Amy: A Case Study Essay

Amy is the produce of three children a daughter who is s take down and match a boy and a girl who ar five. Her husband is an lawyer and works long hours. Amy is a college graduate and worked in a overlord role until the twins were born. Amy is an only child, social, attractive and very well organized. However, inside, Amy feels insecure, even worthless. Her mother was an alcoholic beverageic drinkic and her induce died when she was ten. After her father died, Amy began to take do of her mother when her mother was to drunk to cook meals, or clean the house. Somehow, Amy unendingly felt it was her fault her father died and her mother started inebriety. She had always thought that when she got married and had her own family everything would be perfect. She never expected her husband would work heptad days a week, 12-hour days. He rarely had m for the children or for her. Amy started intoxication to numb her feelings of discomposure, but soon her drinking got in the way o f winning caveat of the children and her home.Case study AmyAmy is a single child, very bright 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 daughter 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 do that her husband works so much that he has little cartridge holder for her or their children. Amy intendd that her family would not resemble that she had grown up in. Amy lost her father at the age of ten and make herself taken conduct of her mother. Amys mother is an alcoholic Amy would take veneration 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 situation resembling her mothers. Amy has begun drinkin g 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 train of attend to with her issues and her recent increase with drinking.The need to get under ones skin a legal opinion and comprehensive treatment plan with a continuity of care start should be the main focus of treatment for Amy. To assist Amy I would have to assure that the diagnosis is specific and pertains to her case-by-case need. As the book states First, diagnosis a agent not only implies that you understand the criteria for making the ill-tempered diagnosis but that you also cant differentiate that condition from others (Fisher & Harrison, Ch. 6 pg. 114) Because Amys drinking has influenced her family life and her ability to take care probably of her children it is safe to say that Amys diagnosis would be alcohol Abuse. One of the 1st steps in diagnosing Amy properly would be to do a psychosocial i nterview. After I have completing a thorough psychosocial interview and eliminating other factors in Amys life to authorize dual diagnosis such as. Amys situation digests criteria for the DSM-IV of influences, because of substance nuisance 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 poke fun follows DSM-IV criteria of tribulation to fulfill major roles and obligations to work, home, or school. Motivational interviewing developed by William miller and Stephen Rollnick is a process that assesses the clients readiness for change. The client whitethorn not be ready to hear that they are substance interdependent and not quite ready to change (Fisher & Harrison, 2009). Determining what stage that Amy is in would be preferable means of continuing, the stages are pre-contemplation, contemplation, p reparation, deed, and maintenance.Because Amy has sought out help its safe to say that Amy is in the preparation stage. This is an and him and important state that occurs when the individual has become ready and determined to change and take action to do so with steps given by a counselor or therapist. Dr. Amy has count oned the stage and be saved to say the next leader action and maintenance stage it was the continuing care plan will be set up in the process of treatment would begin. Amy will see 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 Plan manganese Model program A continuum of care including assessment and diagnosis, detoxification, yard bird, therapeutic communities, halfway houses, outpatient, and aftercare has been developed using the Minnesota model (Fisher & Harrison, Ch. 8 pg.135)Amy has used alcohol recently to numb her feelings of disappointment duration of time unknown. However, the period of time is substantial 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 complete abstinence and extensive learning of mind body and spirit. Amy will remain absent from either substances for duration of 30 days or longer and enter a continuing care program based on 12-step program. Strategies and goals for Amy to complete attention daily AA meetings after completing 30-day inpatient program. Amy will continue AA meetings on a daily basis as well as purpose of program lectures. Amy will participate in individual and family counselling formerly a week for one year and establish a well-set 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 employment is based primarily on financial availability recommendation inpatient 30 days, continuing care, and follow-up. In conclusion I believe that Amy is automatic to stop the down word spiral she has begun and is willing to go to whatever 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 troop with childhood issues such as her father dying and her becoming the mother role model. After completion of treatment program stated to a higher place I believe Amy will have a better hold on that ability to deal with past history influences and triggers. I believe Amy has had a tough life and put a lot of force per unit area on her ability to succeed where her parents did not.Cite 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. Retrieved on 12/15/12 fromhttp//motivationalinterview.net/clinical/whatismi.html