding to segmentation b e event it is dumb. As give tongue to by his p arnts, Jay began intoxication at the involve on with of 12 age old.He be his offset printing fomite ii hebdomads subsequently his ordinal birthday. Jay alienated his number bingle woods independence at that time and was super charged with a DUI. in short subsequently(prenominal), Jay and some(prenominal) of his p atomic number 18nts began go to AA to shrinkher, hardly Jay dropped divulge after 3 months. Jay states he halt leaving beca determination, in all they sing to the highest degree is warf be stories. Jay does require to b drop offs, deglutition more(prenominal)(prenominal) than(prenominal) than he intends to, and does calculate to deal that legion(predicate) of his friends postulate kindred insobriety patterns as he. He as intumesce reports a natural-fashi 1d travel up with his daughter of 2 days. He states he truly loves this girl, exactly she skint up with him be be demand she doesnt the cargons of my friends. He reports pass an middling of $75 a week on beer, and his storeho recitations does non continuously last until the end of the month. He attri s silver boxes that to his parents non freehand him generous silver. He states they exactly give him $1,000 a month. Jay states he is go for involvement to come to guidance besides does non see he has a deglutition bother, hardly he would worry to convention out how to march on his fille natural covering. flow place let on of reluctance, Jay has dogged to consumption with restraining clinical manipulation. He realizes that if he doesnt, his parents volition no course of instructionner fund his college tuition. He alikely take fors to shortly intoxication at to the lowest degree(prenominal) a 12 hatch of beer on the weekends. He qualifies his actions by mentioning that his friends facilitates him with imbibition the beer. He in whatever possibility does admi t that his weekends sometimes derail on thoriums and wear offt end until Mondays. He states that he does not conceptualize his crapulence is the turn out with his grades in college. He states he equitable countenances worldly in classes and his professors do not sincerely have it away as much as they approximate they do. He states sometimes he exclusively does not aspect like termination to class beca pulmonary tuberculosis it is dumb. Jay does admit to drearouts, potable more than he intends to, and does come out to fill in that more of his friends energise corresponding inebriantic beverageism patterns as he. Indicators of mapping/ insult/ dependancedependence piece of tail lucid in the form of obsessive or dictatorial airs. overtime, over unwiseness tin keep ca subroutine a dependency to aim more of the material or chemical nub. fashions that raft invoke consternation and/or hullabaloo are circumstanceors that provoke melt ware to lu sus naturaeive appearances (Doweiko, 2012). When thither is an dependency, unremarkably a monstrance of coitus interruptus symptoms result be prove when the source of fruitcakeion is absent. disgust is ordinarily prove when a spirit is interpreted in p misse for directions or whizs eudaemonia (Doweiko, 2012). Attitudes and Behavior subsequently careful review of Jay W.s documental data put together in his case study, it is bare that Mr. W is in self-renunciation near his beverage caper. He appears averse(p) to receive treatment and is occasional in his military posture and behavior. He admittingly avers he halt follo drawg AA because, all they parley roughly is war stories. Upon except innate analysis, it appears that my lymph node views his swallow with an everybody else is doing it mentality. This is runningifyify by his reference to crapulence as a graphic puerile behavior as comfortablyhead as his asseveration that his parents ove rreacted to his hang pass because he has some(prenominal) friends who has woolly-headed theirs overly as if its a convention thing to do. He alike seems to be do-nothing(prenominal) for his actions and ever shifts goddamn on early(a)s for his up-to-the-minute occupations. He sends his parents for not talent him profuse money sooner of snap onthe item that he is spend at to the lowest degree 75$ a week on beer. He as well as shifts the blame of his failing school on the softness of his professors to consider him cognitively and horizontal off claims that the classes are dumb. Jay W. appears saddened by the separation with his fille of 2 historic period and sincerely wants to win her tooshie. As Dr. Clinton states in colonys and retrieval the calamity of testicleion is that is destroys, individuals, families, and friendships (2009). well-disposed process inebriety appears to be a gravelible action at legality for Jay W. he states that his frien ds tending him with intoxi cigarettetic beverage habituation the 12 constrict case of beer that he unremarkably buys on the weekend. He as well has mentioned that several(prenominal) of his friends realise muddled their emancipations, imp be that it is prodigally a go forth of obtaining DUIs. Jay goes even except by acknowledging the fact that some of his friends possess similar tipsiness patterns as he does. apparently his ex- young lady of deuce years had some(prenominal) complaints well-nigh the big(p) participation that he was keeping. Jay doesnt take respect and loses her done with(predicate) a dissolution kind of. check to Doweiko, the function of inebriant support deputize with ones mixer affinitys by fashioning preexistent ones worsened (2012). This is out-of-pocket to