Reference no: EM133625008

Question: Case Scenario Joy, a 19-year old white woman, was brought to your program by her mother and stepfather for treatment for her drug and alcohol use disorder. She is insightful, verbal, and personable, but flunked out of her first year of college. Joy admits to regular, heavy use of alcohol, marijuana and occasional cocaine use since middle school. She had a history of serious emotional problems and instability, including a suicide attempt in high school. Following her suicide attempt, Joy felt betrayed and judged by her mother and many close friends. She was especially hurt by her mother's reaction to her suicide attempt, which she felt conveyed frustration and anger, rather than love and compassion. Joy gravitated to peers who used drugs, especially one male named Nick, who she says, "shows me the love and attention I'm not getting at home." Joy is aware that Nick frequently uses heroin and sometimes speedballs. She has used cocaine with Nick and is thinking about doing a speedball with him as "it doesn't seem too harmful and will bring them closer together."