tag:blogger.com,1999:blog-470356997206707377.post8988914940580856012..comments2023-06-03T09:15:33.925-07:00Comments on Memoirs of Mental Health and Madness: DRY by Augusten Burroughs: Case StudyJacqueline Corcoranhttp://www.blogger.com/profile/04000467924865766681noreply@blogger.comBlogger7125tag:blogger.com,1999:blog-470356997206707377.post-36815058835592023572010-11-05T12:08:46.000-07:002010-11-05T12:08:46.000-07:004. The following are strengths based assessment te...4. The following are strengths based assessment techniques. <br><br>Exception Finding helps the client focus on the resources they have used that have been helpful.<br><br>After you attended Proud you were able to refrain from the substance abuse. What did you learn or do in Proud that made staying away from the substance abuse a little easier?<br><br>What did you find most helpful/least helpful about going to Proud? What did the therapist do that was helpful/not helpful for you? In what way does this make a difference to you? <br><br>What qualities about yourself do you feel were most helpful/least helpful for you to refrain from the substance abuse? <br><br>What is different about the times you are able to/not able to refrain from the substance abuse and the times you are able to overcome/not overcome it? <br><br>Developing a future without the problem helps the client begin to see themselves without the problem in the future and think of what that will be like.<br><br>When you emerge out of this problem and the withdrawal has passed, visualize what this will look like to you. What will you do and say? Who else will be there? What will they do and say? How did you succeed in moving past this? How did you make this happen?<br><br>Envision what maintaining recovery will feel like to you? What does it bring you? How will you benefit and grow?<br><br>Building Motivation reduces defensiveness and ambivalence to change.<br><br>Think about the substance abuse. How did the substance abuse work for you? In what ways did the substance abuse not work for you?Kerinoreply@blogger.comtag:blogger.com,1999:blog-470356997206707377.post-58984785733887823932010-11-07T17:28:38.000-08:002010-11-07T17:28:38.000-08:00Prior to his admission to rehab.Axis 1: 303.90 Alc...Prior to his admission to rehab.<br><br>Axis 1: 303.90 Alcohol Dependence with physiological dependence<br><br>The author demonstrates high tolerance (1 liter a day of whiskey), long duration of use (begins with intention to drink until midnight but keeps going until bottle is finished), spends to much time on use (drinking to excess every night), reduced work, social or leisure activities (he drinks with his friend every night and his colleagues tell him to go to rehab or lose his job).<br><br>Axis 2: deferred.<br><br>Based on reading the author's other books, he may have a personality disorder. A study of his other works may show him to be manipulative, cruel, seeking admiration, self-destructive.<br><br>Axis 3: Allergy to alcohol<br><br>Axis 4: Economic problems: loss of job may lead to financial problems. Problems with Primary support group: sexual abuse, poor relations with parents, enabling drinking friends, Occupational problems: is ent ot rehab by his employers for smelling of alcohol at work, Social Enviroment: living alone, friend with terminal illness.<br><br>Axis 5: 41. The author is in serious jeopardy of losing his job and of dying as a result of prolonged serious alcohol use.will haydennoreply@blogger.comtag:blogger.com,1999:blog-470356997206707377.post-30848652975799564972010-11-07T12:56:08.000-08:002010-11-07T12:56:08.000-08:00well written, Keri!well written, Keri!Kathynoreply@blogger.comtag:blogger.com,1999:blog-470356997206707377.post-17939480947950435802010-11-07T17:32:59.000-08:002010-11-07T17:32:59.000-08:00I'd also add under Axis 3 that the author deve...I'd also add under Axis 3 that the author developed heart and neurological problems as a result of his drinking.will haydennoreply@blogger.comtag:blogger.com,1999:blog-470356997206707377.post-7117529729367960102010-11-07T18:24:16.000-08:002010-11-07T18:24:16.000-08:00It looks like Will posted the same time as me. I ...It looks like Will posted the same time as me. I would agree that there is an allergy to alcohol for Axis III, which I neglected to include in my original diagnosis.Dallasnoreply@blogger.comtag:blogger.com,1999:blog-470356997206707377.post-4566568572784576912010-11-07T19:10:31.000-08:002010-11-07T19:10:31.000-08:00Onset Risk Factors:Biological - Father was an alco...Onset Risk Factors:<br><br>Biological - Father was an alcoholic<br><br>Psychological - Physical and sexual abuse as a child<br><br>Social - Little formal education, Problems with primary support<br><br>Onset Protective factors:<br><br>Social - Obtained a job despite lack of education. High SES<br><br>Course Risk Factors:<br><br>Social - partner engages in substance use, strained relationship with mother<br><br>Course Protective Factors:<br><br>Social - access to support network (AA), has friends, has support form people at work for recovery.William JInnoreply@blogger.comtag:blogger.com,1999:blog-470356997206707377.post-39591091133613037122010-11-08T05:27:39.000-08:002010-11-08T05:27:39.000-08:00DSM Critique:One criticism I have regarding the DS...DSM Critique:<br><br>One criticism I have regarding the DSM criteria for substance abuse involves the current guidelines that constitute the diagnosis. I think that just because someone does not meet one of the 4 criteria outlined in the DSM, this does not necessarily mean the individual is not abusing a substance.<br><br>For example, if someone is smoking marijuana once per week, but does not technically have any problems outlined in the DSM,there are still consequences to using a substance such as marijuana frequently. Namely, there are long term health affects, such as memory loss and an increased risk for certain cancers.<br><br>Additionally, it can be difficult to distinguish between dependence and abuse, especially when it becomes complicated to prove withdrawal or physiological dependence. One would have to discontinue the substance for a period of time to show withdrawal symptoms.Dallasnoreply@blogger.com