Week 6 Discussion


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Week 6 Case Studies

Please select one of the following case studies to support your main Discussion post 1 this week.

John John is a 38-year-old male of Euro-American heritage. He has never been married, and he has one brother whom he rarely sees. John is a long-distance truck driver, and he spends the vast majority of his time living out of his vehicle driving across the country. He has a place he calls “home,” but he spends only about a week there every few months. As a result, John has few close friends and no significant romantic relationship in his life. John has also alienated several family members and close friends from whom he has borrowed substantial amounts of money that he has not paid back. John was referred by his employer’s EAP following an issue while at work. John had lied about his time log and location, as he had stopped to gamble at a casino in Mississippi during a cross-country run. He was put on probation for this infraction, and ordered to seek counseling services. Though John denies having a “gambling problem,” he admits that he does enjoy gambling and engages in both in-person and online gaming whenever he has an opportunity. John also admits that he has lost a lot of money to gambling, though rationalizes this with “at least I was having fun.” He also notes that his gambling has cost him past relationships and prevented him from reaching financial goals such as home ownership and retirement planning. John shares that “it would be different if I was married or something. It’s just me, so who cares if this is how I spend my money?” Donna Donna is a 40-year-old transgender female of Korean American heritage. She is the manager of a popular local restaurant and club, and is well respected at her job. She has come to counseling at the insistence of her boyfriend, who has expressed worry over her increasing drug use. Donna also admits that she and her boyfriend have been fighting a lot lately, and she is worried he might be cheating on her. In fact, she admits that a recent altercation became physical, although she blames it on her “temporary meth rage.” Donna shares very openly about her use of methamphetamine, although she insists that she has it “under control.” She states that in her 20s, she used a lot of recreational drugs, but for a number of years after remained completely abstinent. She claims she currently uses meth “just every now and then” because she likes the rush and energy it gives her. She minimizes its role in the altercation with her boyfriend, stating that she had used a little too much that day but “that never happens.” While Donna tends to minimize the role and significance of her drug use, she states, “Maybe I could use a little help getting my temper under control.”

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Maurice Maurice is a 25-year-old male of African American heritage. He has been referred to outpatient treatment following a 30-day residential stay for heroin addiction. This was Maurice’s third inpatient treatment for heroin addiction since he was 18 years old. Maurice currently lives with two roommates who work at Maurice’s former place of employment, an outpatient drug counseling agency. Maurice reports that he used to be good friends with his roommates, but they have since distanced themselves from him since his most recent relapse. Maurice was born and raised in the area, and both his parents and siblings live nearby. He has two older brothers who are quite successful, and Maurice often compares himself to them in negative terms. He refers to himself as “the black sheep of the family” and states that even as an adult, his greatest fear is disappointing his parents again. In past treatment episodes, his parents and brothers have participated in family sessions, but Maurice doubts they will be willing to do that at this point. He notes that only his mother came to seen him in residential during his last treatment, and he worries that the rest of the family “has had it” with him. He does, however, express to you that he is determined to succeed this time and won’t let anything stand in his way. Shanelle Shanelle is a 50-year-old female of African American heritage who works as a receptionist in a medical practice. She has been court-ordered to counseling following a driving under the influence (DUI) charge. She had a blood alcohol level of .18 at the time of her arrest, but insists she was “fine to drive” and that she’d had “only a couple drinks.” Shanelle also denies her need for counseling, insisting, “If I were rich and white, I wouldn’t be here.” Shanelle has had two previous legal problems involving alcohol use. The first was at age 42, and occurred shortly after she and her husband divorced. Shanelle had started going out to bars and clubs more often, at the insistence of family and friends who were worried she was too lonely now that she was living alone. Shanelle had gotten into a fight with another female patron at a bar, and the altercation had become physical. Shanelle was arrested for assault and public intoxication, although charges were eventually dropped. She did, however, lose her job as an administrative assistant in a high-profile law firm—although she insists her arrest had nothing to do with being fired. The second legal issue she had was another DUI charge while on vacation in Florida with her family. Shanelle admits that she “probably should not have driven home that night” but adds that out of everyone who was out that night, she was the “least drunk” so had to provide the transportation back to the hotel. Shanelle reports that although she does drink 4–5 drinks every day, she “isn’t a real addict” because she doesn’t “need” the alcohol. She states that she simply enjoys having a couple drinks in the evening and that doing so helps her relax.

  • Week 6 Case Studies
    • John
    • Donna
    • Maurice
    • Shanelle