Treatment of Substance Use Disorders Essay
Order ID 53563633773 Type Essay Writer Level Masters Style APA Sources/References 4 Perfect Number of Pages to Order 5-10 Pages
Description/Paper Instructions
Treatment of Substance Use Disorders Essay
Treatment, Substance, Use, Disorders, Essay
Post a 300- to 500-word response in which you address the following:
Provide the full dsm-5 diagnosis for the client. Remember, a full diagnosis should include the name of the disorder, icd-10-cm code, specifiers, severity, and the z codes (other conditions that may need clinical attention). Keep in mind a diagnosis covers the most recent 12 months.
Explain the diagnosis by matching the symptoms identified in the case to the specific criteria for the diagnosis. Describe the assessment(s) you would use to validate the client’s diagnosis, clarify missing information, or track her progress.
Summarize how you would explain the diagnosis to the client.
Explain how you would engage the client in treatment, identifying potential cultural considerations related to substance use. Describe your initial recommendations for the client’s treatment and explain why you would recommend mat or abt.
Identify specific resources to which you would refer the client. Explain why you would recommend these resources based on the client’s diagnosis and other identity characteristics (e.g., age, sex, gender, sexual orientation, class, ethnicity, religion, etc.).
Note: you do not need to include an apa reference to the dsm-5 in your response. However, your response should clearly be informed by the dsm-5, demonstrating an understanding of the risks and benefits of treatment to the client. You do need to include an apa reference for the assessment tool and any other resources you use to support your response.
This is a voluntary admission for this 26 year old african-american male. This is brandon’s first psychiatric hospitalization. Brandon has been married for 2 years and has been separated from his husband for the past three months.
He has currently been living with his sister in atlanta, ga., where his husband and son reside. Brandon has a two year degree in nursing. Brandon works as an rn. Religious affiliation is agnostic.
Chief complaint:
“i need to learn to deal with losing my husband and son.”
History of illness:
This admission was precipitated by brandon’s increased depression and agitation which has been steadily increasing over the past year. In the past three months prior to admission, it was unbearable. He identifies a major stressor of his husband and son leaving him three months ago. Brandon reports that in the past three months since separating from his husband, he has experienced sad mood and fearfulness.
Brandon reports his dedication to working out. He has used a cycle of steroids to increase his body mass. During his most ambitious cycle, approximately 1 year ago, he used testosterone cypionate, 600 mg per week; nandrolone decanoate, 400 mg a week; stanozolol (winstrol), 12 mg a day; and oxandrolone (anavar), 10 mg a day.
During each of the cycles brandon has noted euphoria, irritability, and grandiose feelings. These symptoms were most prominent during his most recent cycle, when he felt “invincible.” During this cycle he also noted a decreased need for sleep, racing thoughts, and a tendency to spend excessive amounts of money.
For example, he impulsively purchased a $2,700 stereo system when he realistically could not afford to spend more than $500. He also became uncharacteristically irritable with his husband and on one occasion put his fist through the side window of their car during an argument, an act inconsistent with his normally mild-mannered personality.
Medical history:
Brandon is 69 inches tall and presently weighs 204 pounds, with a body fat of 11 percent. He reports that he began lifting weights at age 17, at which time he weighed 155 pounds. About 2 years after beginning his weight lifting, he
Began taking steroids, which he obtained through a friend at his gymnasium. His first “cycle” of steroids lasted for 9 weeks and involved methandienone (methanabol), 30 mg a day, orally, and testosterone cypionate, 600 mg a week, intramuscularly. During these 9 weeks, he gained 20 pounds of muscle mass. He was so pleased with these results that he took five further cycles of steroids over the course of the next 6 years. Brandon exhibits characteristic features of muscle dysmorphia
Past psychiatric history:
Brandon was seen on an outpatient basis by dr. S for a period of two months prior to admission. He was being seen for individual counseling because of the marital problems. Brandon reported to dr s. That he was using steroids to increase his body mass.
He noted that after the most recent cycle ended, he became mildly depressed for about 2 months. Brandon has used a number of drugs to lose weight in preparation for bodybuilding contests. These include ephedrine, amphetamine, triiodothyronine, and thyroxin. Recently, he has also begun to use the opioid agonist–antagonist nalbuphine intravenously (iv) to treat muscle aches from weight lifting.
He also used oral opioids, such as controlled-release oxycodone (oxycontin), at least once a week. He uses oral opioids sometimes to treat muscle aches, but often simply to get high. He reports that use of nalbuphine and other opioids is widespread among weight lifters.
Family medical and psychiatric history:
Father and grandfather have a history of cardiovascular disease.
