Albert is a 63-year-old African American cisgender man who appears his stated age. He is a short, heavyset gentleman who uses a wooden cane for

Albert is a 63-year-old African American cisgender man who appears his stated age. He is a short, heavyset gentleman who uses a wooden cane for balance. He maintained excellent eye contact, and presented with appropriate affect and an upbeat mood. Mr. Morgan reported that alcohol and marijuana are his primary drugs of choice. s history of chemical abuse also included cocaine (smoked and snorted), nicotine, and Vicodin and Demerol. Mr. Morgan declared that “girls” were a part of his addiction too. He disclosed that he has had five marriages and two common law marriages. He further reported that he has 5 children, 3 within a marriage and two others that he acknowledges. He provided for his children “financially when I could, but not emotionally. I was too selfish. I could barely deal with my own problems.” He currently lives on Social Security in a government supported housing, following a period of homelessness. Mr. Morgan was born in Alabama in the waning days of World War II. s grandfather was a Baptist preacher. Both of his parents were well educated- s father was a college administrator and his mother, whom he adored, was a schoolteacher. s father, however, was an alcoholic, prone to fits of anger and violence while intoxicated. According to Mr. Morgan, his father repeatedly abused his mother and him when “under the influence”. s father died an alcohol related death when Mr. Morgan was 6 years old. s mother remarried a fellow teacher, a gentle caring man who “never raised his voice or hand” and was supportive of Mr. Morgan. However, Mr. Morgan interpreted his stepfather’s patience and reluctance to discipline him as weakness; he tried instead to “emulate my father.” At the age of 9, Mr. Morgan began raiding the family liquor cabinet, using alcohol “as a crutch to self medicate” his feelings of anger, abandonment, loss, and especially guilt, as he had wished for his father’s death many times. s rage and anger often led to physical fights, leading his mother to say that he “was going to be just like his father.” By the age of eleven, when his parents were out, he started serving liquor to some older neighborhood kids and began, under their influence, to smoke—”regular cigarettes and weed.” In high school he smoked as much as 4 packs a day and became a heavy drinker, sometimes drinking until he passed out. s parents seemed unwilling or unable to intervene. Specifically, Mr. Morgan recalled one incident in which his stepfather discovered rolling papers within his possessions. Instead of disciplining him he told him “how to roll a proper joint.” Mr. Morgan’s mother hoped that he would become a physician. He was an intelligent boy, graduating from high school at the age of 16. In the early 1960’s, at the age of 17, he became the only African American student to be enrolled at a large southern university. Mr. Morgan experienced racism there from students, faculty and administration. It took over a year for the school to find a roommate willing to live with him. He became extremely lonely, but predictably “alcohol was my friend.” s anger towards the discrimination at the university grew, fueled by his unresolved childhood experiences. He drank more. s academic work suffered. He was becoming a very volatile young man. “When I got drunk I fought. I was violent, no ifs, ands and buts about it.” Some of the fights then and later ended in arrests. Mr. Morgan did not finish college. s drinking and marijuana use began to soar, becoming a chronic and daily habit. He often operated automobiles when drunk, which resulted in a number of DWI arrests leading to some convictions. s double life came to a crashing halt with a devastating car accident. While very drunk, he drove his Cadillac off a cliff into a lake. Miraculously he survived the crash, and rescuers used the Jaws of Life to extract his mangled body from the wreckage. He spent months in the hospital recovering from multiple fractures, including a badly shattered leg. (He still uses a cane when walking). As a result of his accident, Mr. Morgan continues to use alcohol and marijuana to control his pain. He reports drinking a six pack in addition to a fifth of whiskey a day. He reports that he tries to limit his drinking but once he begins drinking, he is unable to. “I seem to need more and more and still don’t get drunk.” He reports having to “keep some alcohol back for the morning” as he often wakes up with “the shakes.” He reports that he often has to stay in bed because of hangovers and feeling nauseous due to his drinking. Mr. Morgan reports that he has a strong desire to drink alcohol that begins in the morning as soon as he gets up. He discloses that he will often leave the house to go buy alcohol even though he currently he has two DUIs and has recently been charged with a third DUI. s marijuana use has increased as well. He smokes several blunts a day when his pain is bad. He reports marijuana makes him feel “chill” and takes the edge off from the alcohol. Mr. Morgan describes often having to go out to into the neighborhood to get his marijuana as he has not been able to get a medical marijuana card. He does not report any withdrawal from using marijuana. When asked why Mr. Morgan has come to counseling now he states that his lawyer recommended that he come for treatment before his court date so that he can avoid going to jail. However, he states he doesn’t think his problems with alcohol are that bad and that “I can stop drinking whenever I want to. I just don’t want to go to jail.” Using the information provided in the case study , I have to describe a biopsychosocial assessment of the client presented in the case study. When writing the biopsychosocial address the following areas (if you merely repeat the case study that will not meet the requirements for writing a biopsychosocial). some areas may not be relevant for the person in the case study so you can just indicate not applicable for any of those areas. There may be limited information or information that is missing from the case study. If that is the case indicate what you feel is missing and what you would have asked the client about if you had done an assessment interview: Identify an appropriate screening instrument(s) to evaluate the client’s diagnosis, stage of dependence, change, or recovery. justify your choice of instrument. There are instruments listed in your textbook as well as on the SAMHSA website. Provide an appropriate DSM-5 diagnosis for Substance Use Disorder and, if applicable, any co-occurring mental health disorders. Also address any process addictions you feel the person might have and if diagnosable also include this diagnosis. Using the ASAM criteria you have learned about consider possible placement options (inpatient/ intensive outpatient/ outpatient counseling/self-, etc). Describe appropriate treatment modalities and recommendations. For example: Discuss what theoretical perspective(s) you would use to treat this client. theory or theories would you use? stage of change is the person in the case study likely at and what suggests this? How would you use theory to address this? Discuss what your own personal theory of addictions counseling is and how that would influence the treatment modalities or theories you chose to use to treat the person in the case study. Compare and contrast your theoretical approach to addictions counseling with traditional mental health counseling. How does your chosen theoretical approach to addictions counseling integrate with mental health counseling? How would it affect your treatment of the person’s mental health issues if they are present in the case study. In addition to the course text, a minimum of 4 resources (from professional, peer-reviewed literature resources— ), must be used. Wikipedia, Psychology Today, or other similar sources are not acceptable.

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