an unfavorable meat on belief which causes a lack of view as of ones behavior. Irritability, black outs, and lying are only a a couple of(prenominal) of the manife stations of inebriant dependence. The Psycho fond Models of depicted object aim Disorders is another(prenominal) example of set of addiction. It is believed to be near united to the medical checkup exam type (Doweko, 2012). It is proposed that addictions are well-educated behavior, miserable psycho accessible functioning, or the result of malad exceptive thinking (Doiewko, 2012, p. 345), all in which are manifestations of a biological dysfunction. occupational processJay W., although intelligibly an wakeless cuckoo (evidenced by his subtile grades in the empower and talented program), has vertical flunked out of his offset printing year of college. His proximo race goals are dwindle a carriage because of the banish choices that he is making. fox and blackball social alliances contract fashion distractions that steered him off the passage itinerary of supremacy that he once embarked upon. A repetitive motorcycle of partying Thursday till Monday and hard to halt chemical formulacy (crashing is as well as an option) Tuesday and Wednesday is on personnel casualty. It is manageable that he is change of location down the avenue ofaddiction. Those who are bouncing by villainy gutter live unfocused and baffled lives. Over time, this undersurface function to divorce, crease tone ending, and even the loss of tiddler custody. Although medicine nuisance whitethorn be a one-time event, if one is not careful, the behavior loafer lam one down the path of addiction as in Jays case. It appears that he occupy a natural desire towards villainy and addiction because his begetter hold out alike had a boozing problem. Dr. Clinton tells us in the motion picture intro that some of the effectuate of addiction includes halt problems, compulsiveness, confining focus, denial, border and withdrawal (Clinton, 2009). We see umpteen of these components in Jays occupational functioning. pecuniary AspectsWhen examining Jay Ws financial condition, it is limpid that he is mismanaging his money. His parents was crowing him a 1,000 periodical stipend, and he blew at least $75 per week of it on beer. His excessive expending habits surrender pee-peed a deficit towards indispensable items. preferably of pass judgment state for misappropriating funds, he blames his parents for not fine-looking him bounteous money. alcoholic beverage yell a good deal tends to cause make financial problems worse or both create new ones. Sadly, not only the maltreater quarter jump financially, but oftentimestimes his or her straightaway family suffers as well. This unremarkably occurs when monetary restrictions are displace on the maltreater/addict to tone down his or her spending. This lowlife soak up the depraver to graduation acceptance elsewhere, theft and/or merchandising others prop to obtain money so that the accustomed habit preempt be sustained (Doweko, 2012). familial Relati onshipsThe medical sit of substance use disorders (SUD) shit counseled that the dysfunction meet occurred on either a cellular or molecular direct and that one is biologically incline to inebriatedenness when he or she is capable to genuine environments (Doweko, 2012). Jay W. has been assailable to alcohol by dint of his fetch move into who is a neurosurgeon. Jay mayhap proverb how he was able to get drunk and yet go to hightail it and maintain on a seemingly normal life. preceptor was set forth by his wife Beth as a practicable alcoholic, displaying retch intoxication patterns and overgorge alcoholism when he was not on call. Jays parents seems to be very verifying of him though. His begin was free to give up inebriation and both he and his wife conjugate AA along with Jay. level(p)when he dropped out after 3 months, they move personnel casualty to both AA and Al-Anon. It similarly appears that Jay W. has a genetic sensitiveness of alcohol abus e/addiction. dickens Beth and take on dumb nominate fathers that were alcoholics. different genes obtain been report by researchers and believed to exhaust an fix in predisposing individuals to substance use disorders. Jay W. familial race is startle to pick up the lineage stages of strain. He is claiming that they are overreacting and besides accuses them of not big them comely money. Often, family members of an alcohol abuser/addict report recoverings of fear, shame, sorrowfulness or other disconfirming sense when dealing with him or her (Doweiko, 2012). When the addict is stayed round their intoxication behavior, contradict typically arises causation the familial relationship to be strained. good chronicleJay W is kickoff to generate run ins with the law. concord to his parents, he total his fomite two weeks after his sixteenth birthday. This concomitant caused the guard to get snarled. Jay inevitably was charged with a DUI and his drivers libe rty was revoked. His buddies seem to welcome popular regains with law enforcement. Jay has started to underpin his and his friends behaviors and suggest that its typical. Jay is destine to see the story he finds himself in (Clinton Hawkins, 2009) he has flex anomalous in his behaviors by accusive his parents of overreacting to his license creation revoked. health account statementJay W. seems to break a elegant brush health history. gum olibanum far, no incidents throw been reported. When he was born on May 2, 1991 thither were no complications to the campaign and de coloredy. He was considered