Requiem For A Dream Case Study

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Case Conceptualization and Treatment Plan
Sarah Goldfarb, a character in Requiem for a Dream, is a widow who loves alone. Her son rarely visits, however when he does, it is to steal her television set to pawn off for drug money. She continually buys the set back and is advised by the store owner to call the police on her son. She is uncomfortable with the idea of getting law enforcement involved with her son. Sarah receives notification that she is to appear on television on an infomercial she enjoys. In an attempt to get herself ready, she realizes she is unable to fit into a dress she wore at her son’s high school graduation. After attempting and failing to achieve success from a diet plan given to her by a friend,
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It is possible there is a genetic predisposition as her son is currently addicted to heroin, and she quickly becomes addicted to stimulants (Brooks and McHenry 2009). She continues to enable him, by not putting a stop to his routine robbery of her television set. Sarah is a widow, however there is no mention of her deceased husband using drugs or alcohol. Sarah does have friends she associates with in her apartment building. When her son confronts her about her drug use, she becomes defensive, rationalizing that the pills are helping her to lose weight. She does not want to feel lonely, anymore and wants to be recognized by people. She may be indirectly using amphetamines as a means of spiritual emptiness. She is lonely and wants to connect with other. She is using stimulants as a way to look her best on the show and have viewers admire her (Brooks and McHenry, …show more content…
She is said to be in her 60’s but an actual age is unknown. There is no mention of any family to support her recovery, as her son is also struggling with a substance use disorder. There is no mention of Sarah abusing any substances in any earlier stages in her life. It is important to remember that the elderly typically use in order to cope with social and relational issues (Dar, 2006). Often they use to mask the pain of losing their place in social status, loss of family and friends, or ability to function (Dar, 2006). Sarah began using when she thought she would achieve social status. The death of her husband and a son with drug dependence pushed her over the edge to want to feel accepted and loved, once

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