History and Treatment Recommendations of a Substance Abusing Individual Essay

chemical core group engagement Assessment/History and Treatment Recomm expiryations Upon mensural review of Jay Ws case postulate, a invitee who is potenti solelyy suffering from a centre abuse disorder, it is deemed necessary to examine his history, compose a chemical use assessment, and devise a recommended sermon plan that al matchlessow for determine his clinical demand. Upon assessing the client, it is zippy that he be examined holistic ally for advance rec everywherey results. Considering his spiritual, genetic, and psycho accessible conditions depart help to ensure a more than dead-on(prenominal) analysis of his current situation. Only then chiffonier it be determined if Jay W is in use, abuse, or an pilferive beat. Reason for AssessmentDuring the case study of Jay W. it is n peerlessd that he was referred to my office by his pargonnts for a clinical assessment. Once a commendable scholar with excellent grades, his grades began to dwindle after reaching c ollege. He eventually failed his kickoff division of college as a result of his sad grades. Jays parents forefather W. who is a neurosurgeon and his convey Beth W. who is a research scientist, is pursuance help for their son because they are c erstwhilerned that his sour potable is the cause of his flunking. They look at that if he does non beat extinct help, it could very well dam term his futurity goals of becoming a chemical engineer. Sources of InformationDuring the communicatory intake of Jay W.s case, his father Don W. and his mother Beth W. were present on with Jay W., to result all of the expand of his need for assessment. Secondary sources that has been paying attenti unless reviewed and used in making a determination includes, Doweiko, H. E. (2012). Concepts of chemical dependency (8th ed.). Belmont, CA Brooks/Cole. may, G. G. (1991). habituation & grace respect and otherworldliness in the healing of habituations. New York HarperOne, Clinton, T., & Hawkins, R. (2009). The quick- reservoir repoint to biblical advocate Personal and emotional writes. specious Rapids, MI baker Books. Hawkins, R. (2009). divinity fudge and Addiction www.libertyuniversity.edu, Clinton, T. (2009). Addiction and Recovery www.libertyuniversity.edu.Background InformationJay W. was born May 2, 1994, to Don and Beth W. The pregnancy was reportedly commonplace with no complications to the labor and de endurery. Jay W. met all his developmental milest singles archaean and was depict as an pass on baby. Jay reportedly excelled in educate with needing very little effort to maintain a straight-A report card, even in the gifted and capable program. The current school year, he flunked out of his eldest year in college. His parents are concerned most his insobriety and how it appears to be interfering with his aspirations of universeness a chemical engineer. He states that he does non believe his boozing is the issue with his grades in college. Instead he assumes that boredom is the sole reason that his grades are flunk. He also adds that his professors do non really slam as much as they commemorate they do. He even admits some whiles he just does non hire like going to class because it is dumb. As stated by his parents, Jay began drinking at the age of 12 years old.He totaled his freshman vehicle both calendar weeks after his sixteenth birthday. Jay mixed-up his drivers license at that time and was charged with a DUI. Shortly after, Jay and both of his parents began envisioning AA together, but Jay dropped out after 3 months. Jay states he stopped going because, all they talk more or less is war stories. Jay does admit to blackouts, drinking more than he intends to, and does es swearm to recognize that many a(prenominal) of his friends hurl alike drinking patterns as he. He also reports a recent break up with his young lady of 2 years. He states he truly loves this girl, but she stony-broke up with him because she doesnt like my friends. He reports using up an average of $75 a week on beer, and his m superstary does not always last until the end of the month. He attributes that to his parents not give him enough m unrivaledy. He states they solely give him $1,000 a month. Jay states he is unforced to number to counseling but does not call up he has a drinking problem, but he would like to figure out how to win his lady friend prickle. Current StatusOut of reluctance, Jay has decided to elapse with obtaining clinical treatment. He realizes that if he doesnt, his parents will no longer fund his college tuition. He also admits to presently drinking at least a 12 pack of beer on the weekends. He qualifies his actions by mentioning that his friends advocates him with drinking the beer. He also does admit that his weekends sometimes counterbalance 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 bang as much as they think they do. He states sometimes 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 have corresponding drinking patterns as he. Indicators of workout/ vitiate/DependencyAddiction washbowl licence in the form of obsessive or set behaviors. Overtime, over indulgence can cause a dependency to obtain more of the physical or chemical amount of money. Behaviors that can produce fear and/or excitement are factors that can ply to surchargeive behaviors (Doweiko, 2012). When there is an addiction, usually a manifestation of backdown symptoms will be evidenced when the source of addiction is absent. Abuse is usually evidenced when a substance is taken in disregard for directions or nonpareils well-being (Doweiko, 2012). Attitudes and BehaviorAfter careful revie w of Jay W.s objective data engraft in his case study, it is apparent that Mr. W is in denial nearly his drinking problem. He appears opposed to obtain treatment and is nonchalant in his side and behavior. He admittingly says he stopped attending AA because, all they talk about is war stories. Upon farther innate 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 juvenile behavior as well as his presumption that his parents overreacted to his suspended license because he has several friends who has confused theirs also as if its a normal thing to do. He also seems to be autocratic for his actions and constantly shifts blame on others for his current problems. He blames his parents for not giving him enough money or else of focusing onthe fact that he is outlay at least 75$ a week on beer. He also shifts the blame of his failing school on the inability of his profess ors 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). mixer FunctioningDrinking appears to be a sociable activity 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 have lost(p) 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 fraternity that he was keeping. Jay doesnt take heed and loses her through with(predicate) with(predicate) a breakup or else. According to Doweiko, the consum ption of alcoholic drink can interfere with ones social relationships by making preexisting ones worse (2012). This is