What theoretical approach would you use and why

Reference no: EM133365114

Case Formulation Assignment

Laura is a Hispanic woman in her late forties. She is married and has two daughters aged 15 and 17. She works in the high-stress, high-powered world of corporate finance. Laura presents herself as a no-nonsense business professional. She has come to the clinic for an assessment where you are presently working as a Social Worker because her husband and daughters are quite concerned about her drinking. Her husband has insisted that she seek professional help.

Laura tells you that although she promises herself that she will only have one or two glasses of wine per day, she routinely finds herself finishing the whole bottle and sometimes half or more of a second bottle. She reports that it seems to take more wine these days to help her feel relaxed at the end of a stressful day. She does not see this as a problem but acknowledges she has missed a few important business meetings lately. This has made her feel quite upset with herself and guilty because she has lied to her boss about the reason for her absences.

About three years ago, Laura began to have trouble sleeping and the doctor prescribed the medication Xanax (an anti-anxiety drug and central nervous system depressant). Her father died about one year ago and her use of alcohol and Xanax has steadily increased since that time. She often takes five or six times the prescribed dose. When her physician presented his concerns about the amount of Xanax, she was taking on a regular basis she began to search for other physicians in an effort to obtain additional prescriptions. She now takes it (Xanax) during the day as well as at night when she is feeling stressed.

Laura notices that her mind is quite fuzzy in the morning, and she cannot remember certain things from the evening before. Of major concern to her family is that she recently totaled her car in a crash on the way to work on a morning that she reported having a "very bad hangover" from drinking the night before. Laura states "I guess I am really lucky to have walked away unharmed".

Her children told her that they feel embarrassed by her slurred speech and staggering gait in the evenings when they bring their friends home. Laura admits that she felt ashamed and guilty when her children told her that they felt embarrassed by her behavior. Laura's husband told her the car accident terrified him and he wants her to get help.

Questions:

What theoretical approach would you use and why?

What professional and ethical considerations would you be concerned with or thoughtful about in working with Laura (HINT: Read the Code of Ethics)

What professional and ethical considerations would you be concerned with or thoughtful about in working with Laura

Reference no: EM133365114

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