Substance Abuse: A Case Study

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- Whatever the root causes, a client’s substance abuse problem must be addressed before other psychotherapeutic issues (social worker should rule out substance abuse problem bore attributing them to a psychiatric issue).

Substance Use Disorder
- Substance Use Disorder in the DSM 5 combines the DSM 4 categories of Substance Abuse and Substance Dependence into a single disorder measured on a continuum from mild to severe.
- Mild Substance Use Disorder in the DSM 5 requires two to three symptoms from a list of 11 (Drug craving is added to the list, and problems with law enforcement is eliminated because of cultural considerations that make the criteria difficult to apply.
Non Substance Related Disorders
- Gambling Disorder is the sole condition
…show more content…
Stages of Treatment:
1. Stabilization: focus is on establishing abstinence, accepting a substance abuse problem, and committing oneself to making changes.
2. Rehabilitation/ Habilitation: focus is on remaining substance free by establishing a stable lifestyle, developing coping and living skills, increasing supports, and grieving loss of substance use.
3. Maintenance: focus is on stabilizing gains made in treatment, relapse prevention, and termination.

- Social worker should be aware of signs and symptoms of use/ and withdrawal symptoms.
For example: use of cocaine can be associated with dilated pupils, hyperactivity, restlessness, perspiration, anxiety, and impaired judgement.
- Delirium tremens (DTs) is a symptom associated with alcohol withdrawal that includes: hallucinations, rapid respiration, temperature abnormalities, and body tremors.
-Wernicke’s encephalopathy and Korsakoff’s syndrome – are disorders associated with chronic abuse of alcohol. They are caused by a thiamine (vitamin B) deficiency resulting from the chronic consumption of alcohol. A person with Korsakoff’s syndrome has memory

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