Reference no: EM133019256

Marites, Russel, Nebi, Natalie, Jane

Today we discuss the case of a male client in his early 30s. He presented for treatment for alcohol use disorder, substance use disorder, depression, and a history of suicide attempts. He reported abusing substances before the age of 10 and being diagnosed with depression after being admitted to treatment for the first time. He also suffered a history of suicidal thoughts and attempts due to carrying the burden of guilt and shame caused by the death of a close family member. The client took a leave of absence from work to seek treatment, had run-ins with law enforcement several times and had been to treatment twice before.

The Therapeutic Process

He was honest with you about relapsing while in treatment. He was planning on returning back home to complete his probation. This, despite clinical concerns related to his history of relapsing in his home environment. This is exacerbated by a toxic relationship with his spouse and a lack of sober support. The client's mindset was to leave after 45 total days of treatment. Therapy was focused on how this client functioned internally and was dealing with his emotions externally resulting in him having negative consequences. The client was able to get honest about his mental health, specifically feeling depressed and suicidal, along with being in an abusive relationship. After some time, he was able to speak more about his relationship with his loved one, and eventually, the client was able to grieve properly, gain closure, and come to a state of acceptance. He was able to make connections that he drank alcohol, abused substances, and self-harmed to cope with his depression and grief.

The client is a 30-year-old male who appears his stated age, of normal height and weight, well-groomed with good eye contact and bright affect. The client indicates that he has a very supportive employer and has worked at his job for 10 as a welder, as well client states he has been in his current relationship for 5 years and they do not have children because they drink and fight all the time and sometimes the crisis becomes physical.