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case of laura RC
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<!DOCTYPE html PUBLIC "-//ABISOURCE//DTD XHTML plus AWML 2.2//EN" "http://www.abisource.com/2004/xhtml-awml/xhtml-awml.mod"><html xmlns="http://www.w3.org/1999/xhtml" xmlns:awml="http://www.abisource.com/2004/xhtml-awml/"> <head> <meta http-equiv="Content-Type" content="application/xhtml+xml; charset=UTF-8" /> <title> Abiword HTML Document </title> </head> <body> <div> <p style="text-align:center;margin-bottom:0.000000pt"> <span style="font-size:16pt;font-family:'Times New Roman'">Case Study – Laura</span> </p> <p style="margin-bottom:0.000000pt"> </p> <p style="margin-bottom:0.000000pt"> <span style="font-size:12pt;font-family:'Times New Roman'">Laura is a very successful businesswoman in the high-stress high-powered world of corporate</span> </p> <p style="margin-bottom:0.000000pt"> <span style="font-size:12pt;font-family:'Times New Roman'">finance. She has been referred to you by the company’s employment assistance program. Laura</span> </p> <p style="margin-bottom:0.000000pt"> <span style="font-size:12pt;font-family:'Times New Roman'">presents herself as a no-nonsense business professional. She is frank and honest about the events</span> </p> <p style="margin-bottom:0.000000pt"> <span style="font-size:12pt;font-family:'Times New Roman'">that has brought her to your office.</span> </p> <p style="margin-bottom:0.000000pt"> </p> <p style="margin-bottom:0.000000pt"> <span style="font-size:12pt;font-family:'Times New Roman'">Laura tells you that although she tells herself that she will only have one or two glasses with</span> </p> <p style="margin-bottom:0.000000pt"> <span style="font-size:12pt;font-family:'Times New Roman'">dinner, she usually finishes the whole bottle.</span> </p> <p style="margin-bottom:0.000000pt"> </p> <p style="margin-bottom:0.000000pt"> <span style="font-style:italic;font-size:12pt;font-family:'Times New Roman'">“About five years ago I started having trouble sleeping and started to take a</span> </p> <p style="margin-bottom:0.000000pt"> <span style="font-style:italic;font-size:12pt;font-family:'Times New Roman'">tranquilizer (5 mg Valium) I normally take one or two pills every two to four times a</span> </p> <p style="margin-bottom:0.000000pt"> <span style="font-style:italic;font-size:12pt;font-family:'Times New Roman'">week to help her sleep through the entire night.”</span> </p> <p style="margin-bottom:0.000000pt"> </p> <p style="margin-bottom:0.000000pt"> </p> <p style="margin-bottom:0.000000pt"> <span style="font-size:12pt;font-family:'Times New Roman'">In the morning she drinks at least 3 to 4 cups of coffee daily, even on the weekends. She noticed</span> </p> <p style="margin-bottom:0.000000pt"> <span style="font-size:12pt;font-family:'Times New Roman'">that her sleeping problems developed around the same time her Dad died. He was only in his early 50’s and they were very close. His death hit her hard and she says she wanted to give in to a big depression. However, she fought it and lost herself in her work. She makes it a point to work out at least three times a week in the morning before going to work. In addition to the above medications, Laura is also prescribed Xanax</span><span style="font-size:8pt;font-family:'Symbol'"></span><span style="font-size:12pt;font-family:'Times New Roman'">as needed for panic attacks and diet pills (amphetamine congeners) to control her weight, a problem she had since she was a child. Over the last year she has become more reclusive. She can barely make it to business dinners and after-work functions. Lately however, she has noticed that she has been steadily increasing her use of wine. Before, she would only have a few glasses with dinner but now</span> </p> <p style="margin-bottom:0.000000pt"> </p> <p style="margin-bottom:0.000000pt"> <span style="font-style:italic;font-size:12pt;font-family:'Times New Roman'">“....more often than not I finish off the bottle before going to bed. I just can’t seem to</span> </p> <p style="margin-bottom:0.000000pt"> <span style="font-style:italic;font-size:12pt;font-family:'Times New Roman'">stop. A lot of times I will come home and tell myself that I’ll only have one glass and no</span> </p> <p style="margin-bottom:0.000000pt"> <span style="font-style:italic;font-size:12pt;font-family:'Times New Roman'">more but