Co-Occurring Disorders Case Study

Since about age 16, Mayra has been experiencing sadness, depression feeling of guilt. Mayra grew up in a home where her parents argued frequently. Her father being an alcoholic caused marital problems within her parents. Due to the tension among her parents, as stated prior Mayra felt sadness, depression and feeling of guilt because she couldn’t do anything to fix her parents problems. The feeling and emotions prolonged over into her adulthood and became worse when her father got deported. Mayra states she has been feeling low for about 2 years but there has been time where she feels better. For example one occasion was in July when she was with

On the farm, cruelty and devastation breed. The main source of this infestation is Curley and his wife. In the novel Of Mice and Men by John Steinbeck, Curley and Curley's wife share the traits of selfishness and frustration. These two characters, specifically make life hard for their coworkers. Their violent outbursts and troubled personalities make them the perfect couple. However, for the others, this makes life on the farm substantially harder.

Smith informed staff the reason of herself referral for service is due to her rape incident when she hooked up with a guy she met at the bar where she was going to buy crack. Another reason Client is seeking for service is due to her daughter safety and protecting her daughter from the child’s father. Client report that she began drinking several times a week around the age of 13. She stated she started drinking heavily, when she felt depressed and that is an everyday situation. Jessica drinking became progressively worse over the years and she did not notice it was a problem until after she began using crack. Client informs staff that she does not have a history of drug usage in the past aside from alcohol consumption. Client states that there is no history of substance abuse in his family except her father use of alcohol. Client started using crack around age 28 because she was feeling more depressed and did not have a way to control her depression about from this

In order to formulate an effective treatment plan, I would include all presenting problems and treat them simultaneously. It is important to focus on all areas of Sarah’s life when providing treatment. Sarah already knows she is anxious and depressed, so she may likely have a co-occurring disorder. Furthermore, as a substance abuse counselor I am ethically bound to treat and focus on her alcohol use; therefore, I need to consult and refer to a mental health professional to focus on the anxiety and depression alone.

Girl, Interrupted is a film that portrays many different illnesses, but specifically the experiences of Susanna, the main character, who is a patient at a psychiatric hospital. The multipath model contains the different dimensions portrayed in the film: biological, psychological, social, and sociocultural. Susanna is diagnosed with Borderline Personality Disorder (BPD) and some of the dimensions are applied to this disorder in the film. There is really no biological dimension shown in the film with any of the characters. There might be some genetic factors between Susanna and her parents with BPD, but it is not indicated so. In Susanna’s case, the psychological dimension indicates that she, along with others with BPD, experience feelings of

The Recovery Model is a developed approach in helping patients with mental illness. Before the advent of various Recovery Model, there wasn’t much available to treatment or modalities when it came to helping patients recover from mental disorder, apart from the traditional medical approach. The medical approach was very focused on the treatment of the symptoms exhibited by the mentally ill person, rather than the whole person. Having roots in substance-abuse treatment programs, the Recovery Model, more specifically, the Wellness Recovery Action Plan (WRAP), focuses on healing the patient holistically, educating them the coping skills as well as other techniques to help them deal with everyday stress that

They are unwanted and upsetting, causing severe anxiety or distress. For example: aggression (fears of harming others), contamination (fears of being dirty),and exactness. Separating OCD obsessions from normal obsessions are the frequencies, intensities, and annoyances in doing such habits.Consequently,Compulsions are behaviors that individuals with obsessions display in order to relieve themselves of their anxiety.The compulsive behavior is directly related to the excessive thought. For example, someone who counts their money every hour may have an obsessive fear of losing it. Obsessive-Compulsive Disorder, known as OCD, is very known today in the 21st century. OCD,today, has an estimate range of sufferers from 1% to more than 5% of the total population. Its symptoms are commonly found within a significant percentage of all ages. To get rid of these obsessive thoughts,one often carries out the bahviors,providing only a temporary relief. Not exercising the obsessive habits can cause great anxiety. Mild to severe is what a person’s level of OCD is,but if the level is severe and left untreated, it can destroy a person's capacity to function at work, at school or even at

