Drug Therapy Case Study: Carlie

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Case Study: Carlie “Carlie has been a client at a local mental health center on and off for several years. She usually returns to therapy when she experiences symptoms of depression and suicidal thoughts Carlie begins attending the weekly support group for clients with mental health and substance use issues. Carlie is a 26-year-old single woman who has been living with her boyfriend, Stephen who is unemployed. She and Stephen have an extensive history of heroin use. Shae states that her father abused heroin and left her family at age twelve. By age fourteen, Carlie began using alcohol and marijuana and subsequently she dropped out of school at age sixteen. She has been with Stephen and using heroin for the past eight years. Within the group counseling setting Carlie tells the members that she currently uses one-half gram of heroin in order to function each day. Carlie readily admits to engaging in prostitution to pay for rent and heroin. Additionally, she admits she has begun drinking a bottle of wine before working the streets along with Klonopin for anxiety. With Stephen as well as her “clients” on the street, she has engaged in unprotected sex, now she hasn’t had a menstrual cycle in three months accompanied by swollen, tender breasts. …show more content…
In a group setting the curative benefits are kindness, compassion, and the building of self-confidence (Stevens & Smith, 2013). All of the curative factors could help Carlie to become empowered enough to gradually step down her heroin use or go to a doctor of women’s clinic and seek medication help to detoxify. The group could help Carlie by offering to accompany her to a doctor/clinic, or perhaps purchase a pregnancy test, or continue to encourage her to make the step to

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