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Essay on alcohol abuse case study
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Case Formulation 1. Client Name Jody Rohmer 2. Age 52 years old 3. Ethnicity Unknown 4. Occupation Salesperson 5. Educational attainment Possible High School/Not specified 6. Presenting Problem(s) Jody was born biologically with male genitals and he was brought up as a boy. Unlike his more gender-typical older brother, Jody’s childhood behavior was considered “sissy”. Jody genetically preferred the company of girls compared to boys during childhood. Jody considered herself a bisexual male until the age of 19. At 19 years of age, she became involved with a man, and her identity would be transgender, meaning that Jody was unhappy with her gender of birth and seeks a change from male to female. It would seem that there was some late-onset dissatisfaction, and late-onset is linked to attraction to women; in comparison to early childhood-onset, which are attracted to men. Jody identified herself as bisexual. The relationship with the man ended; nevertheless, Jody’s desire to become a woman consumed her, and Jody feels that’s he was born in the …show more content…
A problematic pattern of alcohol use leading to clinically significant impairment or distress, as manifested by at least two of the following, occurring within a 12-month period: 1. Alcohol is often taken in larger amounts or over a longer period than was intended. 2. There is a persistent desire or unsuccessful efforts to cut down or control alcohol use. 3. A great deal of time is spent in activities necessary to obtain alcohol, use alcohol, or recover from its effects. 4. Craving, or a strong desire or urge to use alcohol. 5. Recurrent alcohol use resulting in a failure to fulfill major role obligations at work, school, or home. 6. Continued alcohol use despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of alcohol. 7. Important social, occupational, or recreational activities are given up or reduced because of alcohol
Our case study begins with a story of a young woman, Karen, in high school. She drinks to make herself more outgoing, performing to make more friends. She drank often during that time with friends. Later in life, adulthood revolved around drinking with her husband and friends. Alcohol continued to be a personality enhancement making it easier to party with friends and even clients or customers. It was not uncommon to drink on the job since her drinking gave her the confidence to engage with customers or clients. In her opinion, life was great. That is until her boss noticed a potential problem and confronted her about it.
Some people only drink on the weekend, or just not at work. Some people attempt to hide their alcohol abuse while others demand company, or anything in between these various elements. Alcohol abuse or addiction is defined as an individual who a) needs to use alcohol every day to function, b) makes attempts to limit use to specific time with periods of sobriety between incidents of heavy drinking, c) have “binges” of continuous use for long periods of time interspersed with the aforementioned periods of abstinence, d) use in excess of the medical and social norms (Doweiko, 2015). To be diagnosed with an AUD requires the individual to meet 2 of eleven criteria laid out by the DSM-5 within a year, then severity is assessed on the basis of how many criteria are met (NIMH, n.d.). Severity is assessed as mild meeting 2-3 criteria, moderate meeting 4 to 5, and severe meaning meeting 6 or more criteria. These eleven criteria include factors such as having drank longer than intended, reduced interest in activities, increased risk behavior, and other factors that look at how drinking has affected you socially (NIAA,
"NIH Study Finds Chronic Alcohol Use Shifts Brain's Control of Behavior." NIH News Release. 22 Aug. 2013: n.p. SIRS Government Reporter. Web. 19 Mar. 2014.
Generally speaking, the Diagnostic and Statistical Manual of Mental Disorders (DSM) references substance dependence (in this case, alcohol) as a cluster of cognitive, behavioral, and physiological symptoms that shows that the person is continuing use of the substance even with adverse effects on the individual’s life. Specifically, for a person to be diagnosed with substance dependence they must show at least three of the following symptoms; tolerance, withdrawal, substance being taken in larger amounts of over a longer period of time than intended, an unsuccessful desire or effort to control the use of the substance, there is a great deal of time devoted to the drug, important social, occupational, or recreational activities are given up or reduced due to the substance, and the individual continues use of the substance even with the knowledge that the substance is causing physical or psychological problems (APA, 2000).
Lily, Henrietta M. and Harmon, Daniel E. Alcohol Abuse and Binge Drinking. New York: the Rosen Publishing Group Inc., 2012. Print.
