Objective: Discuss the factors and complications of alcohol disorder, intoxication, and withdrawal.
According to Timko, DeDenedetti, Moos, and Moos (2006), “a significant percentage of drinkers do not limit themselves to rare or occasional alcohol ingestion, which places them at increased risk for premature death from a variety of alcohol-related conditions.” Therefore prospective counselors must learn to identify the signs and implications of prolonged alcohol use and abuse.
Read Chapter 5 in your Doweiko textbook to better understand chronic use and abuse of alcohol.
In this activity you will practice the skill of formulating a clinical framework of clients through the use of case studies.
Case Studies: All case studies used in this course are fictional. Any resemblance to persons, living or deceased, are coincidental. The scenarios vary in complexity. To complete the activity, do the following:
Download and read the document titled Case Study 1, Week 2.
Write a two-page reaction response.
Assess the case for signs and implications that lead you to believe that there is chronic alcohol use present.
Note any issues that you the counselor believe may also need to be addressed, or may impact/compound the treatment of the person’s substance use.
For any issue not within the scope of your practice, list possible recommendations.
Note any potential ethical problems in treating this person.
Note any biblical or Christian worldview implications you identify with the case and what a Christian worldview response might be to that problem.
Case Study 1, Week 2
Karen (*Case Study adapted from: addictionpro.com article by Carlo DiClemente, Ph.D.)
Karen is a 37-year-old woman who started drinking regularly in high school. There is a family history of alcoholism, and Karen's paternal grandfather was killed when he fell off a ladder, which her family believes was likely because of his drinking. Karen's adult life revolved around drinking, as her husband, his family, and several of their friends also drank heavily. For Karen alcohol was “performance-enhancing” because she was usually shy, and alcohol allowed her to socialize better, a trait that helped her work in sales. Her ability to drink large amounts—a 12-pack of beer a night, or three to four bottles of wine, or beer plus six to seven mixed drinks—became almost a “source of pride.”
About four years ago Karen's employer suspected she had a drinking problem, and voiced concern to her. Subsequently, Karen tried to stop drinking on her own but became very sick. She returned to drinking but was embarrassed, as indicated by her special efforts to “get rid of the evidence” of her drinking. She passed out one night and left her dog outside, and in the morning yelled in frustration at her dog for being outside all night. Karen felt she had hit bottom.
Karen had become so tolerant of alcohol that when she drove to the treatment center the day after a night of heavy drinking, her blood alcohol level was 0.4%. She underwent detoxification and wants to begin outpatient counseling. Karen also reports having difficulty controlling alcohol cravings that are triggered by her environment. Certain cues, such as the sound of a popping bottle or beer can, smells, and associations of alcohol with certain meals and daily activities, are all positively associated with alcohol. Hearing stories of alcohol even stimulate her cravings.
0 comments:
Post a Comment