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Use the case study below to answer these two arts of the assigment as well
This assigment has two parts to it. Write what the 3 differential diagnoses are 150-to-200-word count. Taking into account the patient case study below.
1) Alcohol Use Disorder (AUD)
2) Alcohol Intoxication (AI)
3) Alcohol Withdraw (AW)
Case study: AC. is a 44 y/o Asian female on an intervention psychiatric evaluation secondary to suspected substance use disorder as requested by the school principal where she is currently employed. The school principal asked that the EAP therapist intervene and assess the patient due to several complaints from students and parents suggesting that the patient seemed intoxicated and impaired while at work. The patient appears irritable, easily agitated, defensive and denies appears to be in denial. During the assessment, the patient requested to leave the section several times, stating, “I am missing class right now, and I can do this in my third period while I am on my break. According to the school principal, the patient has missed work at school twenty-two times this year. She feels the students are disrespectful and out to get her and the school is taking their side. The patient denies having any substance use issues, although she later admitted drinking five to six glasses of wine and a couple of drinks every night. Furthermore, she believes that it takes her more alcoholic beverages than what the average person would consume to become intoxicated. She also admits to at times having blackout spells when misusing alcohol. As a results to her alcohol use, she is divorced and lost the custody of her four-year-old child. The patient current job is at jeopardy if she does not comply with the psychiatric evaluation.
Reflection notes: What would you do differently with this client if you could conduct the session over? Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).
Part 1: Differential Diagnoses
Alcohol Use Disorder (AUD): The patient’s history of daily alcohol use, belief that she needs more alcohol than others to become intoxicated, and admission of experiencing blackout spells indicate that she may have an alcohol use disorder.
Alcohol Intoxication (AI): The school principal’s report of the patient appearing intoxicated and impaired at work, coupled with the patient’s admission of drinking five to six glasses of wine and a couple of drinks every night, suggest that she may be experiencing alcohol intoxication.
Alcohol Withdrawal (AW): The patient’s irritable, easily agitated, and defensive behavior, along with her repeated requests to leave the assessment, may indicate that she is experiencing alcohol withdrawal symptoms.
Part 2: Reflection Notes
If I could conduct the session over, I would approach the patient with more empathy and understanding. I would validate her feelings of being unfairly treated by the school and her perception that the students are disrespectful. I would also explore her reasons for drinking and the impact it has had on her life. It is important to establish a therapeutic alliance with the patient and build trust to help her understand the seriousness of her situation and the need for treatment.
Regarding legal and ethical considerations, it is essential to obtain informed consent from the patient before proceeding with any treatment plan. In addition, given the patient’s occupation as a school employee, there may be legal requirements for reporting suspected substance use disorders. Health promotion and disease prevention efforts should take into consideration the patient’s age, ethnic group, and other risk factors, such as her history of alcohol-related issues and loss of custody of her child.
In conclusion, this case highlights the importance of addressing substance use disorders and their impact on individuals’ personal and professional lives. It is crucial to approach patients with empathy, build trust, and consider legal, ethical, and health-related factors when developing a treatment plan.