Bilisoly_Elizabeth_CaseStudy3_Week 8.docx

Boyle does not qualify for an alcohol use disorder

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Mr. Boyle does not qualify for an Alcohol Use Disorder due to meeting only Criteria 1 and 2. He admits to drinking more alcohol than he anticipated as well as being unsuccessful in limiting the alcohol and/or eliminating alcohol. No reports to meet the additional criteria is offered and more interviewing and information would be required to make AUD an additional diagnosis although an AUD is of high interest and expected. Different diagnoses looked at include schizophrenia due to the paranoia. However, Mr. Boyle does not meet the criteria for schizophrenia due to the absence of delusions, hallucinations and psychotic symptoms (DSM-5, 2013). Absence of psychotic features such as delusions and hallucinations voids the spectrum of the schizo-related disorders. Generalized Anxiety Disorder was also reviewed. However, of the six symptoms listed, Mr. Boyle only qualifies for 4 which is irritable (DSM-5, 2013). Lastly, Major Depressive Disorder was examined. No significant weight loss, long periods of depression, psychomotor agitation is noted in the report. The only
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CASE STUDY -3 5 qualifier reported is Mr. Boyle’s loss of interest eliminating this disorder as a possibility (DSM-5, 2103). Treatment Recommendations Treatment for Mr. Boyle begin with a biopsychosocial and spiritual inventory. A full biological evaluation including gathering information of a past medical history, any medications, allergies, previous psychiatric history, any history of substance abuse, a family history, a physical and neurological exam, diagnostic studies and a mental status examination should be gathered (Campbell & Rohrbaugh, 2006). These key pieces of information will assist in formulating a match of symptoms to the etiology of Mr. Boyle’s personality disorder. Next, a psychological evaluation using an interview with Mr. Boyle and asking him questions such as, “What was it like for you growing up?” “Is there anyone you have tried to be like?” “How have you gotten along with other people?” “How do you typically respond to problems or frustration in your life?” Obtaining answer to these questions and many more will assist in providing a story to reveal how Mr. Boyle could have developed some psychological vulnerabilities, how Mr. Boyle feels as a result of the stresses he faces and examine his current coping skills (Campbell & Rohrbaugh, 2006). Focusing on themes such as trust, self-esteem and control provides a foundation on how to begin helping Mr. Boyle and collaboratively developing a treatment plan.
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