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Original Question
discuss aftercare plans for the individual (AA/NA, mental health counseling, community resources etc.) Please cite at least one scholarly source. Summarize the following: Lucy Monroe is a 23-year-old non-Hispanic Caucasian female who is starting to get a firmer grasp with her alcohol dependence that began during her time at Beal University in Bangor, Maine. Lucy said that the stress of balancing going to college, working full-time, and everyday life has increased her alcohol consumption. Her mother is an active supporter of Lucy. Lucy seems to be motivated to change her mind set so that she can be alcohol free even though she is choosing to continue to smoke marijuana where she says that has helped. A new psychologist that she has started seeing has recently diagnosed Lucy. She has been clinically diagnosed with post- traumatic stress disorder (PTSD), and depression. Lucy has been committed to engage in her recovery and has been open and receptive to several treatment options including, receiving a clinical diagnosis from a psychologist, she has consulted with a psychiatrist and has been started on a mood stabilizer, she meets next week with her primary care provider to receive a physical, and she is participating in an outpatient substance abuse group, such as Alcoholic Anonymous meetings. She is gaining more confidence in continuing to seek healthier coping skills that work for her to help counteract her urge to drink. In a previous session Lucy actively participated in what the “5 Stages of Change” are and how to use them. At that time Lucy identified her current stage as in between stage three, which is the preparation stage and stage four, which is the action stage. She has been dedicated to wanting to change since she started with me and has abstained from alcohol for approximately two months. When asked what stage she thinks that she is at now. Lucy smiled and stated that she is at the fifth and final stage, which is the maintenance stage where an individual abstains from using substances. Included in Lucy’s treatment plan from her first session was to have an American Society of Addiction Medicine (ASAM) Assessment completed. As explained to Lucy, this is a tool that is used to evaluate an individual’s severity of their substance use disorder, and any issues that could be associated with substance abuse. This assessment looks at many factors including, the potential for withdrawal, biomedical conditions, emotional and behavioral conditions, readiness to change, relapse potential and their current living environment. Lucy agreed that she was not actively withdrawing from alcohol, and that she still uses marijuana to manage her stress. No biomedical conditions were identified that would cause difficulties with Lucy’s treatment. Lucy does have co-occurring mental health disorders, which are post-traumatic stress disorder (PTSD), and depression. Lucy is taking the initiative by tackling these problems by seeing a psychiatrist to start on a mood-stabilizing medication. Lucy has displayed a readiness to change since our first session together. She acknowledged that her substance abuse was causing many issues in her life, which is a big part of Lucy staying committed to recovery. Lucy is very aware of her risk of relapsing. She has said that her marijuana use has increased slightly since not drinking, but she feels that there have not been any negative effects in her life due to the increase. Lucy has a supportive environment that includes her mom, a few close friends, and the support of new friends that she has met by going to AA meetings. Lucy’s determination and her desire to change show that she wants more positive changes in her life and is striving for such. This is going to be one of the factors in her success in recovery. Lucy is currently navigating the challenges that life gives us by utilizing her various resources and learning coping skills. With the continued support of her support system Lucy is well on her way to being a success story!
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