Objective: Select the differential diagnostics that cover all the diagnostic criteria.
Instructions
Substance use disorders rarely occur alone, but rather are most
commonly also accompanied by depression, anxiety, and very frequently
trauma. Thus, it is imperative that an addictions counselor understands
the diagnosis of these co-occurring disorders.
Read the chapter on substance-related and addictive disorders in your DSM-5 textbook, pgs. 481-589. https://cloudflare-ipfs.com/ipfs/bafykbzacedt5ai6vpk2qdlcxlyyzf4ioemxas2dmbqut274nofmrkzyb4cxhm?filename=American%20Psychiatric%20Association%20-%20Diagnostic%20and%20Statistical%20Manual%20of%20Mental%20Disorders_%20Dsm-5-Amer%20Psychiatric%20Pub%20Inc%20%282013%29.pdf
Review Annas Case Study.
Anna is a 28-year-old Caucasian woman who has struggled with alcohol
use for most of her teenage and young adult life. She began drinking in
high school, at age 15, and dropped out of college partway through her
first year because she was missing so many classes due to alcohol use.
She has attempted to go back to school twice since then but has been
unsuccessful each time due to relapses. Beginning about age 12 she
experienced deep sadness, difficulty sleeping, thoughts of hopelessness
and hopelessness, guilt about small events, thinking she was worthless
and a failure and would always be, agitation at times but also ongoing
times of feeling empty. These symptoms have gotten worse over time to
the point that she has frequent suicidal thoughts.
Anna reports multiple attempts to stop drinking but has only been
able to maintain sobriety for 2-4 weeks at a time. Whenever she tries to
stop drinking, she gets nauseous, shaky, and disoriented. Within the
last 4 months, she has withdrawn from her friends, feels sad almost
every day, and has frequent suicidal ideation. Her appetite has
decreased, but her alcohol use has continued to increase, and she is
currently consuming approximately half a fifth of vodka per day. She
has frequent arguments with her parents, who are now threatening to cut
her off financially because she spends most of her rent money on
alcohol. She cant stop thinking about my next drink, and reports
feelings of guilt and worthlessness over being unable to stop drinking.
Write 1 to 2-page paper in argument format responding to the following points:
Describe all Annas symptoms.
Complete a comprehensive differential diagnosis.
Discuss the ways in which the SUDs are related to Annas other symptoms, i.e., why such symptoms make sense.
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