Psychosocial and developmental history:
Brandon reports that while growing up his parents maintained a satisfactory relationship. Father reportedly worked nights and slept during the day. Brandon did not have much contact with his father but now enjoys a close relationship with him. He states he has always had his parents support.
During brandon’s school years, he reports he was an underachiever in elementary school. He denies having had a history of discipline problems or hyperactivity. He states he did well in high school and earned grades of a’s and b’s. Brandon played football in hs. After completing high school, brandon furthered his education and earned his license as a registered nurse. He states he graduated at the top of his class from nursing school.
Current family issues and dynamics:
Brandon’s husband reports that brandon’s difficulties began to get worse a few months ago when he decided to move out of the house due to brandon’s increasing erratic behavior. He moved into his parents’ house and brandon is living with his sister.
Husband states that brandon has been suffering from mood swings where he is “very up” and feeling great, firm in his direction and then within the next few hours, he is often out of control, arguing, throwing temper tantrums, pushing and shoving, and becoming verbally abusive.
Husband describes brandon as “extremely depressed” now and says brandon states, “life is over…i wish i was dead…don’t send my son over to visit because i don’t want him to find my dead body…everything i touch turns to garbage.” Husband adds that brandon suffers from poor self-esteem. In terms of strengths, he is a good father, compassionate, creative, and can be an outstanding person.
Brandon has been married for 2 years and has recently been separated for the past three months. Brandon and his husband have one adopted son, age 4. Brandon states he feels invested as a parent and feels close to his son.
Leisure time activities brandon has enjoyed in the past include playing softball, reading, playing poker, and watching football. now his main focus is weightlifting. Brandon states he has several close friends.
Mental status:
Brandon presents as a casually dressed male who appears his stated age of 26. Posture is relaxed. Facial expressions are appropriate to thought content. Motor activity is appropriate. Speech is clear and there is no speech impediments noted. Thoughts are logical and organized.
There is no evidence of delusions or hallucinations. Brandon denies any hallucinations. Brandon denies suicidal or homicidal ideation at the present time. His husband has observed a history of notable mood swings. No manic-like symptoms are observed at the time of this examination.
On formal mental status examination, brandon is found to be oriented to three spheres. Fund of knowledge is appropriate to educational level. Recent and remote memory appear intact. Brandon was able to calculate serial 7’s.
He reports checking his appearance dozens of times a day in mirrors, or when he sees his reflection in a store window or even in the back of a spoon. He becomes anxious if he misses even one day of working out at the gym, and acknowledges that his preoccupation with weight lifting has cost him both social and occupational opportunities.
Although he has a 48-inch chest and 19-inch biceps, he has frequently declined invitations to go to the beach or a swimming pool for fear that he would look too small when seen in a bathing suit. He is anxious because he has lost some weight since the end of his previous cycle of steroids and is eager to resume another cycle in the near future.
Brandon has been married for 2 years and has recently been separated for the past three months. Brandon and his husband have one adopted son, age 4. Brandon states he feels invested as a parent and feels close to his son.
Leisure time activities brandon has enjoyed in the past include playing softball, reading, playing poker, and watching football. now his main focus is weightlifting. Brandon states he has several close friends.
Mental status:
Brandon presents as a casually dressed male who appears his stated age of 26. Posture is relaxed. Facial expressions are appropriate to thought content. Motor activity is appropriate. Speech is clear and there is no speech impediments noted. Thoughts are logical and organized.
There is no evidence of delusions or hallucinations. Brandon denies any hallucinations. Brandon denies suicidal or homicidal ideation at the present time. His husband has observed a history of notable mood swings. No manic-like symptoms are observed at the time of this examination.
On formal mental status examination, brandon is found to be oriented to three spheres. Fund of knowledge is appropriate to educational level. Recent and remote memory appear intact. Brandon was able to calculate serial 7’s.
He reports checking his appearance dozens of times a day in mirrors, or when he sees his reflection in a store window or even in the back of a spoon. He becomes anxious if he misses even one day of working out at the gym, and acknowledges that his preoccupation with weight lifting has cost him both social and occupational opportunities.
Although he has a 48-inch chest and 19-inch biceps, he has frequently declined invitations to go to the beach or a swimming pool for fear that he would look too small when seen in a bathing suit. He is anxious because he has lost some weight since the end of his previous cycle of steroids and is eager to resume another cycle in the near future.