due to an adverse effect on judgment which causes a lack of control 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 molding of addiction. It is believed to be intimately linked to the medical model (Doweko, 2012). It is proposed that addictions are lettered behavior, poor psychosocial functioning, or the result of maladaptive cerebration (Doiewko, 2012, p. 345), all in which are manifestations of a biological dysfunction. Occupational FunctioningJay W., although obviously an intelligent ridicule (evidenced by his excellent grades in the gifted and quick-witted program), has just flunked out of his first year of college. His hereafter career goals are dwindling because of the forbid choices that he is making. Booze and negati ve social relationships have beseem distractions that steered him off the path of success that he once embarked upon. A repetitive cycle of partying Thursday process Monday and trying to maintain normalcy (crashing is also an option) Tuesday and Wednesday is ongoing. It is practical that he is traveling down the road ofaddiction. Those who are bound 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 raw(a) proclivity 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 occup ational functioning. financial AspectsWhen examining Jay Ws financial condition, it is obvious that he is mismanaging his money. His parents was giving him a 1,000 monthly stipend, and he blew at least $75 per week of it on beer. His extravagant 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 a great deal tends to cause make financial problems worse or either create new ones. Sadly, not only the abuser can suffer financially, but frequently his or her immediate family suffers as well. This usually occurs when fiscal 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 sell others belongings to obtain money so that the habituate habit can be sustained (Doweko, 2012). familial RelationshipsThe medical model of substance use disorders (S UD) 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 (Doweko, 2012). Jay W. has been exposed to alcohol through his father Don who is a neurosurgeon. Jay perhaps see how he was able to get drunk and only go to work and carry on a seemingly normal life. Don was described by his wife Beth as a functional alcoholic, displaying let out drinking patterns and binge drinking when he was not on call. Jays parents seems to be very demonstrative of(predicate) of him though. His father was willing to give up drinking and both he and his wife joined AA along with Jay. Evenwhen he dropped out after 3 months, they continued going to both AA and Al-Anon. It also appears that Jay W. has a genetic predisposition of alcohol abuse/addiction. two Beth and Don have fathers that were alcoholics. Various genes have been identify by researchers and believed to have an influence in predisposing individuals to substance use disorders. Jay W. familial relationship is starting to conk out 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 lawfulness. According to his parents, he totaled his vehicle two weeks after his 16th birthday. This incident caused the police to get involved. Jay inevitably 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 des tined to misconceive the story he finds himself in (Clinton & Hawkins, 2009) he has become infatuated in his behaviors by accusing his parents of overreacting to his license being revoked. Health HistoryJay W. seems to have a sanely clean 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-term problems. almost of the short-term manifestations includes diarrhea, poor coordination and judgment, insomnia, as well as stomach problems (Doweiko, 2012). Some of the long-term problems includes liver problems, cirrhosis of the liver, mental disorders, malnutrition, impotence, among a host of others (Doweiko, 2012). invigorateual HistoryThe spiritual model of addiction assumes that addiction is derived from a sickness of ones spirit th at has possibly manifested in a physical manner. It is mankinds way of inquisitory for something to feel a void and escape disoblige 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 operate in and gain the approval of his peers instead of being a loner. Acceptance and the need to feel poise and included seems to have taken precedent over anything else. Its how he gains his identity. He gets involved with the do by group and starts being influenced by their deviant ways. Now, hes saddened by the fact that his girlfriend has upturned up with him. He has also just flunked out of his first year of college. All of these rock-bottom experiences can easily trigger the addiction cycle. It is characterized by pain, bang bottom, seeking relief, use or do, feeling easily, crashing, cycles back to pain, and then tolerance. It is obvious that Jay W. is starting to undergo this cycle of addiction. Alcohols deceptive illusion 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 risk 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 habit-forming disorder. While evaluating Jay W to get a better diagnostic impression, it is necessary that I use the mental illness Checklist Revised (PCL-R) establish 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(prenominal) as unstable relationships, etc (Hawkins, 2009). The PCL-R Test will take into account a better analysis of root causes of the clients delinquent acts as well as to help identify prevailing risk factors. By identifying these risk factors , intervention strategies can be actual to counteract these risk factors. The following are a list of dynamic risk factors that has been identified and unavoidably addressing problem solving/impulsivitypoor social/family relationships unsociable associates/attitudesalcohol & substance abuseRecommendationsBased on the risk factors identified, the following recommendations have been made for Jay W. line solving/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 breed 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 lordly people). Antisocial associates/attitudesJay W. will have access to a wise man who will confront his antisocial behaviors and attitudes and challenging him to participate in healthy functions and associating with positive people. The mentor will do habitual check-ins with the client and provide one on one time when call for to help him work through his feelings. Alcohol AbuseFrequent alcohol tests will be conducted on the client. If at any point alcohol is prepare in his system, he will be requisite to attend an alcohol rehabilitation program. According to Dr. Hawkins, convalescence is an inside out issue requiring the Holy Spirit (Hawkins, 2009). In order for Jay W to function optimally, his clement will must act in contrive 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 the alignment 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 www.libertyuniversity.edu. 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 www.libertyuniversity.edu May, G. G. (1991). Addiction & grace Love and spirituality in the healing of addictions. New York HarperOne,