Caston Case Study Analysis-1.doc

Caston Case Study Analysis-1.doc - CASE STUDY ANALYSIS 1...

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CASE STUDY ANALYSIS 1 Case Study Analysis Sabrina Caston PSYC 620 American Public University Instructor: Dr. Charles Gregory
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CONFLICT RESOLUTION 2 Case Study Analysis: Suzanne Suzanne does not present a simple, straight forward case of substance abuse. While even the most uncomplicated cases require complex assessment and treatment strategies, Suzanne’s case includes multiple complications including a family history of substance abuse, co-occurring psychiatric disorders, multiple substances being used, and pregnancy. There are many factors which must be considered in Suzanne’s assessment and treatment in order to give Susanne the best chance of successful outcomes with regard to her substance use, her psychiatric disorders, and her pregnancy should she decide to decide to keep the child. Suzanne has shared that she has a family history of substance use, as indicated by her father being a “heavy drinker” which may indicate a neurobiological predisposition to developing substance dependence (Mack et al., 2016). This may be a factor in her continued alcohol use. Another historical factor which may be contributing to Suzanne’s current substance use disorder is that her father left the family when she was ten years old. According to Felitti et al. (1998) as well as the Center for Disease Control (CDC) (2014) childhood experiences of abuse and neglect have a profound effect on one’s health and well-being later in life. From the brief description of Suzanne’s childhood, it can be determined that her father’s heavy drinking and later abandonment would increase Suzanne’s likelihood of developing her own substance use and psychiatric disorders (Brockie et al., 2015; Dube et al., 2003). Suzanne is only twenty-two years of age. She reports she began drinking and smoking marijuana at the age of fourteen. Briones, Wilcox, Mateus, and Boudjenah (2006) found that individuals who have substance use problems in adolescence have a higher risk of having substance use disorders in adulthood. As demonstrated by Suzanne’s illicit use of alcohol and marijuana as early as fourteen, it is clear that she is at an increased risk of developing substance use disorders.
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CONFLICT RESOLUTION 3 Several other historical factors that may relevant to understanding Suzanne’s current circumstances include that Suzanne dropped out of high school at sixteen years old. Suzanne may not have access to education concerning the health risks of substance use, pregnancy, and her lack of education may impact the type of work she has been able to get. Considering her work is illegal and poses significant health and safety risks, one of the first goals were Suzanne to decide to enter treatment would be to address her job skills. Her current job is connected to her drug use in that she uses alcohol and heroin to help calm her “nerves” and “get her through the night.” It is unlikely that she will be able to decrease her drug use while continuing this line of work. It is
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