ipl-logo

Dual Diagnosis Case Study

598 Words3 Pages

Dual Diagnosis Dual Diagnoses are important since they encompass more than just one disorder and aid in the individual’s treatment. The use of psychiatric disorders and the understanding of substance dependency is indispensable in diagnostic reliability. This paper will display the complexity of dual diagnosis in the case of Jerome, as well as the specific symptoms that indicate to more than one disorder for Jerome.
Complexity of Dual Diagnosis
Jerome is an African American male, forty-eight years of age, and identified as gay for his sexual orientation. He has a history of being homeless and has been addicted to crack cocaine for the last twenty years. During his interview has stated that he has not used crack for three days. He seems …show more content…

Many times symptoms will also be over looked as a part of the dependency. This confusion is a complexity in dual diagnosis in clients like Jerome who have a mental illness that “seem to be extremely heterogenous in terms of the variety of substances that they abuse and that clinical decisions must be based on a careful examination of each client's diagnosis and specific use of substances”(Polcin,1992).The counselor must be certain in what is a substance abuse symptoms and what is a mental illness symptom, but also how each symptom may impact the other. Another complexity of dual diagnosis seen in the case of Jerome and in low income areas is that “some mental health programs deny access to people with active substance abuse problems, while chemical dependency providers may refuse to treat those taking prescribed psychiatric medications”(Mancuso,1991). This leads many places to not treat dual diagnosis and not treating the total problem. Individuals who do not seek treatment will often end up in jail because of their behavior, instead of getting the treatment they need for their dual

Show More
Related
1036 Words | 5 Pages

He also seemed confident and showed an understanding of the seriousness of his medical problem. While the social worker can empathize with the client and has noticed some similarities in their backgrounds and life experiences, the client showed poor judgment in drinking and using alcohol to lower his stress. The counselor does not believe that counter-transference issues developed during the assessment. Patrick is a sixty-eight-year-old single, male.

Read More
1544 Words | 7 Pages

Abstract Observation in the case of Bryon has been occurring over the last 26 months. Observation has occurred in the context of Bryon and a licensed counselor. Bryon appears to be physically, emotionally, and mentally in less than favorable health, and reports poor decision making skills, low self-image, as well as prior and current addiction to drugs, alcohol, and sex. He has failed to thrive in many of the areas that most adults find success and reports that although he feels he battles with obsessive compulsive disorder, he also finds himself suffering from hoarding symptoms.

Read More
787 Words | 4 Pages

(Vitacco 2). Patients that are still dependent on any substance whether it be prescription or not are not subject to receiving conditional release and must stay in hospitalization until he or she is independent from the substance. In a study completed by Anthony Jorm and K.M. Griffiths they determined that the biomedical conceptualizations are not the major cause of stigma. The cause of stigma was determined to be defined by the behavior associated with the mental illness and the belief of personal

Read More
631 Words | 3 Pages

During those two years K was sober. Clinical Impressions Including Mental Status Assessment

Read More
757 Words | 4 Pages

He describes feelings of frustration, restlessness, and agitation. He is concerned about his future love life, and going through a big life change. Robbie J has positive behaviors and aspects that will be helpful in his treatment such as equipped to take responsibility for himself, he is sociable, and have family support. Given Robbie J problems with drinking, lack of motivation, and physical injuries, long term rehabilitation, join an Alcoholics Anonymous group, and continue family counseling is suggested.

Read More
2165 Words | 9 Pages

Besides just not being able to administer help to a vast majority of addicted people, nearly the totality of patients, substance abuse treatment in psychiatric institutions has historically been unhelpful for those who receive it. This unhelpful nature, once again, is due to the fact that patients do not trust those who care for them, as explained. However, this also changes when care institutions adopt organized care policies, as many of these institutions did see tangible and beneficial change to those incarcerated. This is due to the fact that the care was removed from the concept of policing and jailing, and instead sought to pair the concept of care with rehabilitation and community (Levenson & Samra, 2023). This brings the discussion back to Rigo’s father.

