Assessing and Diagnosing Patients With Substance-Related and Addictive Disorders

Week 8 Substance-Related and Addictive Disorders

Training Title 82

Name: Lisa Pittman

Gender: female

Age: 29 years old

T- 99.8 P- 101 R 20 178/94 Ht 5’6 Wt 140lbs

Background: Lisa is in a West Palm Beach, FL detox facility thinking about long term rehab. She

has been smoking crack cocaine, approximately $100 daily. She admits to cannabis 1–2 times

weekly (“I have a medical card”), and 2–3 alcohol drinks once weekly. She has past drug

possession and theft convictions; currently on 2 yr probation with randomized drug screens.

She tries to find the pattern for the calls in order not to test dirty urine. Her admission labs

abnormal for ALT 168 AST 200 ALK 250; bilirubin 2.5, albumin 3.0; her GGT is 59; UDS positive

for cocaine, THC. Negative for alcohol or other drugs. BAL 0; other labs within normal ranges.

She reports sexual abuse as child ages 5–7, perpetrator being her father who went to prison for

the abuse and drug charges. She is estranged from him. Mother lives in Alabama, hx of anxiety,

benzodiazepine use. Older brother has not contact with family in last 10 years, hx of opioid use.

Sleeps 4-5 hrs, appetite decreased, prefers to get high instead of eating. Allergies: amoxicillin

She is considering treatment for her Hep C+ but needs to get clean first.

Symptom Media. (Producer). (2017). Training title 82 [Video]. https://video-alexanderstreetcom.ezp.waldenulibrary.org/watch/training-title-82

Training Title 114

Name: Ally Patel

Gender: female

Age: 48 years old

Background: Only child, raised by parents in San Francisco, CA. Has PhD in biology and

master’s degree in high school education (8–12). Her supervisor has asked the school EAP

counselor to intervene with concerns regarding potential substance use in effort to facilitate

getting her help and be able to retain her.

Symptom Media. (Producer). (2018). Training title 114-2 [Video]. https://video-alexanderstreetcom.ezp.waldenulibrary.org/watch/training-title-114-2

Training Title 151

Name: Katarina Bykov

Gender: female

Age:41 years old

T- 97.4 P- 74 R 120 100/70 Ht 5’8 Wt 117lbs

Background: Moved to Washington State from Russia with her parents when she was 12 years

old. She has 2 brothers, 2 sisters. Denied family mental health or substance use issues. No

history of inpatient detox or rehab denied self-harm hx; Menses regular. Has chronic pain

issues. She works part time cashier at Aldi Grocery Store. Dropped out of high school in 11th

grade. Sleeps 4–9 hours on average, appetite good.

Symptom Media. (Producer). (2018). Training title 151 [Video]. https://video-alexanderstreetcom.ezp.waldenulibrary.org/watch/training-title-151