Amy: A Case Study Essay

Amy is the perplex of three children a girlfriend who is seven and check a male child and a girl who be five. Her husband is an attorney and works long hours. Amy is a college graduate and worked in a pro role until the twins were born. Amy is an only child, social, lovely and very well organized. However, inside, Amy feels insecure, even worthless. Her induce was an alcoholic and her experience died when she was ten. later her receive died, Amy began to show economic aid of her arrest when her mother was to drunk to cook meals, or houseclean the house. Somehow, Amy al man get on withments felt it was her fault her generate died and her mother started drinking. She had always thought that when she got marital and had her own family everything would be perfect. She never judge her husband would work seven age a workweek, 12-hour days. He rarely had era for the children or for her. Amy started drinking to d angstromen her feelings of disap extremumment, only when soon her drinking got in the way of taking premeditation of the children and her home.Case accept AmyAmy is a single child, very capable and organized. She is married to an attorney who works twelve-hour days five days a week. Amy is a mother of three children a seven-year-old missy and twins that are five years old. Amy is a collage graduate and had worked as a professional before her twins were born. After Amys marriage she comes to sympathise that her husband works so ofttimes that he has little time for her or their children. Amy retrieved that her family would non resemble that she had grown up in. Amy lost her father at the age of ten and found herself taken bring off of her mother. Amys mother is an alcoholic Amy would take care of her mother when she was to intoxicated to care for herself or the household. Amy feels that she is worthless and insecure, she feels that her mothers drinking and her fathers death is her fault. Amy has found herself in a touch rese mbling her mothers. Amy has begun drinking to numb the feelings of disappointment. Amys drinking has come to the point of interfering with taking care of her children and her household. It seems that Amy is in take aim of help with her issues and her new join on with drinking.The need to have a appraisal and comprehensive interposition envision with a continuity of care approach should be the main condense of treatment for Amy. To swear out Amy I would have to assure that the diagnosing is specific and pertains to her indivi multiple need. As the halt states First, diagnosing a condition not only implies that you understand the criteria for making the particular diagnosing but that you also crowd outt differentiate that condition from others (Fisher & Harrison, Ch. 6 pg. 114) Because Amys drinking has influenced her family sprightliness and her baron to take care credibly of her children it is secure to study that Amys diagnosis would be alcohol Abuse. One of the ma iden steps in diagnosing Amy correctly would be to do a psychosocial interview. After I have complementary a thorough psychosocial interview and eliminating other factors in Amys manner to eliminate dual diagnosis such as. Amys situation meets criteria for the DSM-IV of influences, because of substance laugh at on her social, occupational, or recreational activities shown by her lack in care with their children.Because of Amys more recent bout with alcoholism to say that she has no physiological dependency as of yet. diagnosis of substance shout out follows DSM-IV criteria of failure to receive major roles and obligations to work, home, or school. Motivational interviewing actual by William Miller and Stephen Rollnick is a work that assesses the leaf nodes readiness for castrate. The client may not be determine to hear that they are substance strung-out and not quite realise to change (Fisher & Harrison, 2009). Determining what stage that Amy is in would be preferabl e means of continuing, the stages are pre-contemplation, contemplation, preparation, ch entirelyenge, and care.Because Amy has sought out help its safe to say that Amy is in the preparation stage. This is an and him and primary(prenominal) state that occurs when the private has become ready and determined to change and take action to do so with steps abandoned by a counselor or therapist. Dr. Amy has entered the stage and be saved to say the next leader action and maintenance stage it was the continuing care plan exit be set up in the process of treatment would begin. Amy willing enter the next stage, maintenance stage. In this stage, the person tries to maintain the change that resulted from his or her actions without relapsing (Fisher & Harrison, 2009).Treatment fancy Minnesota Model computer courseme A continuum of care including assessment and diagnosis, detoxification, inpatient, therapeutic communities, central houses, outpatient, and aftercare has been develope d using the Minnesota assume (Fisher & Harrison, Ch. 8 pg.135)Amy has used alcohol recently to numb her feelings of disappointment period of time unknown. However, the period of time is substantive enough to meet substance abuse criteria of DSM-IV. Amy will remain absent from all substances and enter a 30-day inpatient program geared towards execute abstinence and all-encompassing learning of mind body and spirit. Amy will remain absent from each substances for term of 30 days or bimestrial and enter a continuing care program establish on 12-step program. Strategies and goals for Amy to complete attending daily AA meetings after completing 30-day inpatient program. Amy will continue AA meetings on a daily basis as well as completion of program lectures. Amy will participate in individual and family direction once a week for one year and establish a strong support group with peers in 12-step program.Amy will participate and Al-Anon, and marriage counseling once a week for duration of one year. Amys participation is based primarily on financial approachability recommendation inpatient 30 days, continuing care, and follow-up. In conclusion I believe that Amy is willing to stop the down news program spiral she has begun and is willing to go to any means necessary to do so, I believe Amy understands her consumption of alcohol has negatively influenced her home life. Amy isnt is in need of therapy at this time primary focus on abstinence from alcohol followed up with therapy to deal with childhood issues such as her father dying and her becoming the mother role model. After completion of treatment program stated above I believe Amy will have a better grasp on that ability to deal with past history influences and triggers. I believe Amy has had a tough life and put a lot of air pressure on her ability to succeed where her parents did not. introduce pageFisher, G. L. & Harrison, T. C. (2009). Substance abuse Information for school counselors, social workers, therapists, and counselors (4th ed.). Boston, MA Pearson Education, Inc.Rollnick, S. Ph.D. & Miller, W. Ph.D. (1995) Motivational interviewing. 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