This section presents a description of the patient’s substance use disorder and mental health diagnosis based on the information provided. The patient arrived to the hospital agitated and argumentative. The patient’s breathing was irregular, heart rate rapid, and pupils dilated. Based on the information provided, one cannot conclude cocaine dependence due to inadequate amount of information provided, however, the diagnosis for Cocaine abuse and intoxication can be concluded based on the symptoms. The patient meets the diagnostic criteria for stimulant intoxication; cocaine in this case. In addition, the patient had a previous polysubstance abuse, with no drug predominating, for one year, while using alcohol, marijuana, and speed…
George comes in for treatment. George is an upper middle aged man with support from his wife. George has been having problems for years but either was ashamed of them or did not know where to go. Many people self-diagnose or tell themselves that it is not as bad as they think it is. Or perhaps it will go away in time. Those days turn into months and then years and before you know it you have spent your whole life avoiding certain situations or people and have suffered immensely due to your problems. Ego is perhaps one of the worst enemies of the person. George suffers daily and he has tried for years to drink his mental health problems away but rather than extinguish his mental health issues, he has created a dependence to alcohol. Now it is to the point that he is unable to function in day to day life and is now unable to do anything with his wife. Although his wife appears to be the lead in getting George into therapy, George has a long road ahead of him and it all begins with the assessment and multi-axial diagnosis.…
There are several treatment modalities available for individuals with substance abuse disorder. It’s wonderful that there are so many options to support people with substance abuse issues (SUD). The road to recovery is so long for most people and finding the most suitable treatment program can be greatly beneficial to the client. On the other hand, starting a treatment program that is not the best fit can be very detrimental to the person’s road to recovery. One of the roles of the clinician is to identify with the client which treatment option is best for them. I will highlight what this process looks like and discuss in detail one specific…
-Treatment of Drug Abuse and Addiction — Part III, The Harvard Mental Health Letter, Volume 12, Number 4, October 1995, page 3.…
Center for Substance Abuse Treatment. Brief Interventions and Brief Therapies for Substance Abuse. Rockville (MD): Substance Abuse and Mental Health Services Administration (US); 1999. (Treatment Improvement Protocol (TIP) Series, No. 34) Chapter 8-Brief Family Therapy. Available from: http;//www.ncbi.nlm.nih.gov/books/NBK64953…
Center for Substance Abuse Treatment. Substance Abuse Treatment for Persons with Co-occurring Disorders. Rockville (MD); Substance Abuse and Mental Health Services Administration (US); 2005 (Treatment Improvement Protocol (TIP) Series, No.42.) Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK64182/ Flowers A, Heflinger Craig “Dual Recovery, Self-Help Support, 2014.…
When you or someone you love reach the point of needing help for a mental illness or substance abuse, its time to reach out to recovery centers like those listed below:…
People with alcohol use disorders often have co-occurring psychiatric disorders, but they frequently do not receive specialized substance abuse treatment that addresses both conditions. Although pharmacological and psychosocial treatments for alcohol use disorders and psychiatric disorders can be integrated to help these patients, relatively few clinical studies have tested these types of treatments. As mental health and substance abuse facilities expand their services for patients with dual disorders, further research is needed to guide the treatment of this patient population.…
Center for Substance Abuse Treatment. Substance Abuse Treatment for Persons With Co-Occurring Disorders. Rockville (MD): Substance Abuse and Mental Health Services Administration (US); 2005. (Treatment Improvement Protocol (TIP) Series, No. 42.) 8 A Brief Overview of Specific Mental Disorders and Cross-Cutting Issues. Available from: http://www.ncbi.nlm.nih.gov/books/NBK64204/…
Services, U.D. (2005) states that substance abuse and mental disorders became associated in the late 70’s. Both substance abuse and mental disorder communities realized that the two were associated with not just depression but substance abuse as well. At that time, 50 to 75 percent of clients were reported to have co-occurring mental disorders and co-occurring substance abuse users were between 20 to 50 percent. Researchers have demonstrated that clients with co-occurring substance abuse and mental illness disorders can be beneficial with treatment. Even if the clients have serious mental disorders (Services, U.D., 2005).…
Treatment for this condition is usually provided by mental health professionals with training in substance use disorders. It may involve:…
National Drug Intelligence Center. Drug Abuse and Mental Illness Fast Facts. 1 January 2006. 19 May 2010 .…
According to Arias and Kranzler (2008) an estimated 1.1 percent of the U.S. population has an alcohol use disorder with a co-occurring use disorder (DUD). This type of co-morbidity is sometimes referred to as homotypic comorbidity or dual dependence. According to Doweiko (2012), dual diagnosis clients refer to patients that suffer from a concurrent form of mental illness and an SUD. Co-occurring substance disorders include but are not limited to anorexia, bulimia, gambling, abuse (spousal), compulsive shopping, AIDS, and compulsive sexual behaviors (Doweiko, 2012). People who are active substance abusers or withdrawal from many drugs of abuse can magnify or simulate symptoms of psychiatric disorders. Addiction is common in people with mental health problems. Although substance abuse and mental health disorders like depression and anxiety are closely linked, one does not directly cause the other (Doweiko, 2012).…
Stevens, P. & Smith, R. L. (2013). Substance Abuse Counseling: Theory and Practice, Fifth Edition. United States: Pearson Education Inc. Retrieved From:…
In the past, traditional treatment methods for drug addiction and alcoholism have been characteristically intense and confrontational. They are designed to break down a client’s denial, defenses, and/or resistance to his or her addictive disorders, as they are perceived by the provider. Admissions criteria to substance abuse treatment programs usually require abstinence from all illicit substances. Potential clients are expected to have some awareness of the problems caused by substance abuse and be motivated to receive treatment. In contrast, traditional treatment methods for mental illness have been supportive, benign and non-threatening. They are designed to maintain the client's already-fragile defenses. Clients entering the mental health system are generally not seeking treatment for their substance abuse problems. Frequently clients within the mental health system who actively abuse drugs and alcohol are not formally identified. If they are, they do not admit to such substance use. As some attention began to focus on clients with both substance abuse problems and mental illnesses, it quickly became apparent that new methods and interventions were necessary. Working with dual disorder clients who deny substance abuse, who are unmotivated for substance abuse treatment, and who are unable to tolerate intense confrontation, required a new model, a non-confrontational approach to the engagement and treatment of this special population. I first developed such a treatment model in 1984, with the goal of providing nonjudgmental acceptance of all symptoms and experiences related to both mental illness and substance…