case 6 - Case Studies taken from Co-occurring Disorders Treatment Manual Department of Mental Health Law Policy Louis de la Parte Florida Mental Health

case 6 - Case Studies taken from Co-occurring Disorders...

This preview shows page 1 - 4 out of 9 pages.

Case Studies taken from Co-occurring Disorders Treatment ManualDepartment of Mental Health Law & PolicyLouis de la Parte Florida Mental Health InstituteUniversity of South FloridaCase Story 1Bennie had been feeling depressed for the past two months. He lost his job in construction because he missed too much work from getting drunk and high. When he got a positive urine screen for cocaine at workthat was the final straw and he got fired. After that, he had given up on trying to get another job or doing much of anything. He also began drinking more heavilyand smoking even more crack cocaine, which made his depression seem to get better at first, but each morning he felt worse than ever. He began lying around his apartment all day, sleeping or trying to watch TV, but he couldn’t even concentrate long enough to make it through a video. He just kept getting drunk and high every night and came close to trying to kill himself several times. He thought about death a lot. After abouta month of this behavior, his girlfriend left him. Being alone made him feel more depressed and so he drank and smoked more to try to feel better. It just made him feel more depressed. He also had been having difficulty getting to sleep at night, so he began drinking each night until he passed out. No matter when he passed out, he always woke up early in the morning feeling exhausted. He felt more and more worthless because hewas unemployed and started feeling guilty over how hisbehavior drove his girlfriend away. He lost his appetite for food and rarely ate, and he had lost 20 pounds in the last 2 months alone.Section 1: Choose a specific theoretical approach to treat this client and provide a generaloverview of that theoretical approach. Section 2: Discuss the way in which you will be working with this client:a.Provide the basic assumption of the theoretical approach you plan to use.b.Provide a summary of you initial assessment with this client.c.Provide the goals of therapy with this client.d.Provide the therapeutic procedures, according to your theory of choice, tobe used with this client.
e.Be sure to add the Multicultural issues to be considered with this client.f.Provide some integrative issue that could enhance your chosen therapeutic approach.
Case Story 2Tanya was abused physically and sexually when she was growing up, which caused her to feel depressed and anxious a lot of the time. She experimented with drugs and alcohol to try to feel better. Sometimes this would help for a little while, but she always felt worsewhen she came down from drugs. When she was a teenager, she ran away to get away from the abuse. She had no way to support herself so she ended up exchanging sex for money. She did not like the way this made her feel, but she did not know how else to support herself. People also would pay her with drugs or alcohol, which she would use totry to get rid of her bad feelings. Soon she got hooked on crack and would do anything toget high. Whenever she wasn’t high, she felt very depressed, and this seemed to get worse

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture