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Posted: August 9th, 2022
Alex is an uncommon attendee at your church. He is 28 years outdated, lives collectively along with his father, and is separated from his partner of three years. He has one baby, age 2, whom he sees “generally.” Alex is trying to find counseling on the insistence of his father. Alex is in the intervening time unemployed, nonetheless does odd constructing jobs with a buddy of his as he is wished. He complains of his father “on a regular basis hounding me for ingesting a beer, although he drinks too.” He opinions ingesting “numerous” beers per day, not typically getting drunk. He has drank since highschool. His additional substance use historic previous (per self-report) embrace marijuana use (daily when youthful, “probably as quickly as a month” in the intervening time), and polysubstance use all through highschool. He denies totally different use on the current time.
His partner left him 18 months previously, stating she felt him to be unreliable. He blames lack of employment as the issue, however moreover stated she complained about his ingesting as correctly, though he does not actually really feel there is a downside collectively along with his alcohol use. He has a historic previous of a DUI from three years previously, reported getting in hassle numerous situations when youthful as a consequence of alcohol use, nonetheless denies experiencing related struggles from his perspective.
He has a troublesome time sleeping, has ample urge for meals, and spends his day watching tv when not working collectively along with his buddy. He drinks at dwelling by means of the day, and goes out after working collectively along with his buddy to a neighborhood bar when he has money to take motion. He speaks of his relationship with God as distant, recalling his salvation story that occurred as a highschool scholar. He attends church to fulfill others and to interact with the worship (he enjoys the band). He does not actually really feel considerably close to anyone.
Please reply (temporary reply is okay) to the whole following questions:
In your Assessment, please use DSM IV-TR diagnoses when relevant (current in your powerpoint reveals)
What are the patron’s most distinguished ‘presenting factors’ (that is, what seems to take priority as being flawed)?
What else do you feel you will need to know (or, what could also be some areas you would possibly ask about with the intention to resolve what is going on on and the best way excessive the difficulty may be)?
What do you suppose may be your ‘preliminary Assessment’ primarily based totally on the information given throughout the case analysis? Why?
What, if any, psychospiritual components could also be present and sustaining the presenting scenario?
What are potential methods of treatment or referral?
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