7.2 Case Study Final Paper

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Southern New Hampshire University *

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Feb 20, 2024

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1 7-2 Case Study: Final Paper Sarah Villanueva PSY-200 Foundations of Addictions Southern New Hampshire University Professor Wills December 10, 2023

2 7-2 Case Study: Final Paper Client Information The client is a 66-year-old male name Robert who lives in a large city on the West Coast. Robert has been retired for the past 4 years so he is not currently working. He has been married to Colleen for 44 years and they have lived in the same house for the past 35 years. They both raised their two daughters named Harriet and Liz along with numerous pets. Some things have changed in their marriage, for example sleeping in separate bedrooms. The client is addicted to alcohol and has been having health problems because of the years of drinking. Assessment Alcohol use disorder also known as AUD is a condition characterized by an impaired ability to stop or control the use of consuming alcohol. Alcohol is considered a psychological addiction which can also produce physical dependency. This disorder has a great effect on the brain which can produce a negative bluntness feeling and progressive changes may occur in the structure and function of their brains. An individual that suffers from alcohol disorder can continue the cycle of drinking when coping with stress because it will provide a temporary relief from emotional discomfort. The type of environment the client spends his time in is by himself. In the report it says that the client and his wife sleep in sperate rooms and he is retired now. Thers is family support within his family. The family members that are listed in report are older sister Marsha, older brother Franz, younger brother Bill, wife Colleen, oldest daughter Harriet, younger daughter Liz, nephew Mark, long-time co-worker friend Aruther and friend Terry. Everyone in the report does

3 have concerns and feelings for Robert’s addiction. The client’s history does state that there is more information gathered but was not included. Therefore, can not indicate if the client is around friends who are consuming alcohol. The client’s motivation level for getting help is high. He cried during the intervention when everybody was reading their letters and within 45 minutes of completing the intervention Robert was on his way to treatment. There is a sense of hope because he was not hesitant to get help to his recovery process. Addiction Information Alcohol addiction is considered a substance addiction. This is a neuropsychiatric disorder that is characterized by recurring desire to consume alcohol despite damaging consequences. A basic concept in the neurobiology of addiction is the “reward pathway.” The brain comprises the areas most involved in addiction. “The brain’s limbic system is home to the areas of the brain thought to make up the reward pathway-the ventral tegmental area (VTA), nucleus accumbens, and the prefrontal cortex” ( Capuzzi and Stauffer, 2019 ). “When stimuli activate these particular areas of the brain, pleasurable sensations are produced” ( Capuzzi and Stauffer, 2019 ). Neurotransmitters which are chemical messengers play a critical role in transmitting information between neurons through synapses ( Capuzzi and Stauffer, 2019 ). “Alcohol impairs memory by interfering with the functions of glutamate” ( Capuzzi and Stauffer, 2019 ). Alcohol targets Gamma Aminobutyric Acid (GABA) receptors and mimics the effect of the neurotransmitter by relaxing the body and mind. In the beginning when family and friends were role playing on how the intervention would happen, they each read their letters to one another. Harriet the oldest daughter stated that if

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4 her dad was unwilling to accept the help given during the intervention process and go to the treatment program, she would no longer allow her father to be around his grandchildren. Some people were not in agreement with what she said. However, he has not lost any of his friends or family since he started to consume so much alcohol and it does not look like he will lose any family or friends. Physiological is the physical and chemical processes of the body and is described as diseases or disorders. On the other hand, psychological is the process of the mind and involves emotional symptoms. Alcohol has both physiological and psychological effects. The greater amount of alcohol consumed over time the more changes that happen physiologically and psychologically. There are short-term and long-term physiological effects. The short-term include passing out, hangover, vomiting, or slurred speech. The long-term effects include liver damage, heart problems, lung issues, and brain shrinkage. As far as the client has diabetes and prostrate is concerned. The client’s psychological effect is depression, and anxiety. Treatment The plan for this client is to have an intervention with family and friends then go to a treatment program but it is his decision to go or not to go. I do agree with having an intervention first before asking to go to a treatment because of the outcome it may have at the end. An intervention is something that is planned carefully by counselors that involves family and friends to be a part of the intervention. During the intervention the family and friends will gather together and face the client which is their loved one. They will talk about the effects of their addiction and ask them to accept going to a treatment program. An intervention has a few steps which includes deciding on a plan, then gather information, form the intervention team, decide

5 on specific outcomes, hold the intervention meeting, then follow up. Once the intervention takes place the client will have the option to attend a treatment program to begin the process of recovery. “The family systems model focuses on the way roles in families interrelate” ( Capuzzi and Stauffer, 2019 ). Therefore, I feel the family model option would work best for the client regarding therapy. Robert’s family and friends do not have any problem with taking on individual’s roles towards his recovery process. Their goal is to assist in helping him back to health and want to see a change in his life. This model can also help in his marriage and restore the relationship back with wife Colleen. It will help with communication between them and solve unspoken issues they have towards one another. If other family members or friends feel like the relationship between them and Robert has been difficult this model will also help them restore the damage. Furthermore, if the counselor were to develop a relapse prevention plan for the client, I believe group therapy will be beneficial for him. Group therapy is a treatment where several patients attend at once by one or more healthcare providers. This type of therapy can treat depression and anxiety which Robert does have. I would collaborate with a psychiatrist to use medication for his depression and anxiety. This can help with any type of chemical imbalance in the brain and possible fix with taking the medication. I think since he is surrounded by so much support from his family and friends having them every step of the way in family therapy will help hold himself accountable for getting better and changing his life around. During this the family and friends would be asked to come to multiple family therapy session with him. Doing this process can bring Robert to self-esteem and gain confidence that he can make a full recovery.

6 Results Robert, who is the 66-year-old client drug of choice is alcohol. The initial contact was with his oldest daughter Harriet because she wanted to see if family intervention could help her father with his drinking problems. During the intervention process Robert listened and showed emotion by crying with what the family and friends read in their letters. After listening voluntarily to everyone the counselor did ask to see if he would be willing to go to a treatment program so he can start the process to his road of recovery. He agreed to the treatment program and within 45 minutes of completing the intervention he was on his way to the treatment facility. After Robert left the family and friends sat down and processed through the feelings and thoughts of what just happened. The counselor did provide information for self help known as Alanon meetings and they were encouraged to attend the meetings. In conclusion, the client did respond positively to the course of treatment and did not relapse because he was sent to the treatment facility. References

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7 Case history 1 . Case Study 1. (n.d.). https://web.archive.org/web/20180722130901/http:/www.interventionsolutions.com/ Case_Studies_1.asp Capuzzi, D., & Stauffer, M.D. (2019). Foundations of Addictions Counseling (4 th ed.). Person Education (US). https://mbsdirect.vitalsource.com/books/9780135169858 Mayo Foundation for Medical Education and Research. (2023a, November 29). Intervention: Help a loved one overcome addiction . Mayo Clinic. https://www.mayoclinic.org/diseases- conditions/mental-illness/in-depth/intervention/art-20047451 Promises Behavioral Health. (2022, June 3). Physiological effects of alcohol . https://www.promises.com/addiction-blog/physiological-effects-of-alcohol/ U.S. Department of Health and Human Services. (n.d.). The cycle of alcohol addiction . National Institute on Alcohol Abuse and Alcoholism. https://www.niaaa.nih.gov/publications/cycle- alcoholaddiction#:~:text=Alcohol%20use%20disorder%20(AUD)%20is,%2C %20occupational%2C%20or%20health%20consequences .

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