by the time I go to bed, the bottle is empty and I’m deciding whether I should</span> </p> <p style="margin-bottom:0.000000pt"> <span style="font-style:italic;font-size:12pt;font-family:'Times New Roman'">open another or not. I never used to drink to excess or take anti-anxiety medication</span> </p> <p style="margin-bottom:0.000000pt"> <span style="font-style:italic;font-size:12pt;font-family:'Times New Roman'">before. Now I can’t seem to stop drinking or taking these ‘downers’ at social events. I</span> </p> <p style="margin-bottom:0.000000pt"> <span style="font-style:italic;font-size:12pt;font-family:'Times New Roman'">can’t seem to control when I take them and things are happening that I’m not too</span> </p> <p style="margin-bottom:0.000000pt"> <span style="font-style:italic;font-size:12pt;font-family:'Times New Roman'">happy about. Of course the alcohol adds to my weight problem which then causes me to</span> </p> <p style="margin-bottom:0.000000pt"> <span style="font-style:italic;font-size:12pt;font-family:'Times New Roman'">take more of my Redux. Then I have to increase my Xanax to calm my nerves and also</span> </p> <p style="margin-bottom:0.000000pt"> <span style="font-style:italic;font-size:12pt;font-family:'Times New Roman'">take my Valium to make sure I get a full nights sleep. It has become a very vicious</span> </p> <p style="margin-bottom:0.000000pt"> <span style="font-style:italic;font-size:12pt;font-family:'Times New Roman'">circle. All this has been going on for about a years but last week put the “cherry on the</span> </p> <p style="margin-bottom:0.000000pt"> <span style="font-style:italic;font-size:12pt;font-family:'Times New Roman'">pie.”</span> </p> <p style="margin-bottom:0.000000pt"> </p> <p style="margin-bottom:0.000000pt"> <span style="font-size:12pt;font-family:'Times New Roman'">Laura tells you that last week she was to meet the firm's top client at a business luncheon. She</span> </p> <p style="margin-bottom:0.000000pt"> <span style="font-size:12pt;font-family:'Times New Roman'">could not get out of bed that morning. It took all her willpower to get up and get dressed. As it was, she was still 20 minutes late, "which is inexcusable." She was so nervous and sick she had to excuse herself in the middle of her presentation. In the bathroom she took another Xanax</span><span style="font-size:8pt;font-family:'Symbol'"></span><span style="font-size:12pt;font-family:'Times New Roman'">to calm her nerves. Then at the luncheon she could not stop herself from ordering several glasses of wine and had to be assisted to her car after the meeting was over.</span> </p> <p> </p> <p> </p> <span></span><span style="font-size:12pt;font-family:'Times New Roman'">What would your initial assessment of Laura be? Explain.</span> <p style="margin-bottom:0.000000pt"> </p> <p style="margin-bottom:0.000000pt"> </p> <p class="list_paragraph" style="margin-bottom:0.000000pt" awml:style="List Paragraph"> </p> <p style="margin-bottom:0.000000pt;margin-left:18.000000pt"> </p> <span></span><span style="font-size:12pt;font-family:'Times New Roman'">What would you say Laura’s main drug of choice is and do you think she will need to be</span> <p class="list_paragraph" style="margin-bottom:0.000000pt" awml:style="List Paragraph"> <span style="font-size:12pt;font-family:'Times New Roman'">placed in a detox unit?</span> </p> <p> </p> <p> </p> <span></span><span style="font-size:12pt;font-family:'Times New Roman'">Based on Laura’s emotional situation and the medications she is taking, what if any dangers do you need to be aware of?</span> <p style="margin-bottom:0.000000pt"> </p> <p style="margin-bottom:0.000000pt"> </p> <p style="margin-bottom:0.000000pt"> </p> <span></span><span style="font-size:12pt;font-family:'Times New Roman'">What possible dual diagnosis issue(s) might Laura have and how would you do to confirm this possibility.</span> <p style="margin-bottom:0.000000pt"> </p> <p style="margin-bottom:0.000000pt"> </p> <p style="margin-bottom:0.000000pt"> </p> <span></span><span style="font-size:12pt;font-family:'Times New Roman'">Are there any other issues that you feel may need to be addressed in this case?</span> <p> <a name="_GoBack"> </a> </p> <p> </p> <span></span><span style="font-size:12pt;font-family:'Times New Roman'">Finally, what treatment recommendations would you make for Laura and why?</span> </div> </body> </html> ">