Read More
920 Words | 4 Pages

Addiction has been found to be multifaceted, and most agree that recovery must focus on the many “underlying” psychological, emotional, physical, spiritual and social issues that cause drug and alcohol abuse. Solomon’s book attempts to present why traditional treatment does not work and to provide resources for alternative methods. Some of the alternatives focus on specific aspects of recovery, while others address numerous factors tailored to fit an individual’s needs. People struggling to succeed in AA or other 12-step programs will find the information in this book

Read More
430 Words | 2 Pages

For the last six years, I have been working in the substance abuse industry in both inpatient and outpatient settings. It would be fair to say that most people that are in need of substance abuse treatment have a co-occurring disorder such as depression, bipolar disorder, schizophrenia, and anxiety. These people are diagnosed by a psychiatrist or medical doctor and are typically given medication to help the patient. However, the problem can be that if a person sees a psychiatrist and is not honest about their substance abuse history the mental diagnosis can be deceiving.

Read More
1125 Words | 5 Pages

Co-occurring disorders are common with most client cases that are presenting with a substance use disorder. Rosa is presenting with a history of several suicide attempts, alcohol use disorder, Post traumatic Stress Disorder (PTSD), and Borderline Personality Disorder (BPD). The client’s most severe symptoms are anger, fear, and shame. It is these symptoms that are complicating her life, causing distress, and self harming behaviors. Additionally, her treatment history is limited since she does not finish her therapy sessions.

Read More
1682 Words | 7 Pages

Yet, access to these services may be restricted, especially for those who are imprisoned. In Lamb's book, several women discuss their difficulty obtaining access to drug abuse treatment while they were in prison. Several said the lack of resources and insufficient support contributed to their ongoing battles with addiction. Increasing access to treatment programs is one way to combat the problem of substance misuse. Many people who are jailed battle addiction, and without the right care, they are prone to relapse.

Read More
613 Words | 3 Pages

In many cases, people receive treatment for one disorder while the other disorder remains untreated. This may occur because both mental and substance use disorders can have biological, psychological, and social components. Other reasons may be inadequate provider training or screening, an

Read More
1159 Words | 5 Pages

Triggers, warning signs, and crisis planning are the components of the process, and require interdisciplinary work from the patient, nurse, doctor, counselor and other support staff. As with every human being, stress is a normal part of life. How we cope with those stressors is the difference between mental illness and mental wellness. With patients with substance-abuse issues, their coping mechanism is their substance of choice. So it is important to identify those stressors early on, identify early warning signs, look for inevitable situations where the patient feels like everything is falling apart, and most of all, prevent them from using.

Read More
435 Words | 2 Pages

Serious Mental Illness (SMI) and Substance Use Disorders (SUD) each involve symptoms that can be rather debilitating. Approximately one half of the individuals diagnosed with a severe mental illness such as schizophrenia or bipolar disorder experience co-occurring substance use issues (Brunette et al., 2008). Individuals with a dual diagnosis of SMI and substance use are particularly vulnerable with complex service needs (Tsai et al., 2009). As a result of the high prevalence and serious consequences of these disorders, there is an increasing need for comprehensive treatment options to simultaneously address both issues.

Read More
1099 Words | 5 Pages

Despite the ambivalence among Missouri judges over the acceptance and sentencing guidelines, mandatory minimum sentences are to be applied (Aruguete & Robinson, 2004). In examining and dissecting Thomas User’s PSI, it is evident that he has failed to manage his substance addiction. • Thomas User was arrested for possession of methamphetamine and Ecstasy. The police report indicates that a police cruiser stopped Thomas User

Read More
2078 Words | 9 Pages

This leads to the question of whether the justice system is doing an adequate job of dealing with drug addiction. Instead of incarcerating people for drug abuse, an alternative is treating victims by rehab and treatment. This paper will exam why treatment is the superior option for

Read More

More about Dual Diagnosis Case Study

Related Topics

Open Document