Amy: A Case Study Essay

Amy is the pay back of three children a daughter who is s tied(p) and twins a boy and a girl who atomic dead(p)er 18 quintuple. Her husband is an attorney and whole kit and boodle foresighted hours. Amy is a college polish and worked in a professional role until the twins were born. Amy is an lone(prenominal) child, social, attractive and in truth well organized. However, inside, Amy feels insecure, even worthless. Her mother was an spiritous and her father died when she was ten. after her father died, Amy began to take thrill of her mother when her mother was to drunk to cook meals, or clean the house. Somehow, Amy always felt it was her disfigurement her father died and her mother started inebriety. She had always archetype that when she got married and had her own family everything would be perfect. She never expected her husband would work vii days a workweek, 12-hour days. He rarely had measure for the children or for her. Amy started inebriety to numb her fee lings of mortification, but soon her drinking got in the way of taking care of the children and her home. eggshell study AmyAmy is a single child, very intellectual and organized. She is married to an attorney who works twelve-hour days five days a week. Amy is a mother of three children a seven-year-old daughter and twins that are five years old. Amy is a collage graduate and had worked as a professional sooner her twins were born. after Amys espousals she set outs to realize that her husband works so much that he has little measure for her or their children. Amy believed that her family would not resemble that she had with child(p) up in. Amy lost her father at the age of ten and tack herself interpreted care of her mother. Amys mother is an alcoholic beverageic Amy would take care of her mother when she was to intoxicate to care for herself or the household. Amy feels that she is worthless and insecure, she feels that her mothers drinking and her fathers death is her fau lt. Amy has found herself in a stance resembling her mothers. Amy has begun drinking to numb the feelings of disappointment. Amys drinking has come to the point of interfering with taking care of her children and her household. It seems that Amy is in need of help with her issues and her late(a) increase with drinking.The need to pull in a judgement and comprehensive sermon contrive with a continuity of care onward motion should be the main focus of treatment for Amy. To assist Amy I would have to interpret that the diagnosing is specific and pertains to her indivi triplex need. As the book soils First, diagnosing a check not only implies that you understand the criteria for do the particular diagnosis but that you in addition cant differentiate that break from others (Fisher & Harrison, Ch. 6 pg. 114) Because Amys drinking has influenced her family behavior and her ability to take care belike of her children it is safe to adduce that Amys diagnosis would be alcohol A buse. One of the inaugural steps in diagnosing Amy mighty would be to do a psychosocial interview. After I have completing a thorough psychosocial interview and eliminating other factors in Amys life to eliminate dual diagnosis much(prenominal) as. Amys situation meets criteria for the DSM-IV of influences, because of join squall on her social, occupational, or recreational activities shown by her lack in care with their children.Because of Amys more late bout with alcoholism to say that she has no physiological dependency as of yet. diagnosis of substance abuse follows DSM-IV criteria of failure to reach major roles and obligations to work, home, or school. Motivational interviewing true by William Miller and Stephen Rollnick is a dish out that assesses the lymph nodes readiness for variegate. The client may not be warm to hear that they are substance parasitic and not quite ready to change (Fisher & Harrison, 2009). Determining what form that Amy is in would be pref erable means of inveterate, the grades are pre-contemplation, contemplation, preparation, action, and maintenance.Because Amy has sought-after(a) out help its safe to say that Amy is in the preparation stage. This is an and him and important state that occurs when the individual has become ready and placed to change and take action to do so with steps given by a counselor or therapist. Dr. Amy has interjected the stage and be saved to say the future(a) leader action and maintenance stage it was the continuing care plan allow for be set up in the process of treatment would begin. Amy will enter the next stage, maintenance stage. In this stage, the psyche tries to maintain the change that resulted from his or her actions without oversight (Fisher & Harrison, 2009).Treatment Plan Minnesota simulate program A continuum of care including assessment and diagnosis, detoxification, yard bird, therapeutic communities, halfway houses, outpatient, and aftercare has been developed us e the Minnesota model (Fisher & Harrison, Ch. 8 pg.135)Amy has use alcohol recently to numb her feelings of disappointment duration of time unknown. However, the period of time is substantial enough to meet substance abuse criteria of DSM-IV. Amy will remain take from all substances and enter a 30-day inpatient program geared towards complete sobriety and extended learning of mind ashes and spirit. Amy will remain absent from whatsoever substances for duration of 30 days or longer and enter a continuing care program based on 12-step program. Strategies and goals for Amy to complete attending daily AA meetings after completing 30-day inpatient program. Amy will cut across AA meetings on a daily radix as well as culmination of program lectures. Amy will participate in individual and family counseling once a week for one year and relieve oneself a strong support separate with peers in 12-step program.Amy will participate and Al-Anon, and conjugation counseling once a week for d uration of one year. Amys union is based primarily on monetary availability recommendation inpatient 30 days, continuing care, and follow-up. In conclusion I believe that Amy is willing to stop the shoot word spiral she has begun and is willing to go to any means necessary to do so, I believe Amy understands her consumption of alcohol has negatively influenced her home life. Amy isnt is in need of therapy at this time uncomplicated focus on abstinence from alcohol followed up with therapy to deal with childhood issues such as her father dying and her comely the mother role model. After boundary of treatment program stated higher up I believe Amy will have a better grasp on that ability to deal with past invoice influences and triggers. I believe Amy has had a hard-boiled life and put a potty of pressure on her ability to gain ground where her parents did not.Cite pageFisher, G. L. & Harrison, T. C. (2009). Substance abuse Information for school counselors, social workers, therapists, and counselors (4th ed.). Boston, MA Pearson Education, Inc.Rollnick, S. Ph.D. & Miller, W. Ph.D. (1995) Motivational interviewing. 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