Patient Relapse Case Study

D-The patient immediately informed this writer that she messed up. When asked about what happen, she says, " Charlene, I relapsed because I couldn't take it anymore." The patient was tearful as she explained about the ongoing issue with her son education as her youngest child has been held back twice in the 7th grade and feels embarrassed. This writer validated patient's feeling, but also focused on the patient relapse. This writer proceeded to discuss alternatives for her use and addressing her son's academics.Based on the suggestions made, the patient was a lot calmer and appreciative addressing some ideas. This writer informed the patient to think about the consequences of her use as she detailed that her son does not know anything about her use and asked the patient about what would have happened if he was found out that his mother is a drug user or if her husband decides to leave her for her ongoing use. The patient began to cry and this writer says, " Charisse, my job is not to make you cry and feel shame. I want to empower you to the point that you would stop using. When you are going through tough times, you have to face reality rather than escaping it with drugs as it is only a brief relief, than what." This writer held the patient's hand and continues to provide her with encouragement. The patient then embraced this writer with a hug and says, " Charlene, you are the best. I really need that."

Please note, the patient enjoys attending the cocaine group as she finds it beneficial.

This writer strongly advised the patient to use the tools taught in group.

A-Based on this writer's assessment, the patient appears to be alert and oriented. There was no evidence of SI/HI.

P-The patient will continue to comply with the program policy and her next scheduled appointment is scheduled on 03/28/2016 at

7:30am.