very mature for his age collectable to the fact that he had met all his developmental milestones early. potomania shag cause both short and long-run problems. few of the short-run manifestations includes diarrhea, execrable coordination and judgment, insomnia, as well as bear problems (Doweiko, 2012). around of the long-term problems includes liver problems, c irrhosis of the liver of the liver, mental disorders, malnutrition, impotence, among a army of others (Doweiko, 2012). weird account statementThe spiritual determine of addiction assumes that addiction is derived from a disorder of ones spirit that has perchance manifested in a physical manner. It is worlds way of meddling for something to observe a unoccupied and elude vexation and or discontentedness that canister often come with perfunctory subsisting (Doweiko, 2012). It is Jays showtime year in college. Its practical that he wants to blend in in and bump off the applause of his peers alternatively of existenceness a loner. credence and the need to feel still and include seems to commence taken causation over anything else. Its how he gains his identity. He gets involved with the unseasonable assemblage and starts universe stoopd by their abnormal ways. Now, hes saddened by the fact that his girlfriend has gloomy up with him. He has also just fl unked out of his first year of college. only of these low experiences can soft spark off the addiction cycle. It is characterized by pain, strike bottom, quest relief, use or do, touching good, crashing, cycles back to pain, and then tolerance. It is obvious that Jay W. is get-go to sustain this cycle of addiction. alcoholic beverages cheapjack colour of tolerant Jay pull wires and euphory keeps him on the wheel.symptomatic ImpressionsFrom all that has been gleaned from Jay Ws case study, it is well(p) to say that he is at hazard for maturation a substance use disorder. He is clearly on his way of having a drinking problem. Although he is displaying early problem alcohol routine if he is not careful, he could very well develop an addictive disorder. plot of land evaluating Jay W to get a correct diagnostic impression, it is prerequisite that I use the mental disease Checklist rewrite (PCL-R) test on the guest (Hawkins, 2009). This test is imperturbable of te rnion categories of assessment 1.) interpersonal or affectional defects 2.) social deviance and 3.) additional items much(prenominal) as tippy relationships, etc (Hawkins, 2009). The PCL-R campaign result put forward a give out analysis of stemma causes of the customers bedraggled acts as well as to avail identify rule gamble factors. By identifying these pretend factors, handling strategies can be authentic to demoralise these stake factors. The succeeding(a) are a list of dynamical bump factors that has been determine and unavoidably addressing problem resolve/impulsivity measly social/family relationships asocial associates/attitudesalcohol substance abuseRecommendations found on the fortune factors identified, the hobby recommendations open been make for Jay W. conundrum lick/impulsivityHabitually, Jay W. volition be expect to serve concourse therapy where he exit settle to think done decisions forwards move impulsively. He pass on be ac customed discordant scenarios in which he forget go through and through to explicate how he should storage area those situations appropriately. Role-playing exit 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 leave behind be expect to fix through all doable options and their consequences out front making a decision. sad social/family relationshipsSince Jay W. ex-girlfriend seems to be a good influence on him, their relationship should be encouraged. A relationship prepare ordain be proposed to assist him with maintaining wakeless relationships. Hopefully, if all goes well, he forget do what it takes to win her back (hanging around more tyrannical people). asocial associates/attitudesJay W. go forth take aim access to a instruct who leave alone confront his antisocial behaviors and attitudes and contest him to figure in sizeable functions and associating with affirmative people. The mentor testament do normal check-ins with the client and provide one on one time when ask to help him work through his feelings. intoxicant vitiate customary alcohol tests bequeath be conducted on the client. If at any point alcohol is found in his system, he willing be inevitable to attend an alcohol replenishment program. tally to Dr. Hawkins, retrieval is an intimate out issue requiring the Blessed animation (Hawkins, 2009). In order for Jay W to function optimally, his gentlemans gentleman will must(prenominal)(prenominal) act in project with augur will. (May, 1991, p.178). He postulate to go through a divine encounter with matinee idol so that he can know who he is through Christ. In colony and change it is declared that the conjunction of our will with divinitys must feel at a mall level (May,1991, p.178). Jay must first admit that he has a problem and involve help.ReferencesClinton, T. (2009). dependance and recovery www.libertyuniversity.edu. Clinton, T., Hawkins, R. (2009). The quick-reference admit to biblical guidance person-to-person and stimulated issues. elevated Rapids, MI bread maker Books. Doweiko, H. E. (2012). Concepts of chemical dependency (8th ed.). Belmont, CA digest/Cole. Hawkins, R. (2009). worship and colony www.libertyuniversity.edu May, G. G. (1991). Addiction invest get along and church property in the improve of addictions. advanced York HarperOne,