Is Gwen Cummings An Inpatient Substance Use Treatment Facility?

2254 Words Nov 20th, 2016 10 Pages
Diagnosis The client, Gwen Cummings, comes to the inpatient substance use treatment facility presenting with apparent symptoms of severe substance use disorder and potentially childhood trauma. According to the criteria from the DSM-5 on Substance Use Disorder, the “substance is often taken in larger amounts or over a longer period than was intended” (American Psychiatric Association, 2013). Gwen shared that she and her boyfriend recently woke up late prior to their attendance at their friend’s wedding, unable to remember the details leading up to the end of the night. This, and other shared accounts from the client indicate that she met the first criteria for substance use disorder.
Gwen has shared that while she struggles with acknowledging it, she has noticed that her attempts to cut down on her substance use have been met with resistance and temptation to use again, indicating that “there is a persistent desire or unsuccessful efforts to cut down or control alcohol use” (American Psychiatric Association, 2013). Furthermore, Gwen has previously made secret plans with her significant other to sneak in Vicodin during his visit to her at the treatment facility. This effort certainly reflects “a great deal of time…spent in activities necessary to obtain, use… or recover from it’s effects” (American Psychiatric Association, 2013). To add on to this, Gwen shared that she found herself seeking out cigarettes and other means such as using candy to help her cut down on her…

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