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Summary PSYC305 Week 7 Case Study Assessment.docx PSYC 305 Case Study Assessment and Treatment Recommendations Department of Psychology, Liberty University PSYC 305-D03: Overview of Theory & Treatment of Substance Abuse Chemical Use Assessment/History and $7.49   Add to cart

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Summary PSYC305 Week 7 Case Study Assessment.docx PSYC 305 Case Study Assessment and Treatment Recommendations Department of Psychology, Liberty University PSYC 305-D03: Overview of Theory & Treatment of Substance Abuse Chemical Use Assessment/History and

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PSYC305 Week 7 Case Study A PSYC 305 Case Study Assessment and Treatment Recommendations Department of Psychology, Liberty University PSYC 305-D03: Overview of Theory & Treatment of Substance Abuse Chemical Use Assessment/History and Treatment Recommendations Name: Teresa DOB/Age: 28 Date...

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PSYC 305

Case Study Assessment and Treatment Recommendations

Department of Psychology,

Liberty University

PSYC 305-D03: Overview of Theory & Treatment of Substance Abuse



Chemical Use Assessment/History and Treatment Recommendations

Name: Teresa

DOB/Age: 28

Dates of Interviews: 5-03--10-2021

Evaluator: Wendy L. Bates, Liberty University



Reason for Assessment

Teresa is an adopted female of unknown Asian heritage, and comes to us today presenting

all aspects of the TWEAK and CAGE acronyms used to reference one’s substance use severity,

as well as their alternative paper and pencil screenings [ CITATION Libnd \l 1033 ]. Intake

staff has identified these markers as consistent with the DSM-5 [ CITATION Ame13 \l 1033 ]

definition of Alcohol Use Disorder (AUD), markedly seven to eight markers out of ten of the

standard diagnosis guidelines. The client is experiencing mental discord and social conflict due

to her alcohol use habits and has requested our assistance in guiding her toward the necessary

changes to recognize and understand her illness, with the hopes of behavior extinction and

interpersonal stability [ CITATION Unk11 \l 1033 ].


Sources of Information

Teresa is our single source of information at this time. Because she is the only available

resource during this assessment, attempts to urge Teresa’s participation in the suggested case

management methods is key to creating rapport and trust with her [ CITATION Are08 \l

,1033 ]. This connection is to enable her to feel understood and secure enough to effectively

communicate her perspectives, which in turn fosters commitment to the treatment process

[ CITATION Mil16 \l 1033 ]. Active listening, paraphrasing, recognizing and confirming her

feelings in all areas will stimulate increased contributions (Aronson, Wilson, & Sommers, 2019;

NIDA, 2020; Substance Abuse and Mental Health Services Administration, 1999). Further

review of her relationships is necessary to discover if additional information can be gathered

from outside persons that might be useful in tailoring her treatment plan [ CITATION HED15 \l

1033 ].



Background Information

Teresa began her use of alcohol at age 14, and also confirms promiscuity and urging

others her age to drink, and maintains that her use of alcohol has been “natural” and consistent

for at least the past 10 years. She has a very high tolerance for the substance’s intoxicating

effects, and it continues to be the center of her daily life and social relationships [ CITATION

Aro19 \l 1033 ]. Her adolescent support system would have consisted of a family dynamic based

on a Korean culture and a strictly disciplined educational construct with no indications of club or

group activities. She recalls instances that tell us her school friends also illustrated the same

types of alcohol use and risk-taking behaviors. More information is needed regarding her mental

health [ CITATION MKe20 \l 1033 ], genetic background [ CITATION NID20 \l 1033 ],

cultural beliefs (Aquilino, 2005; Price, 2008), spirituality [ CITATION May06 \l 1033 ],

sexuality

[ CITATION Bjo17 \l 1033 ], traumatic experiences of discrimination [ CITATION Nol20 \l 1033

], and other social factors to make a complete evaluation of the causes of her sickness (Arriaga,

2015; Atieno Okech & Geroski, 2015; Hendrickson, 2013; Labella & Masten, 2018; National

Institute on Alcohol Abuse and Alcoholism, 2006; Wadman, 2018).

, Current Status

Teresa is actively a binge drinker, consuming alcohol heavily in a set amount of time, and

has evolved into heavy drinking patterns, otherwise known as patterns of binge drinking for an

extended amount of time (Center for Behavioral Health Statistics and Quality, 2015; Doweiko,

2015; National Institute on Alcohol Abuse and Alcoholism, 2006). Teresa is eliciting signs of

precontemplation and contemplation within the addiction recovery stages, and hints of

preparation phases concerning her current treatment-seeking behaviors [ CITATION Sub991 \

l

1033 ]. It is my agreement that Teresa has progressed into the DSM-5 definition of AUD

[ CITATION Ame13 \l 1033 ], or the next phase of severe alcohol abuse and prolonged addiction

[ CITATION HED15 \l 1033 ].



Indicators of Use/Abuse/Dependency

Teresa self-reports aggressive, and significant violent incidents, blackouts, tolerance,

insubordination, and loss of self-preservation following her bouts of alcohol consumption

(Doweiko, 2015). She describes a desire to eliminate the “chaos” in her life, however, she is

reluctant to correlate the entirety of these consequences to her progressive drinking habits

(American Psychiatric Association, 2013; Doweiko, 2015). When she drinks, she often loses

track of the amount she consumes, and it frequently results in disorientation and risky behaviors [

CITATION HED15 \l 1033 ]. This loss of control, regardless of its effects, is reflected in her job

absenteeism, memory loss, and diminished physical health following binges, and is an end result

of connecting her learned associations with binge drinking and its environmental triggers

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