Brian Bright Articulate Assignment Help: How to Answer This Question

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Original Question

Brian is a bright and articulate 19-year-old student who is currently in his second year of university. He is living in an apartment with two other young men of a similar age, with whom he is good friends. He was referred to the clinic by his parents, who seek to better understand his attention profile and learning challenges. Brian has spent the last two summers working as a camp counsellor where he describes being well-liked by both his peers and campers. He notes that he has recently been experiencing anger outbursts with his girlfriend, who he has been seeing for the past year. While they have many common interests, he finds that he sometimes lashes out at her when feeling frustrated. He is challenged by low motivation and is struggling with perceived academic underachievement. Brian is creative and intelligent, but has been disappointed by his academic performance in the last year. Last semester he was placed on academic probation – this was a large motivator for him coming into the clinic. Brian reports a tendency to “shut down” when he becomes overwhelmed by stress. He attributes this tendency as the reason he performed poorly on his last set of exams, and why he was placed on academic probation. There is evidence of escalating behavioral challenges since Grade 9. Brian also reports that he struggles with feelings of internal restlessness, an inconsistent ability to concentrate, and difficulty with time management. He indicates that he has always had a difficult time concentrating in class, and that his mind has a tendency to wander. He states that at times his immediate reaction to anger and frustration is to become verbally defensive and irritable. He sometimes breaks things if he is really angry or gets into arguments with his girlfriend. Brian admits to having a daily dependence on marijuana. He states that this smoking helps to “calm” his mind and to decrease the perceived “non-stop” restlessness of his thoughts. While he has been trying to cut back on his marijuana usage, he smokes half a pack of cigarettes per day, and reports some concern that he has begun replacing marijuana with alcohol use. “Binge” drinking with friends is increasing. His parents are concerned, especially when he had previously been successful academically and socially What level of care will you recommend for Brian at this time (inpatient or outpatient)? What is your rationale for your choice? What would you recommend as a long term strategy for Brian? What is your rationale?

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