Counseling for the Client Various

¶ … Counseling for the Client Various Issues in the Case Study Were Listed in the Order of Their Significance;

The patient experiences feelings of depression and anxiety with no reports of suicidal thoughts or panic attacks

Family history indicates no mood, anxiety or substance associated problems for the patient's parents, although the mother had recuperated from tobacco addiction. However; the patient's paternal grandparents suffered from anxiety plus depression. In addition, the patient's uncle had an alcoholism problem

The patient does not exhibit any eating or sleeping problems, no signs of agoraphobia, cognitive shortfalls or leaning impairments

The patients abuses alcohol, marijuana and smokes on a regular basis

The frequency of drug and alcohol use is increasing with the extension to weekdays when alone in school

The patient experimented other drugs such as cocaine and LSD

Sometimes the patient skips classes after abusing alcohol and marijuana

VIII. The patient admits that her use of alcohol and cannabis has affected association with parents, however, she is willing to keep on using cannabis if, there is a way she can do it without being arrested. She is not sure of the influences of marijuana on her life.

Diagnostic Impressions

According to DSMIV-TR substance use plus substance induced disorders are evident from the case study. The client has an alcohol dependence disorder. This is because the client experiences at least three of the signs indicated in the DSM-IV criteria for alcohol dependence. For example, the client has indicated no efforts of reducing consumption of alcohol. It is evident that the client skipped significant social and occupational events as a result of alcohol consumption (Dziegielewski, 2010). The client has continued to consume alcohol although she knows that her actions have negatively affected the relationship with her parents. In addition, the client has shown increases in alcohol consumption for the purpose of attaining intoxication.

Canabis dependence

The client symptoms conform to those in DSMIV-TR criteria for cannabis dependence. The client's use of marijuana has resulted to legal problems. The use of marijuana by the client has affected performance in school, and family relationship. The client experiences physical and psychological issues related to consumption of marijuana (Dziegielewski, 2010).

Substance induced disorders

The client experiences some instances of depression and anxiety. This condition emanates from the effects of alcohol and marijuana. The client has both alcohol and cannabis dependence which is characteristic of substance induced disorders (Sadock, et al., 2008). In addition, the client's social life has deteriorated because drugs are vital to her than school and parents.

Nicotine dependence

It is evident that the client smokes one pack of cigarette every day, a condition which commenced at 16 years of age. The fact that the patient uses a full pack each day suggests signs of tolerance. The patient encounters withdrawal signs such as mood changes and anxiety. The patient does not show efforts of regulating or reducing the use of cigarette. Despite knowledge on the effects of the drug, the patient continues to use the drugs (Dziegielewski, 2010).

Treatment Recommendations

1. The councilor should involve the patient's parents in treatment sections in order to motivate or influence the patient's perception of the treatment

2 the best method for treatment in this case is behavior modification approach; in this case, the patient should be educated on the consequences of drug use. The patient should receive rewards if she managed to modify her drug use behavior for a specific period.

3. To help the patient avoid drugs, she should avoid areas in which there is easy access of drugs and alcohol. Mostly, the company she keeps might influence her drug use behavior. An environmental limitation would work because of the lack of easy access to drugs and alcohol.

4. In the case of alcohol dependence pharmacological approach can help the patient reduce or stop consuming alcohol. Drugs such as Disulfiram can help the patient stop drinking. Disulfirum causes a stomachache when one uses alcohol; thus one is discouraged from taking alcohol.