Case Study : Patient Case Reports Essay
The phone call came in the afternoon informing me that Marty had died of a heroin overdose. Another person was with her when she injected the heroin but ran off when she crashed. A call to 911 or access to an Opioid Overdose Rescue Kit might have saved her life.
Marty began to abuse drugs in her early teenage years, eventually settling on heroin as her drug of choice. She was just 21-years-old when her parents learned she was abusing heroin (her mother found a used syringe and needle in the basement of their home.) Her parents insisted she enter treatment as a condition of living at home. Marty then joined my outpatient substance abuse treatment program.
Marty was a difficult patient. She was in denial about her addiction and did not believe she needed treatment. She claimed she did not even like heroin, but could not explain why she continued to use it. She would not go to Narcotics Anonymous, return to school, or find work. She continued to associate with other drug abusers. There were occasional relapses, but I remained hopeful she would come to appreciate through intensive substance abuse therapy how reckless and dangerous her behaviors had become.
Family sessions were not helpful. Her father, a well-to-do dentist, loudly voiced his anger and disappointment. He came to the point where he wanted Marty to move out of the home. Her mother, fearing that Marty might overdose on opioids, wanted to keep her home 24/7 so she could “watch her like…