Pt777

An impulse control or conduct disorder

A 62 year old male client diagnosed with antisocial personality disorder and opioid dependence present for a telehealth education session. Client is married recently paroled from Indiana D.O.C. after serving 25 yrs. of 115 yr. sentence for 4 felony counts including murder, assault, and attempted murder. Client indicated he has previous convictions in 1979 for battery w/ violence. Client indicated that he also past hx. of I.V. Opioid usage beginning at age 21. Client indicated that he has extensive hx. of anger/ rage and has participated in numerous treatment groups including anger management, substance abuse tx, behavioral modification, individual therapy ,since 1999. Client is currently on parole and living w/ his sister while he adjust to life outside of prison. Client indicated that he maintains a cordial and supportive relationship with his spouse of over 20 years, however he needs time to adjust to society before he returns to a "normal" married life.. Client indicated that he feels he needs time to develop and practice the coping skills he learned during his incarceration and work with a therapist to discuss his daily life concerns to ensure that he is not operating from the survival tactics which he employed in prison. Client indicated that although the tactics he employed during his incarceration were necessary they may prove maladaptive in society and in fact may be detrimental to his goal of maintaining his freedom and maintaining control of his emotional responses.

for an impulse control or conduct disorder