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PSYC FPX 4300 Assessment 3 I’ve Got you Pegged Treatment Plan

Name

Capella University

PSYC FPX 4300 Introduction to Addiction Treatment

Prof. Name

Date

I’ve Got You Pegged Treatment Plan

Client Name: John

Assessment Date: October 3, 2022

Substance Use History

Drug: Xanax

First Use: No

Pattern of Use Over Time: 4 to 5 pills per day

Frequency of Use in Past Month: Daily

Date/Amount of Most Recent Use: 4 to 5 pills per day

Combination with Other Drugs: John has not used these drugs in combination with any other substances based on the provided information.

Consequences

Physical Consequences: John has not exhibited significant physical consequences from his Xanax use. He feels functional after taking 4 to 5 pills daily but has not articulated a specific reason for his Xanax consumption (Case Study, 2022).

Psychological Consequences: Psychologically, John feels compelled to conceal his use from his parents and school to avoid trouble. He exhibits defiance towards his parents and resentment due to their lack of attention following their divorce. Additionally, John feels isolated as they are unaware of his sexual orientation, although he is not particularly concerned about them knowing but anticipates potential issues given their strong religious beliefs.

Medical Concerns: John’s mother is receiving therapy post-divorce, possibly for depression or anxiety. John is uncertain of the exact reason. He has no other medical history or concerns related to his Xanax use.

Past Treatment History: John has not undergone any prior treatment for substance use, health concerns, or related issues. He acquires Xanax by deceiving his doctor (Case Study). Both of his parents have a history of drinking, though not excessively.

Environmental Factors

Residential: John resides with his mother due to the divorce and visits his father every other weekend.

Social Support System: John’s parents are preoccupied with their divorce, paying little attention to him and his brother. His brother was suspended from high school for smoking weed. John’s friends also use Xanax, often sharing or selling it among themselves.

Family and Family History

Family History of Substance Use: Both of John’s parents consume alcohol in what he considers normal amounts. His older brother smokes weed. No other family members are known to have a history of substance use.

Family Mental Health History: John’s mother is currently seeing a therapist for issues possibly related to anxiety or depression following the divorce. There are no other known family history-related mental health issues.

Current Additional Status to Consider

Educational: John is in his final year of middle school and will be attending high school next year.

Financial: No financial or work-related information is provided. As a minor, John is likely too young to work.

Legal: John has no known legal issues.

Motivation for Treatment: 

John is not actively seeking treatment for his Xanax use. He is likely seeing a doctor because of his parents’ divorce. John has not expressed a belief that he has a substance use problem but has mentioned other personal issues.

Recommended Assessment Measures: 

It is recommended to explore John’s underlying reasons for using Xanax to address deeper emotional and psychological issues contributing to his substance use.

Clinical Assessment

John exhibits daily Xanax abuse, consuming 4 to 5 pills at a time. His dependence is evident through his usage pattern and the amount he consumes. John has developed a tolerance, needing higher doses to achieve the desired effect, consistent with DSM-5 criteria for substance abuse (DSM-5, 2022). The ICD-10 code for his diagnosis is F19 for anxiolytic drug abuse.

The prevalence of anxiolytic abuse among 13-17-year-olds is approximately 0.3% (DSM-5, 2022). Anxiolytics include benzodiazepines, carbamates, barbiturates, and related substances, all with sedative effects. Abuse symptoms include poor school performance, truancy, and neglect of responsibilities. John’s tolerance and daily use, coupled with his challenging home environment, support the diagnosis of substance abuse.

Treatment Recommendations

As a minor, John requires parental involvement to initiate treatment. With parental support, he may be more inclined to seek help. His parents’ divorce likely contributes to his sense of neglect, impacting his willingness to seek treatment.

Substance abuse treatment involves four phases: palliative care, stabilization, rehabilitation, and maintenance (Miller et al., 2019). Palliative care involves recognizing the problem and seeking help, often with encouragement from family or a doctor. Stabilization prepares individuals for rehabilitation by managing withdrawal symptoms. Rehabilitation addresses individual needs and goals to overcome substance abuse, while maintenance focuses on sustaining sobriety.

PSYC FPX 4300 Assessment 3 I’ve Got you Pegged Treatment Plan

John would benefit from therapy and rehabilitation to address his drug use. Therapy could help him manage stress related to his parents’ divorce and the transition to high school, reducing his reliance on Xanax. A clinical therapist could explore underlying issues and offer coping strategies.

Ethical Considerations

As a minor, John’s confidentiality must be maintained by therapists and doctors, who cannot disclose information without his consent. While his parents will likely want to know about his diagnosis and treatment, confidentiality rules must be respected.

References

Case Study (2022) Capella University, John.

DSM-5 (2022). Diagnostic And Statistical Manual Of Mental Disorders, Fifth Edition https://doi-org.library.capella.edu/10.1176/appi.books.9780890425596

PSYC FPX 4300 Assessment 3 I’ve Got you Pegged Treatment Plan

Miller, W. R., Forcehimes, A. A., & Zweben, A. (2019). Treating Addiction (2nd ed.). Guilford Publications, Inc. https://capella.vitalsource.com/books/9781462542376

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