Substance/medication-induced depressive disorder appears to be related to Mrs. Smith mood disturbance; it has been used for many years as a coping mechanism. Based on the medications that Mrs. Smith has taken prior, this diagnosis best fits her symptoms and treatments. The secondary differential diagnosis is acute stress disorder acute stress disorder is caused by a traumatic event that has occurred in an individual’s life. Mrs. Smith has endured traumatic events in her life and these events occurred when she was a child. Child-abuse, self-mutilating and then eventually substance abuse is what brought me to this

Given Robbie J problems with drinking, lack of motivation, and physical injuries, long term rehabilitation, join an Alcoholics Anonymous group, and continue family counseling is suggested. Robbie J will come back for a follow-up to see if further

Pt is 43 years old AA female who decided to return to OMHC after the program that she attended, Universal Counseling, was closed down. Initial admission to OMHC was around 2012. Pt has been diagnosed with PTSD, Bipolar, and Anxiety Disorder in the past. Her depressive episodes started at the age of 13 and after she was sexually assaulted by distant uncle. She later developed aggressive behavior around late teen and was involved in numerous arrests, starting the age of 18. Pt grew up in violence environment. "I used to watch my father beating up my mother." In 2003, pt was involved with a man, who later became her husband. The relationship was abusive. "He was verbally and emotionally abusive." The instability in the relationship has also led to numerous arrests for both pt and ex-husband. "He got arrested but he always got away with it. I was the one who would usually stay in jail." At times, her husband would change the stories of their verbal and physical altercation, leading to pt being arrested.

D: Client was on time for intake appointment. Together, discussed the assessment recommendation and barriers to successful treatment outcomes. Client reviewed and signed of all treatment admission paperwork, including treatment agreement, ROIs, THS treatment policies, THS alcohol drug Services patient rights, THS patient responsibilities, THS health and safety information, THS counselor disclosure information, patient grievance procedures, THS HIV/AIDS information, THS notice of privacy practices, referral to Quit smoking, and marijuana policy. Treatment plan was developed, which was focused on Dim 4, 5, and 6; focusing on developing readiness to change, identifying relapse potential, and building a strong family and social support system.

Mrs. Jones is a 67 year old female who presented to the ED via LEO under IVC through DayMark Recovery Services. Per documentation Mrs. Jones has been non compliant with medications and has been experiencing symptoms of psychosis. At the time of the assessment Mrs. Jones appears calm and cooperative. She does present with tangential speech and vaguely answers questions. She recently was discharged from Novant health 1/3/17 and followed up with DayMark 1/11/17 with new changes in medications. Per documentation she has not been taking medications, answering the phone when called, not eating, and bathing. Mrs. Jones has a history of non compliance. Mrs. Jones reports denies suicidal ideation, homicidal ideation, and symptoms of psychosis. She reports

While the social worker can empathize with the client and has noticed some similarities in their backgrounds and life experiences, the client showed poor judgment in drinking and using alcohol to lower his stress. The counselor does not believe that counter-transference issues developed during the assessment.

With Margarita having been raised in the States, her Puerto Rican background I believe does not prove a barrier to treatment. The barrier perhaps will lie in the values she will hold that is important to her cultural background. This can also be one of the issues behind her relationship with her husband who might hold different views than herself which could be contributive to her feelings of anger and social anxiety. The pros of CBT in this case is the applicability of 'talk ' in both Hispanic and mainstream American culture. Margarita is responding well and in the many symptoms she exhibits, talk appears to provide her the outlet to reflect and make sense of her behavior which is essential for her to function and cope in the here and

Her medical history shows obvious signs of parasuicidal activity. She has instable interpersonal relationships and affect. She is very impulsive and has an intense fear of abandonment. All of these features have caused great impairment in her daily