substance abuse case study
Excerpt via Case Study:
Substance Abuse Example: Multi-Axial Prognosis
Substance Abuse
Drug abuse Case Study: DSM-V-TR Multi-Axial System Diagnosis
Drug abuse Case Study: DSM-V-TR Multi-Axial Program Diagnosis
Approach (A. T. ) is obviously in enough distress that his family felt the necessity to drag him, kicking and screaming, for the emergency room. Inspite of having a regular appetite, concentration, energy levels, interest, and sleeping patterns, the alcohol abuse, profound despondency, and acute relatives concern suggest that this behavior is abnormal intended for Al as well as the family overall. This type of behavior would become abnormal for the general public, consequently a multi-axial system medical diagnosis is warranted.
Axis We: 305. 00 alcohol abuse; 309. 28 adjustment disorder with mixed stress and frustrated mood, severe; 309. twenty-one separation anxiety disorder
Axis II: 317 mild mental retardation
Axis 3: none
Axis IV: marital difficulties
Axis V: GAF = 55, current.
Axis I
The moment Al was brought to the emergency department (ED) for evaluation, this individual smelled of alcohol and appeared drunk. The wife’s report that Al have been drinking more heavily simply because they began to include marriage challenges, together with the DRUNK DRIVING, was deemed sufficient to diagnose Al with abusive drinking (305. 00).
The Axis I adjustment disorder (309. 28) prognosis is based partly on the Axis II associated with mild mental retardation. Even though the DSM advises that a diagnosis of adjustment disorder not be given when the criteria are attained by an axis II diagnosis, the description of mild mental retardation is sufficiently obscure to justify further decoration on the symptoms. Al’s depressive and troubled symptoms produced within three months of the start marriage difficulties, the main stressor, which satisfies one of the analysis criteria. Additionally , the stress factor is being blamed as the reason for abusive drinking and 3 consecutive times of tearful hopelessness. Based on these symptoms, Ing seems to be possessing a difficult time adjusting to the reality that his marriage is in trouble.
Al could be experiencing the beginnings of any major depressive disorder, solitary episode, but is not enough information is definitely provided inside the vignette to ascertain whether ‘s meets the necessary diagnostic standards. Al experienced experienced 3 days of dramatic hopelessness regarding his relationship before delivering in the IMPOTENCE, but the simply mood-related record provided by the family is that Al had been increasing the quantity of alcohol consumed during the earlier two months. Considering that the diagnostic requirements for a major depressive disorder, single episode, requires the symptoms to become present no less than two weeks Ing does not meet the criteria for this prognosis. In addition , Al’s appetite, focus, interest, energy level, and sleeping patterns are reportedly typical, which is sporadic with a depressive episode. If this sounds a depressive episode, it is extremely likely that it was precipitated in part by Al’s alcohol consumption; however , the degree of contribution that liquor is producing to the mood change cannot be established right up until Al provides stopped ingesting. The quite recent onset of these kinds of symptoms rules out dysthymia and the symptoms do not meet the criteria for anxiety disorders.
The Axis I associated with separation panic attacks (309. 21) is also presented to help illustrate the symptoms Al offered upon introduction in the ED. Even though Approach fails to satisfy the age conditions of 18 or young, if he is suffering from slight mental retardation then at age 20 he’d probably be early childhood under 18 years of age. A diagnosis of splitting up anxiety disorder is given when extreme anxiety is usually produced in concern of, or right after, separation via a place or person. A significant impairment in daily activities is another criterion that must be met just for this diagnosis. A person with mild mental retardation would be predicted to possess a hard time
