Alex is an rare attendee at your church. He’s 28 years outdated, lives together with his father, and is separated from his spouse of three years. He has one little one, age 2, whom he sees “sometimes.” Alex is searching for counseling on the insistence of his father. Alex is at the moment unemployed, however does odd building jobs with a buddy of his as he’s wanted. He complains of his father “all the time hounding me for ingesting a beer, though he drinks too.” He reviews ingesting “a number of” beers per day, not often getting drunk. He has drank since highschool. His extra substance use historical past (per self-report) embrace marijuana use (every day when youthful, “possibly as soon as a month” at the moment), and polysubstance use throughout highschool. He denies different use on the present time.
His spouse left him 18 months in the past, stating she felt him to be unreliable. He blames lack of employment as the difficulty, but additionally said she complained about his ingesting as properly, although he doesn’t really feel there’s a drawback together with his alcohol use. He has a historical past of a DUI from three years in the past, reported getting in bother a number of instances when youthful as a consequence of alcohol use, however denies experiencing associated struggles from his perspective.
He has a tough time sleeping, has ample urge for food, and spends his day watching television when not working together with his buddy. He drinks at dwelling through the day, and goes out after working together with his buddy to a neighborhood bar when he has cash to take action. He speaks of his relationship with God as distant, recalling his salvation story that occurred as a highschool scholar. He attends church to satisfy others and to have interaction with the worship (he enjoys the band). He doesn’t really feel significantly near anybody.
Please reply (brief reply is okay) to the entire following questions:
In your analysis, please use DSM IV-TR diagnoses when applicable (present in your powerpoint shows)
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What are the shopper’s most distinguished ‘presenting points’ (that’s, what appears to take precedence as being flawed)?
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What else do you’re feeling you’ll want to know (or, what may be some areas you might ask about with the intention to decide what’s going on and the way extreme the issue could also be)?
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What do you suppose could also be your ‘preliminary analysis’ based mostly on the data given within the case research? Why?
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What, if any, psychospiritual elements may be current and sustaining the presenting situation?
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What are potential strategies of remedy or referral?
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