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RecoveryandRelapsePreventionPlan.pptx
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Recovery and Relapse Prevention with Dual-Diagnosis Clients 

Team 2 

Clinical Mental Health Counseling, University of Phoenix 

CCMH/561: Dependency and Addiction 

Gary Zarchy 

August 30th , 2021 

Description of Client  *Person 1

Jane Doe is 35 year old veteran of the US Army. She has completed her service as of 2 years ago. She suffered a shoulder injury from active duty and returned home to have a shoulder surgery. She was prescribed pain killers (oxycodone) for her recovery. 

Jane reported noticing the opioids not only brought relief to her shoulder, but emotionally as well, providing an escape from the painful memories of battle. "When I use, I don't think about my past". She reports flashbacks, dissociation and nightmares (MAYO CLINIC PTSD CRITERIA). Jane shows low insight her symptoms are causing her to miss work, and limit both family and social time. Trying to achieve her next high is all consuming. Jane has found risky outlets to obtain non prescription pain killers, such as illegal purchases (APA. Org)

Jane has refused to attend support groups, and just recently agreed to therapy. 

Jane reports she will do anything to get her fix. She has placed herself in treatment because she feels she has tried to stop use and cannot. 

Jane discloses a history of alcoholism in her family. She reports everyone in her family also joins the Army. "It's just what we do." 

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Dual-Diagnosis *Person 1

Jane meets criteria for both Post Traumatic Stress Disorder and Opioid Use Disorder. She has a dual diagnosis. 

PTSD 

Triggered by a traumatic event, symptoms start within 1 month of traumatic event, or may not appear until years after. 

Causes significant problems in relationships, work, social, family, and education. 

Experiencing symptoms related to: intrusive memories, avoidance, negative changes in thinking and mood, changes in physical and emotional reactions. 

Opioid Use Disorder

Unsuccesful efforts to cut down.

Time consuming: giving up other activities to use, overthinking about use.

Cravings, withdrawal symptoms, increased tolerance.

Use is related to avoidance or coping with a distressful emotion.

- There is a high co-occurrence between PTSD and opioid use disorder 

- Unfortunately, pain killers prescribed post surgery, like oxycodone and other opioids, can be highly addictive. Incorrect use such as overly self-medicating or improper ingestion can lead to difficulty breathing. 

- Narcan training is recommended for loved ones and providers of this disorder as it can be life saving to stop the overdose, and the high. 

(NBCI article)

-Challenges: Jane will need to engage in treatment for both disorders. She will be dealing with withdrawal symptoms, and the painful emotions of her days in active duty. In addition, there are conflictual feelings between her and family, as they have not always felt understanding of her symptoms since her return home

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Specific Issues Faced During Recovery  *Madison

Specific Issues Faced During Relapse *ME