RUBRIC
QUALITY OF RESPONSE NO RESPONSE POOR / UNSATISFACTORY SATISFACTORY GOOD EXCELLENT Content (worth a maximum of 50% of the total points) Zero points: Student failed to submit the final paper. 20 points out of 50: The essay illustrates poor understanding of the relevant material by failing to address or incorrectly addressing the relevant content; failing to identify or inaccurately explaining/defining key concepts/ideas; ignoring or incorrectly explaining key points/claims and the reasoning behind them; and/or incorrectly or inappropriately using terminology; and elements of the response are lacking. 30 points out of 50: The essay illustrates a rudimentary understanding of the relevant material by mentioning but not full explaining the relevant content; identifying some of the key concepts/ideas though failing to fully or accurately explain many of them; using terminology, though sometimes inaccurately or inappropriately; and/or incorporating some key claims/points but failing to explain the reasoning behind them or doing so inaccurately. Elements of the required response may also be lacking. 40 points out of 50: The essay illustrates solid understanding of the relevant material by correctly addressing most of the relevant content; identifying and explaining most of the key concepts/ideas; using correct terminology; explaining the reasoning behind most of the key points/claims; and/or where necessary or useful, substantiating some points with accurate examples. The answer is complete. 50 points: The essay illustrates exemplary understanding of the relevant material by thoroughly and correctly addressing the relevant content; identifying and explaining all of the key concepts/ideas; using correct terminology explaining the reasoning behind key points/claims and substantiating, as necessary/useful, points with several accurate and illuminating examples. No aspects of the required answer are missing. Use of Sources (worth a maximum of 20% of the total points). Zero points: Student failed to include citations and/or references. Or the student failed to submit a final paper. 5 out 20 points: Sources are seldom cited to support statements and/or format of citations are not recognizable as APA 6th Edition format. There are major errors in the formation of the references and citations. And/or there is a major reliance on highly questionable. The Student fails to provide an adequate synthesis of research collected for the paper. 10 out 20 points: References to scholarly sources are occasionally given; many statements seem unsubstantiated. Frequent errors in APA 6th Edition format, leaving the reader confused about the source of the information. There are significant errors of the formation in the references and citations. And/or there is a significant use of highly questionable sources. 15 out 20 points: Credible Scholarly sources are used effectively support claims and are, for the most part, clear and fairly represented. APA 6th Edition is used with only a few minor errors. There are minor errors in reference and/or citations. And/or there is some use of questionable sources. 20 points: Credible scholarly sources are used to give compelling evidence to support claims and are clearly and fairly represented. APA 6th Edition format is used accurately and consistently. The student uses above the maximum required references in the development of the assignment. Grammar (worth maximum of 20% of total points) Zero points: Student failed to submit the final paper. 5 points out of 20: The paper does not communicate ideas/points clearly due to inappropriate use of terminology and vague language; thoughts and sentences are disjointed or incomprehensible; organization lacking; and/or numerous grammatical, spelling/punctuation errors 10 points out 20: The paper is often unclear and difficult to follow due to some inappropriate terminology and/or vague language; ideas may be fragmented, wandering and/or repetitive; poor organization; and/or some grammatical, spelling, punctuation errors 15 points out of 20: The paper is mostly clear as a result of appropriate use of terminology and minimal vagueness; no tangents and no repetition; fairly good organization; almost perfect grammar, spelling, punctuation, and word usage. 20 points: The paper is clear, concise, and a pleasure to read as a result of appropriate and precise use of terminology; total coherence of thoughts and presentation and logical organization; and the essay is error free. Structure of the Paper (worth 10% of total points) Zero points: Student failed to submit the final paper. 3 points out of 10: Student needs to develop better formatting skills. The paper omits significant structural elements required for and APA 6th edition paper. Formatting of the paper has major flaws. The paper does not conform to APA 6th edition requirements whatsoever. 5 points out of 10: Appearance of final paper demonstrates the student’s limited ability to format the paper. There are significant errors in formatting and/or the total omission of major components of an APA 6th edition paper. They can include the omission of the cover page, abstract, and page numbers. Additionally the page has major formatting issues with spacing or paragraph formation. Font size might not conform to size requirements. The student also significantly writes too large or too short of and paper 7 points out of 10: Research paper presents an above-average use of formatting skills. The paper has slight errors within the paper. This can include small errors or omissions with the cover page, abstract, page number, and headers. There could be also slight formatting issues with the document spacing or the font Additionally the paper might slightly exceed or undershoot the specific number of required written pages for the assignment. 10 points: Student provides a high-caliber, formatted paper. This includes an APA 6th edition cover page, abstract, page number, headers and is double spaced in 12’ Times Roman Font. Additionally, the paper conforms to the specific number of required written pages and neither goes over or under the specified length of the paper.
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Treatment of Substance Use Disorders Essay
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