A clinician test given to suspected alcoholics or taken personally is called the Diagnostic Interview Schedule (DIS). The test given to check for pathological alcohol abuse is known as Criterion A for alcohol abuse. Requirements for this test include: wanting to stop drinking but could not, drinking 20 or more drinks in 1 day, having blackouts while drinking, going on two or more binges, continuing to drink with a serious health problem, or making rules to control drinking habits. (Fleming)
Substance abuse remains a prominent issue affecting men, women and adolescences young as “age 11.” (William 2014) Substance abuse is an “excessive use of a potentially addictive substance, especially one that may modify body functions, such as alcohol and drugs. Also called chemical abuse.” (Houghton 2011) In the case of 17- year old Mr. Favel, he models the behavioral theory, which is based through conditioning with the interaction in the environment. Based on the environmental stimuli will shape our behaviors to certain situations.
child abuse, failing families, crime, and bad work ethic. It was thought that banning alcohol
Frey and Schonbeck explain that it is estimated that over 76 million people worldwide are affected by alcohol abuse or dependence. The chance of having an alcoholic in one’s life is very high. Children that grow up in an environment with an alcoholic may increase that child’s chance of becoming an alcoholic themselves. In the United States, the most commonly abused drug among youth is alcohol. Even though the legal drinking age is 21, nearly 20% of all alcohol consumed in the United States is by people under the legal age (83). In fact, when youth start drinking at social events in their teenage years, they are greatly increasing their risk of developing alcohol problems (85). Alcoholism can affect people of all ages. Furthermore, some experts try to differentiate between alcoholics and social drinkers. Typically, they base this off of five categories. Social drinkers do not drink alone. They consume minimal amounts of alcohol during social functions. Situational drinkers may not ever drink unless they are stressed out. These drinkers are more likely to drink by themselves. Problem drinkers can be described as a drinker that alcohol has caused problems in their life. However, they usually respond to advice given by others. Binge drinkers are out of control in their alcohol consumption. They may drink until they pass out or worse. Alcoholic drinkers have found that their lives have become unmanageable and that they are completely powerless over alcohol (84). Alcoholics should be cautious of their surroundings to prevent
Patterns of Drinking to Burden of Disease: An Overview,” Addiction Research Institute, May 8, 2003, 1209-1228.
... the alcoholic of responsibility for their problem. Labeling an alcohol problem as a disease is perhaps as stigmatising as the problem itself and could have the effect of dissuading many problem drinkers from seeking help. It focuses mainly on those whose drinking has become excessive and is thus restrictive. The Classical Disease Model may appear convenient for alcoholics who want to deny they have a problem, yet it is likely to do more harm to the individual and the community than good, therefore it is clear to see why, in the 21st Century, the Classical Disease Model is viewed as entirely inadequate.
Research shows that 17.6 million people are suffering from alcohol abuse. According to the article “Facts about Alcohol”, it states that 88,000 people has died from excessive alcohol use and that alcoholism is the 3rd leading lifestyle related cause of death in the nation. Many people can debate on what excessive drinking truly is. Some may say having two to three drinks on a daily bases is excessive and then you have people that argue and say having a drink every day is excessive. Doctors and phycologist often say that excessive drinking goes to the purpose of why the person is drinking and often ask is the drink a want or a need. If the person answers as if they need the drink or drinks then they would classify those individual’s as excessive drinkers and that they are experiencing substance
Alcoholism is defined as a pattern of drinking in which harmful consequences result for the drinker, yet, they continue to drink. There are two types of drinkers. The first type, the casual or social drinker, drinks because they want to. They drink with a friend or with a group for pleasure and only on occasion. The other type, the compulsive drinker, drinks because they have to, despite the adverse effects that drinking has on their lives.
According to the article The Deadly Drinking Mistakes Smart Girls Make by Nicole Blades, there are several risks an individual runs when consuming alcohol. For instance, if someone is not a frequent drinker or are a light drinker, they could be at an even greater risk of alcohol poisoning than the average consumer because they either don’t know their limits or are not able to tolerate alcohol in high doses. Genes, gender, and weight are all factors that affect how quickly your body processes alcohol and for most beginning drinkers, they are unaware of how much their body can handle. They also generally tend to misinterpret the signs of when enough drinks are enough due to their inexperience’s, causing for greater risk of alcohol poisoning. Drinking alcohol without time in between can also be deadly because your body doesn’t have enough time to metabolize the alcohol, causing it to circulate throughout your body at a rapid pace. This can lead to “loss of inhibitions and euphoria, followed by ...
Alcohol abuse is when you use alcohol too much or too often. You may use alcohol to make yourself feel happier or to reduce stress.