Reference no: EM133534272

Case Study: Gentry is a 23-year-old Pacific Islander male, who is a recent college graduate. He is seeking treatment after being fired from his first job out of college due to too many absences and coming to work hungover. Gentry stated he started drinking socially at 18 when he entered college. At first, he would drink only on weekends at parties and would often blackout or become sick. He stated this is what his friends did, and he didn't see a problem. During his senior year, he didn't have as many classes and started to drink during the week and earlier in the day, since his classes ended at noon.

Once out in the college, he got a job a year ago, and he would go out after work with co-workers a few nights a week to drink. On the nights he didn't go out with co-workers he would drink at home by himself. Slowly drinking more and more to feel a buzz. Over the past few months, Gentry has struggle to get out of bed in the morning due to having a headache, nausea, and lack of good sleep. After being warned several times about consequences for being late over the past 3 months, he continued his drinking behavior and was eventually fired because he missed too much work.

Questions:

• describe the patient's symptoms and the available demographic and historical data
• evaluate how the intensity, duration, and focus support the identified diagnosis
• Discuss the available treatments for this patient.
• Discuss the implications of a therapist who actively encourages a patient to take medication that has been shown to be effective when the patient has strong objections to the use of a pharmacological approach to treatment.
• Develop at least three recommendations for the patient/family for ongoing functioning (social, occupational, and academic, if applicable), associated with the scenario you chose.
• Finally, analyze the differences between both scenarios: Borderline Personality Disorder and Substance Abuse? Do the recommendations differ?