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T4- Family History Project Part II.docx - FAMILY HISTORY...

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FAMILY HISTORY PROJECT Part II1Family History Project: Part IIGrand Canyon University PCN 531Christine FlahertyJanuary 13, 2021
FAMILY HISTORY PROJECT Part II2Family History Project: Part IIIntroductionWhile working with my friend, Kathy, and her family, I was able to understand her familydynamic interactions and how they have affected her today. Inside the nuclear family, Kathy andher family suffer from mental health problems, substance abuse issues, and physical abuse. Ihave been able to determine the family’s harm and commitment of change. While interviewingKathy I saw a great shift in her attitude and determination to 'break the cycle' of dysfunction.Substance Use History & Mental HealthKathy has reported an extensive history of substance use, and possible mental healthdisorders. She reports her first use of alcohol at age 13, and that by the time she was 18 years oldshe was a daily drinker. Kathy reports that her addiction progressed into daily Oxycontin use bythe age of 19 and then began using Percocet and eventually began using Methamphetamines tocope with the stresses of life. It was around this time that she found out she was pregnant by herboyfriend who also was addicted to alcohol and drugs. He passed away that year due to hissubstance abuse issues and Kathy raised her son, David, as a single mother until she met her 2ndhusband, Charlie, and had another child, Ava. Charlie was a heavy drinker, and the relationshipwas turbulent and physical violence was involved, until they finally separated. According toKathy, they are currently in a custody battle over their daughter, Ava, which was her initialreason for seeking help for her mental health and substance use disorders.Kathy reports a need for further mental health services and is currently being referred toa different mental health group to assess the possibility of a co-occurring disorder or comorbidity(Reiter, 2015). She has confirmed a prior partial diagnosis of bipolar and generalized anxietydisorder, but she has never been treated long enough to stabilize on the correct medication. Kathy
FAMILY HISTORY PROJECT Part II3has been in recovery from alcohol and methamphetamine for the last year. According to Kathyher maternal grandfather suffered from an undiagnosed manic bipolar disorder and her motherwere diagnosed with depression and anxiety in her early 40s. Also, the interviewee is aware ofsevere alcoholism and drug addiction problems on both her father’s and mother’s side of thefamily. As she is trying to learn new skills to avoid relapse, Kathy is currently in the maintenancestage of change (SAMHSA, 2015).Family Themes or PatternsOn Kathy’s paternal side there is a generational pattern, and possible geneticpredisposition of alcoholism. Her grandfather, grandmother, and her father died at a young agedue to complications with alcoholism. This disease has spread throughout her family, affectingtwo out of three of the interviewee’s aunts and uncles. On Kathy’s maternal side there is a

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