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Understanding addictions through case study approach

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  1. Introduction
  2. Presenting problems
    1. Alcohol abuse
    2. Drug use
    3. Promiscuity
    4. Depression and suicidal tendencies
    5. Erratic employment patterns
  3. Problem selection for intervention
  4. Intervention/treatment methods
    1. 12-step programs
    2. Five different stages
    3. Treatment methodology based on 'informed eclecticism'
  5. Application of treatment model to Carol's case
    1. Client-focused therapies
    2. Analyzing the past history of Carol
    3. Uses of therapy to Carol
  6. Treatment measures and follow-up
  7. Conclusion
  8. References

Carol has had a history of ?at risk? behaviors including promiscuity, drug and alcohol use, petty theft and relationships with inappropriate individuals. At twenty-four years of age she often uses drugs and alcohol to suppress feelings of depression, inadequacy and isolation and she has considered suicide on a number of occasions. She has managed to avoid jail time because of parental intervention and to date has not become pregnant or suffered any negative health problems due to her promiscuity, however her self-abuse with alcohol and drugs does increase when she is depressed, as do her thoughts of suicide. It is assumed that Carol is suffering from both substance abuse and a mood disorder.

[...] In particular the use of a number of different therapy/intervention program types to create a client- specific program of treatment seems to be more effective in providing positive long-term outcomes (Hettema, Steele & Miller, 2004). References DiClemente, C. C. (2003). Addiction and change: How addictions develop and addicted people recover. New York: Guilford Press. Donovan, D. M., & Marlett, G. A. (Eds.). (2005). Assessment of addictive behaviors (2nd Ed.). New York: Guilford Press. Hester, R. [...]

[...] Tevyaw & Monti, (2004) noted in their study of substance abuse in adolescents that it was difficult to fully appreciate mental health issues whilst the subjects were under the influence of long-term substance abuse. At this point there is no way of knowing how much of Carol's depression, thoughts of suicide and other at risk behaviors are a result of a loss of inhibitions caused through alcohol and drug use, or if they are part of a deeper psychological and/or chemical imbalance problem. [...]

[...] Given that the case notes mention a problem Carol has had with her parents from her early teen years along with the rapid drop of her academic grades in her last year of school after years of scholastic attainment would also suggest a traumatic event or the development of a mental disorder, it is clear that analysis of these historical behaviors would be beneficial as part of the current treatment process proposed in this report. Based on the reasons outlined above I would strongly recommend that Carol attend individual client-focused therapy sessions in the first instance. [...]

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