2-2 Case Study Milestone One Short Paper -1-2

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2-2 Case Study Milestone One: Short Paper Kimberlyn Boddie Southern New Hampshire University PSY-200-J7890 Foundation of Addictions 23EW5 Professor Chris Aguilar May 14, 2023

Katie, a female client who is 35 years old, goes by that name. She is Lewis' wife and the parent of two young children. Her line of work is classified as a rising professional. Her preferred meds are prescription drugs, including pain relievers and muscle relaxants (Intervention Solutions, 2012). Lewis, Katie's husband, thinks she has returned to using painkillers because she still exhibits all the signs of her prior addiction. He wishes to discuss launching an intervention for her. Three years ago, when Katie initially sought inpatient treatment for painkiller abuse, she developed an addiction. When Katie was in her mid-twenties, she first started taking painkillers (as directed) because she had sustained a back injury in a vehicle accident. After remembering how good it felt earlier in her life, Katie gradually began using painkillers recreationally. With marriage, motherhood, a career, and other day-to-day pressures, her life grew increasingly complicated. She obtained prescriptions for painkillers from her physician, then from other physicians, and eventually she asked family, friends, and coworkers for recommendations. When Katie learned she could order painkillers online, things worsened, and Lewis became aware when he noted the burden on the family's finances. Katie was set down for an intervention by Lewis and her parents, and she confessed to buying medications online, seeing doctors, and visiting others for pills. She acknowledged the problem and consented to enroll in a treatment center. She had treatment for four weeks, and throughout that time, she displayed positive program results. She did not, however, follow up in any way or go to counseling sessions like AA/NA meetings. Because attending meetings was a reminder of her past and Katie thought her addiction was under control, she opted not to go. Notably, Lewis declined to participate in the family therapy sessions provided by the rehab facility. He also agreed with Katie that they should put the incident behind them and go on with their life rather

than seek counseling. Lewis now claims that she has experienced a relapse and that she has also obtained packets of medications that she ordered online. Katie has a prescription drug addiction, which is also known as an opioid addiction. A narcotic substance known as an opioid cause's euphoria in the user (Capuzzi & Stauffer, 2019). Although these substances have a medical benefit in that they reduce pain, people frequently abuse them and get addicted. According to SAMHSA's estimates, 1.6 million adults aged twelve or older had an opioid use disorder in 2019 and 10.1 million adults aged twelve or older abused opioids in the previous year. Opioids are narcotics that can be prescribed, but people can also get them in other ways besides going to their normal doctor for a prescription; they can use fake prescriptions, buy them on the black market, or get them through friends and relatives. While there have been a number of preventive measures put in place to stop the misuse of prescription pharmaceuticals, this does not change the reality that these drugs continue to have a high level of addiction (Capuzzi & Stauffer, 2019). The detrimental impacts of Katie's opioid addiction on her life and those of her family members are numerous. If she does not get therapy and stop using drugs, her husband has threatened to leave her because of her addiction. Katie's drug usage and the conflict she has with her spouse are bad for the kids. Lewis is recovering from an accident; thus, Katie is the only one in the home who works, which adds to the stress (Intervention Solutions, 2012). In addition, the financial strain is increasing and getting more severe because Katie is the only one working and purchasing medications online. Lewis voiced his concerns at the first meeting, to which Katie replied that she had stopped and had not eaten anything in over a week. Katie was against it and did not want to return to rehab when the idea was brought up. While a brief stay was suggested, Katie remained adamant

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that she did not want to attend, claiming that she could handle it on her own. Lewis gave in to her demands and produced a substitute strategy that involved her attending therapy once a week, maintaining her abstinence, and going to treatment if she used. The counselors decided to go ahead and set up a meeting for Katie and one for the couple despite their misgivings that their strategy was doomed to fail. When Katie met Lewis, he stated that she had not recently used any pills and that the stress she was experiencing was the cause of her drug use. The majority of their second meeting, which also included Lewis, was spent squabbling about their marriage, income, and kids; Katie's drug problem received very little attention. Lewis and Katie have not contacted the counselor and Katie skipped the following appointment. Given Katie's opioid addiction, the counselor thinks she has a dismal prognosis, and it is understandable why (Intervention Solutions, 2012). Katie needs to receive therapy. Even though Katie admits to using drugs, she remains in denial about their detrimental impact on her and her family's lives, thus the few therapy sessions did not result in any resolutions. Katie does not view her medication use as an addiction or a problem that requires fixing. As a result of his caving in to Katie, Lewis would have to be viewed as more of a facilitator than a supporter. Katie was enrolled in a treatment program because she once struggled severely with prescription drug use. She relapsed, declined to enter a facility, and now she seems to be well. One can only hope that Katie and Lewis would acknowledge the seriousness of their drug usage and take the initiative to get the necessary support in order to avoid suffering any serious consequences, such as an overdose.

REFERENCES Capuzzi, David, and Mark D. Stauffer. Foundations of Addictions Counseling. Available from: MBS Direct, (4 th Edition). Pearson Education (US), 2019. Intervention Solutions. (2012.). "Case Study 3". Retrieved from http://www.interventionsolutions.com/Case_Studies_3.asp . SAMHSA. (2021). Find Help: ATOD. https://www.samhsa.gov/find-help /atod

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