A Family Seeking for Treatment - Assignment Example

? CASE REPORT Section I: Identifying Data Evaluation: November 12, Lee                                                                                 ?Birthdate: October 4, 1996 Date of Report:? October, 20, 2013 Gender: Male                                                                              Ethnicity:? African American Examiner:? Religion: Christian I. Presenting problem. The family is seeking treatment for Lee, particularly his mother because of his problem associated with alcohol drinking. The said problem may have potential impact on his life in the future, and even at present such behavior triggers undesirable effect to his mother and to the people around him like his friends. II. Background Lee becomes abusive at some point when drinking. Report shows that he can consume at most 12 cans of beer per drinking episode in at most four nights in a week. His addiction to alcohol is developing and he is aware of this, as manifested from a certain episode when he decided to quit drinking alcohol for about 30 days, and his fear not to play his favorite sports that could send him to college athletic scholarship program. III. Risks & Resources. Physical (biological, genetic, neurological, etc.) Under the physical area, there is a hint that Lee is influenced by his father, but problem with alcohol may be genetic in this case. This might be the reason why he behaves the way his father did with alcohol. However, the problem with alcohol in the case of Lee might be the kind that can also take the physical environment as another influential factor for his behavior towards substance abuse like alcohol. This tendency is again might be influenced by his father, as the immediate factor that has the potential impact on Lee’s prevailing neurological development and understanding of the physical reality. Cognitive/academic Lee fears that his addiction with alcohol might restrain him from obtaining academic scholarship and eventually his involvement in the most loved sports he is engaged in. In this case, the academic environment and his desire to play his favorite sports are sufficient motivating factors that can eventually help him develop a positive perspective towards the peril linked to alcohol abuse. There might be a tendency that Lee is performing poorly in his academic because of alcohol abuse, though he denied it in the first place. However, as evident from his level of worry placed on not being able to play his favorite sports in the varsity once his alcohol problem is discovered is a kind of realization that has the potential strength to bring him a positive change towards his outlook in alcohol abuse. This means that his memory is indeed functional, but his last episode of drinking might show a decline in his cognitive development because he is not able to recall what happened by then. Emotional regulation (mood affect) At some point, one can say that Lee has the positive consciousness about his behavior when intoxicated with alcohol based on the responses he receives from his friends and mother. However, based on the information received from him, it turned out that mood and affect were unremarkable. Although, he started drinking alcohol at the age of 14, which is a remarkable age when a person socializes and even faces various emotional problems because of some biological changes and social pressures. This means that Lee might just have been covering up the real score, as far as emotional affect is concerned. Relationship capacity Recently, Lee’s mental status revealed that he was oriented for person. This is a remarkable evidence to support the claim that he has strong capacity to take care of a relationship, which evidently shows why he can effectively manage to go out with friends and drink with them. However, his intoxication with alcohol makes him vulnerable to violence, which is an essential factor that can evidently destroy his relationship with his friends and his mother as his immediate family connection. Self & identity At this point, Lee can identify himself as one having problem with alcohol. This positive identification leads him to know that he is unable to recognize his limitation when it comes to how much he can possibly drink to intoxication on any given night, as he cannot predict it in the first place. However, he is in a denial stage, for he clearly knows that there are some remarkable fear and complications involved once his problem with alcohol is exposed. Among them are his fear of losing his chance in the varsity team and poor academic performance. Family Lee lacked the chance to grow to see a father figure, as starting from 6 years old until his present age; it was only his mother who raised him. Therefore, Lee’s case shows that his development as an individual might somehow lack an important element as far as his family is concerned. Neighborhood Neighborhood at some point showcased support when Lee was still young and his mother will work the late shift by checking in on him. This is another remarkable point in the life of Lee when his neighbor might have introduced him a certain level of influence. Community/school The academic institution, primarily the school has significant influence on Lee because it gives him the opportunity to play his favorite sports and develop a negative image against alcohol abuse. Culture (including ethnic, religious, or other) Religion, at some point was not that influential on the part of Lee because of their inability to commit constant engagement with religious activities due to a hectic schedule of his mother with work, and with his sports’.   IV. Formulation & Summary: In great detail, Lee’s problem with alcohol was a tremendous influence by his immediate environment, and it started with his father, and probably enhanced by the peer pressures at the age of 14. Another point is that his mother and even the religious institution might have missing the opportunity to bring forward a positive discipline to Lee because of his mother’s busy schedule with work. This left Lee to be handed down to neighborhood supervision, which has a potential silent impact on Lee’s prevailing behavior with alcohol abuse. This can be further justified if we based it on the environmental perspective in psychology, which states that the environment has the significant influence on how individuals behave or conduct themselves (Feldman, 2003).   V. DSM diagnosis.   Based on DSM 5, the case of Lee clearly falls on substance-related and addictive disorder because of his increasing intake of alcohol at a specified period of time in a week leading to the existence of cases of intoxication and behavioral problems. These behavioral problems at some point lead to the observance of defiant behavior leading further to the likelihood of a conduct disorder. VII. Treatment Plan, Goals and Interventions [goals and interventions should be shaped by your theoretical framework]: Decrease the amount of beer to 5 cans a night within the next week and a positive social commendation from Lee’s friends once it is fulfilled. To only have one night in a week with at most 5 cans of beer and a positive social commendation from Lee’s friends once this goal is realized. Within ten weeks, Lee will only be an occasional drinker, and to realize it, his mother will have to sacrifice a portion of her time from work to have bonding with him personally and even with Church members. This bonding time will have to be considered as a reward. Reference Feldman, R. S. (2003). Essentials of Understanding Psychology (5th ed.). New York, NY: McGraw Hill. Read More