U05a1_Debra_Penney_Assessment_of_Addiction_and_Co-Occurring_Disorders.docx - Running head ASSESSMENT OF ADDICTION AND CO-OCCURING DISORDERS Assessment

U05a1_Debra_Penney_Assessment_of_Addiction_and_Co-Occurring_Disorders.docx

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Running head: ASSESSMENT OF ADDICTION AND CO-OCCURING DISORDERS 1 Assessment of Addiction and Co-Occurring Disorders Debra Penney COUN 5108 Foundations of Addictions and Addictive Behaviors November 09, 2019 Edward Bell, Ph. D.
ASSESSMENT OF ADDICTION AND CO-OCCURING DISORDERS 2 Assessment of Addiction and Co-Occurring Disorders Substance abuse is estimated to affect approximately 25 million Americans (Mental Health American, 2013). Addicts are often viewed as having poor moral character or no will- power. Current research provides us with information that indicates the brain of an addict is affected in ways that make resisting substances highly difficult. Drugs interfere with the brain’s reward center overloading it with dopamine. Dopamine is the body’s “feel good” chemical and because of this interruption of the natural process, the body requires the addict to continue using to try to simulate the same feelings (NIDA, 2018). When dopamine occurs naturally, it can be beneficial to human learning and happiness. However, when the body becomes accustomed to too much dopamine it can wreak havoc on the brain and nervous system. The high incidence of addiction in today’s society create a high likelihood that a counselor will be required to deal with clients that have substance abuse issues. A counselor in any given field may have a client present with a complaint unrelated to substance abuse only to discover that it is the basis of their problems (NIDA, 2014). Therefore, it is extremely important for all counselors to have the ability to recognize and diagnose substance abuse as well as create an effective treatment plan for such a client. This paper is presented to demonstrate the case study of an individual and the skills necessary for a counselor to assess a client with addiction issues. Case Study Client This case study is for a Puerto Rican client (male) named Derek. Derek is 30 and has presented to the local hospital with an injury to his hand. According to accounts, Derek was at a nightclub and was involved in an altercation with another individual (Capella, n.d.). During this altercation, Derek attempted to strike the other individual and missed causing him to hit the wall with the injured hand. During the Emergency Room visit, the attending physician noted that
ASSESSMENT OF ADDICTION AND CO-OCCURING DISORDERS 3 Derek was making some rather grandiose statements and decided to do a full assessment (Capella, n.d.). The physician called to talk to Derek’s partner William while awaiting test results. During the conversation, William confirmed that he discovered a “baggie of white powder” in some of Derek’s things. William also told the physician that he spoke to Derek’s brother, Angel, and that the conversation revealed past methamphetamine abuse by Derek.

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