Therapy for Clients With Co-morbid Addiction Assignment 3
Therapy for Clients With Co-morbid Addiction Assignment 3
At each decision point stop to complete the following:
Which decision did you select?
Why did you select this decision? Support your response with evidence and references to the Learning Resources.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?
Mrs. Maria Perez is a 53 year old Puerto Rican female who presents to your office today due to a rather “embarrassing problem.”
Mrs. Perez admits that she has had “problems” with alcohol since her father died in her late teens. She reports that she has struggled with alcohol since her 20’s and has been involved with Alcoholics Anonymous “on and off” for the past 25 years. She states that for the past two years, she has been having more and more difficulty maintaining her sobriety since they opened the new “Rising Sun” casino near her home. Mrs. Perez states that she and a friend went to visit the new casino during their grand opening at which point she was “hooked.” She states that she gets “such a high” when she is gambling. While gambling, she “enjoys a drink or two” to help calm her during high-stakes games. She states that this often gives way to more drinking and more reckless gambling. She also reports that her cigarette smoking has increased over the past two years and she is concerned about the negative effects of the cigarette smoking on her health.
She states that she attempts to abstain from drinking but that she gets such a “high” from the act of gambling that she needs a few drinks to “even out.” She also notices that when she drinks, she doesn’t smoke “as much” but enjoys smoking when she is playing at the slot machines. She also reports that she has gained weight from drinking so much- she currently weights 122 lbs., which represents a 7 lb. weight gain from her usual 115 lb. weight.
Mrs. Perez is quite concerned today because she has borrowed over $50,000 from her retirement account to pay off her gambling debts. She is very concerned because her husband does not know that she has spent this much money.
MENTAL STATUS EXAM
The client is a 53 year old Puerto Rican female who is alert, oriented to person, place, time, and event. She is dressed appropriately for the weather and time of year. Her speech is clear, coherent, and goal directed. Her eye contact is somewhat avoidant during the clinical interview. As you make eye contact with her, she looks away or looks down. She demonstrates no noteworthy mannerisms, gestures, or tics. Her self-reported mood is “sad.” Affect is appropriate to content of conversation & self-reported mood. She visual or auditory hallucinations, no delusional or paranoid thought processes are readily appreciated. Insight and judgment are grossly intact, however, impulse control is impaired. She is currently denying suicidal or homicidal ideation.
Diagnosis: Gambling disorder, alcohol use disorder
Decision Point One
a) Naltrexone (Vivitrol) injection, 380 mg intramuscularly in the gluteal region every 4 weeks
b) Antabuse (Disulfiram) 250 mg orally daily
c) Campral (Acamprosate) 666 mg orally three times/day
Choose your answer.Please discuss each medication option in detail. Reason
Why did you not select
Decision Point Two
a) Continue current dose of Antabuse and begin Campral (acamprosate) 666 mg orally BID
b) Continue current dose of Antabuse and refer to counseling for ongoing gambling issues
c) Continue current dose of Antabuse and begin Wellbutrin (bupropion) XL 150 mg orally daily Therapy for Clients With Co-morbid Addiction Assignment 3
Decision Point Three
a) Explore the issue that Mrs. Perez is having with her counselor, and encourage her to continue attending the Gamblers Anonymous meetings, and discuss smoking cessation options
b) Mrs. Perez to continue seeing her current counselor as well as continuing with the Gamblers Anonymous group, and discuss smoking cessation options
c) Discontinue disulfiram, and encourage Mrs. Perez to continue seeing her counselor, and to continue participating in the Gamblers Anonymous group. This would also be an appropriate time to discuss smoking cessation options
Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press.
To access the following chapters, click on the Essential Psychopharmacology, 4th ed tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.
· Chapter 14, “Impulsivity, Compulsivity, and Addiction”
Stahl, S. M., & Grady, M. (2012). Stahl’s illustrated substance use and impulsive disorder New York, NY: Cambridge University Press.
To access the following chapter, click on the Illustrated Guides tab and then the Substance Use and Impulsive Disorders tab.
· Chapter 10, “Disorders of Impulsivity and Compulsivity”
Stahl, S. M. (2014b). The prescriber’s guide (5th ed.). New York, NY: Cambridge University Press.
To access information on the following medications, click on The Prescriber’s Guide, 5th ed tab on the Stahl Online website and select the appropriate medication
ORDER NOW FOR CUSTOMIZED, PLAGIARISM-FREE PAPERS
Clients' Reviews about Our Services
Brilliant services. I ordered a 4 page essay and it was delivered in less than 24hours with every detail intact!
Aceassignment is the way to go. The writers are humble and patient with clients. I know this after using the website for about an year
My writer did a brilliant job. Not only did he/she deliver the paper on time, it was superb as my professor granted me an A without any criticism
I was running late with my assignment. I run into smartwrite.com on google, placed my order and within less than 18 hours my page essay was delivered. Thank you Aceassignment.
I've been using Aceassignment for about 2 years. My writer always delivers quality work. Mind you whenever I request for a revision it's always done ASAP and free of charge
At first, I was scared and hesitant about using this website. Didn't know if they would deliver, but they assured me they will. And for sure they did. I will definitely continue to use their service!
Easy to use website. You simply give your essay's instructions, make payment and before you known it the paper is delivered to you.
Unlike other platforms, this website is quite cheap and the quality is high. I have them manage my whole class and everything has been smooth this far.
Thanks for the excellent job. Swift and on the subject, just the way I like it. The Support team was quite nice to me, helped me with the order placing process.
They are a marvel. I love their support team, they are so polite, it’s like speaking to a butler or something. Very pleasant people and good service of course.
Thank you for the help, I took my time and ordered a 14 days long essay. It came much earlier, around 7 days after I ordered it. Oh, and it was good, of course. I like the writer who did that, will definitely use again.
What I received was great. I forgot to mention in the instructions field that I needed reference page and by default, there was 0 in the number of references. I was surprised to see a full-fledged reference page in my paper with relevant citations. Bravo!
I was bombarding him with fine tuning and he handled it professionally. Thank you I will hire again the writer
Provided exceptional essay writing help in a short period of time. I plan to work with writer on many more projects!
Awesome paper in such a short amount of time. Was in a jam with another service who didn't deliver, but my writer did the job correctly. I will use her again to do my essays for sure!
Pretty good essay writer. I only made a couple of adjustments. She caught some instructions for the essay writing assignment that I didn't even notice, including them which was a pleasant surprise. Definitely recommend.
It was a very long paper, but she followed all the instructions, and she even finished the paper 5 days before the due date. Will write an essay with her again, thanks!
Writer was timely and proficient. I had to ask for a revision, but I got it back quickly with no other issues. Would use this essay writing service again.
Paper writing was prepared and submitted prior to the completed request date, and there were changes made quickly after I requested. This paper writer was accurate with numbers.
The first time I ordered here and it was a success. I received my order on time and according to my instructions, the professor gave me. The two points they claim to excel in are true. Thank you!
When I first discovered this website I was hesitant on whether they will deliver a plag free paper. The support team reassured me of their plagiarism policy. In deed they kept their word as the paper I got was authentic and plagiarism free.
Need a Custom paper?
Order Now and get a high quality, unique and plagiarism free paper that will guarantee you amazing results!!