Student Name
Capella University
PSYC FPX 4300 Introduction to Addiction Treatment
Prof. Name:
Date
Client Name: Emma
Assessment Date: 8.29.22
Drug | First Use: Yes or No | Pattern of Use Over Time? | Frequency of Use in Past Month? | Date/Amount of Most Recent Use? |
---|---|---|---|---|
Adderall | No | Increased usage | At least one pill per day. Sometimes 2-3 pills | Currently every day, at least 1 pill |
Follow-up Question:
1) Have these drugs ever been used in combination?
These drugs have not been combined with any other substances.
Medical Concerns:
She does not report any personal medical concerns related to substance use.
Past Treatment History:
She has no known history of treatment for substance use, mental health issues, or other related concerns. She has not been diagnosed with any disorder or health-related problems but has seen a therapist.
Environmental Factors:
Residential:
She currently resides with her mother and father in a low-income household.
Social Support System:
Her friends use Adderall to manage schoolwork. Other peers derogatorily refer to her as “poor white trash” (Capella Case Study).
Family History of Substance Use:
Her mother uses Xanax for anxiety, and her father drinks alcohol in the evenings, though the amount is not specified.
Family Mental Health History:
Her mother has a history of anxiety and is currently treating it with Xanax.
Educational:
The client is a senior in high school.
Financial:
She identifies as coming from a low-income, “poor” family.
Legal:
There are no indications of past legal issues.
Motivation for Treatment:
Her parents are seeking treatment for her because they believe she needs help. However, she does not perceive her Adderall use as problematic and is reluctant to seek treatment. She feels that Adderall is necessary for her to function effectively.
Clinical Assessment:
The client, a 17-year-old female high school senior, comes from a low-income family. Her parents care about her well-being and have sought treatment for her. She is currently using Adderall, a prescription-only medication, to manage her academic workload, though she does not have a prescription for it and is obtaining it illegally from school. Her diagnosis is substance abuse of a non-prescribed prescription drug, Adderall (DSM-5). According to the ICD-10, the code for substance abuse is F19 (ICD-10).
The client is currently in denial about her need for treatment. Although she has good intentions for using Adderall, aiming to excel in school, she has become dependent on the drug to get through her day. Despite having a supportive family, her friends are also using Adderall. The pressure to be popular and meet high standards is causing her significant stress.
DSM-5 (2022). https://dsm-psychiatryonline-org.library.capella.edu/
Capella University (2022). https://media.capella.edu/CourseMedia/psycfpx4300element238159/wrapper.asp
ICD-10 (2022). https://www.cms.gov/medicare/coding/icd10?redirect=/icd10
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