Opioid Use Disorder, Severe, Heroin
Please see the attached documents. Please use the template for the case study.
Attached is the instructions to complete the case study and also a sample case study that can be reviewed. Attached is also the script for the case study. Thanks
ANSWER
Case Study – Client Diagnostic Report Template
| Name of Client:
|
Chris |
| Therapist (student) Name: | |
| Date: |
| Clinical & Personality Disorders and Other Conditions That May Be a Focus of Clinical Attention (p. 715 in the DSM-5)
|
| Diagnostic Information including all DSM-5 information |
| Opioid use disorder (principal diagnosis): other conditions: a conviction in criminal proceedings with imprisonment, disruption of family due to drug use; separation from their child. Suicidal Ideation |
| Rationale: for one t be diagnosed with opioid use disorder, they must have taken opioids over a longer period than was intended, have a desire to cut down but are unsuccessful, spent a great deal of time in activities necessary to obtain the opioid, craving or having a strong desire to use opioids, continued opioid use despite having issues with family and failing to fulfill their roles. The patient in this case exhibits all these symptoms and thus, passes the criteria for opioid use disorder. |
| Clinician Scores from the WHODAS 2.0 – DSM 5 p.747-748 | ||
| Category | Raw Domain Score | Average Domain Score |
| Understanding and Communicating | ||
| Getting Around | ||
| Self-Care | ||
| Getting Along with People | ||
| Life Activities – Household | ||
| Life Activities – School/Work | ||
| Participation in Society | ||
| General Disability Score | ||
| Possible Etiology – 4-6 sentences |
| According to Dykdyk et al. (2022), the etiology of opiate use disorder is multifaceted. It can be caused by genetic factors, environmental factors, biological factors, or psychosocial factors. In this case, psychosocial and environmental factors contributed to opioid use disorder. The opioid use disorder in Chris is a result of environmental factors and psychosocial factors, his environment in school and the company he keeps have led to him being unable to control himself. His social relationships have led to him being addicted |
| Prognosis – 4-6 Sentences |
| Most patients with Opioid use disorder are likely to relapse after treatment. This is seen in the patient in this case. The patient is willing to get clean but there are chances he will go back to using after rehabilitation. Patients are at the highest risk of death in the first four weeks after treatment. The patient should be kept in close observation after treatment. |
| Treatment Recommendations |
| Some patients with Opioid use disorder might not recognize that they have a problem. Others do not want to change. In this case, the patient has acknowledged that he has a problem and he has tried to stop using before but he is unable. Some of the interventions that could be used in this case include;
Motivational interviewing- this is a technique used with patients with OUD. In this technique, the patient works through ambivalence to notice their condition and develop motivation to change their behavior. Another intervention that could be helpful for Chris is cognitive behavioral therapy. This technique enables the patient the triggers to relapse (Brown &Capili, 2020). If Chris understands his triggers he will stay away from them and learn exercises that will help him stop when he feels like he needs to use. CBT will be helpful for both Opioid use disorder and suicidal ideation (Cox & Hetric, 2017). Contingency management- this is the use of rewards for their progress. In this case, Chris could be given rewards for staying sober. This could include giving him a decent place to stay. Being able to see his son and gifts. In this case, giving him money could be harmful as he could relapse. Group therapy is another intervention that is workable for Chris. Group therapy will motivate him to keep going as he will notice he is not alone. He should also have individual therapy sessions to deal with the guilt he feels for failing his parents. If he deals with the guilt he will not be triggered to relapse.
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References
Brown, K. G., & Capili, B. (2020). CE: Opioid Use Disorder: Pathophysiology, Assessment, and Effective Interventions. AJN The American Journal of Nursing, 120(6), 38-46.
Cox, G., & Hetrick, S. (2017). Psychosocial interventions for self-harm, suicidal ideation, and suicide attempt in children and young people: What? How? Who? and Where?. Evidence-based mental health, 20(2), 35-40.
Dydyk, A. M., Jain, N. K., & Gupta, M. (2021). Opioid use disorder. In StatPearls [Internet]. StatPearls Publishing.
