Reference no: EM133303505

Assignment:

1. Based on the information provided, what diagnosis/diagnoses would you give the patient?

2. Identify the symptoms within the case that support your diagnosis/diagnoses. This should be specific to the case study; do not just list symptoms for the diagnosis from your text. Be sure to also include the duration, intensity, and/or frequency of the symptoms as appropriate.

3. Based on your assessment, describe the treatment you would implement with the patient. Please use your text and any other outside information you might need to answer this question.

Suzanne is referred to you by her primary care doctor after a positive pregnancy test. Suzanne is a 22-year-old single woman who has been living with her boyfriend Jack for the last four years. When Suzanne was 10 years old, her father, whom she says was a very heavy drinker, left her mom and the kids and never came back. At 14 she started drinking and smoking marijuana. At 16 she had dropped out of high school and at 18 she moved in with Jack. He introduced her to heroin. She reports using about a 1/2 gram of heroin per day just to be able to function and feel comfortable. In order to pay for the heroin and pay the rent on their apartment, she works the streets at night (Jack does not have a job). She usually drinks four or five beers each night before going out to work. If she can't score enough heroin, she will try to score either Valium or Klonopin to hold her over.

Suzanne tells you that the alcohol and heroin help to calm her nerves and get her through the night. She stated that finding out she is pregnant has changed her outlook on her current lifestyle as she does not want to hurt her unborn baby, nor does she want her child to have the same life she had. She reports a desire to get clean but is unsure of where to start.