Client was a 54-year-old heterosexual female who presented for treatment for Alcohol Use Disorder co-occurring with Major Depressive Disorder. Client reported having time sober in the past and had relapsed approximately 2 years ago. The client is a licensed clinician and was out of work on FMLA and Short-Term Disability. The client reported that she had been in treatment before, but it was a long time ago and came to Destination Hope for help.
The client shared that she was functioning at work and no-one questioned her performance. She further reported that she was drinking heavily at home nightly and had recently starting drinking while at work, and she knew she needed help. The client reported that she had a troubled marriage with kids living at home and felt responsible to take care of her husband who is disabled.
As they grow up, our daughters are the lights of our lives. However, we can’t control everything. One of the hardest realizations that a parent may have to rationalize is that their little girl, that seemed to have it all together, can grow up to use and abuse drugs or alcohol. Of course, the critical part of this is to make sure we identify and address the substance abuse or addiction issue early. This offers the greatest chance for recovery with the fewest long-term or permanent effects. Regardless, however, it may take time for parents to realize that there is a substance-abuse problem, even if many of the signs are clear to a professional.
Our client was a mid-20s male from the West coast. He arrived to treatment seeking treatment for Bipolar I Disorder, PTSD, and both Alcohol and Cannabis Use Disorder. Immediately upon admission, it became clear that this client struggled with trusting medical and clinical professionals due to significant treatment history and instilled feeling of institutionalization. Client’s motivation for treatment was minimal. It seemed his sole motivation for treatment was to appease his parents and create a picture of stability for various judges assigned to each of his separate legal cases. The primary issue was that client’s definition of stability was skewed due to his significant lack of insight into his condition.
Addiction and The Workplace
By some estimates, up to 40 percent of industrial fatalities and 47 percent of industrial injuries can be attributed to on-the-job alcohol consumption, according to the National Council on Alcoholism and Drug Dependence. Additionally, 21 percent of American workers reported being injured or endangered, having to re-do work or cover for their co-worker or extending their working hours due to a co-worker’s drinking or drug use. Nearly 70 percent of an estimated 22.4 million adult users of illicit drugs are employed either part or full time. Approximately 76 percent of adult heavy drinkers and over 79 percent of adult binge drinkers are also employed part or full time. These percentages equate to approximately 76 million employed adults.
Today we discuss the case of a male client in his early 30s. He presented for treatment for alcohol use disorder, substance use disorder, depression, and a history of suicide attempts. He reported abusing substances before the age of 10 and being diagnosed with depression after being admitted to treatment for the first time. He also suffered a history of suicidal thoughts and attempts due to carrying the burden of guilt and shame caused by the death of a close family member. The client took a leave of absence from work to seek treatment, had run-ins with law enforcement several times and had been to treatment twice before.
Possibly the most heartbreaking event in a parent’s life is when they confirm that the odd and erratic behavior that their 25 year old son has been exhibiting, turns out to be one of their worst fears – substance abuse. Whether it is illicit drug abuse or alcohol, most parents start to notice a change in their adult child and begin to wonder if substance abuse might be at play. Once addiction is confirmed, the concern shifts from identifying the cause of the behavior to determining the solution.
Addiction is a disease that affects the whole family. Without some sort of intervention or help, drug or alcohol addiction can disrupt a home’s stability and destroy relationships. You might not know exactly how to help your addicted loved one: Some experts advocate a “tough love” strategy, while others recommend a gentler approach. In many cases, an intervention can help motivate an addicted person to acknowledge their problem and seek help. Meeting with your loved one and explaining the consequences of refusing treatment presents them with the opportunity to turn their life around.
Sexual abuse, and the trauma it can cause, may leave a person feeling out of control, angry, frustrated, depressed, or anxious about the future. The psychological impact of abuse can linger for months and even years, preventing them from recovering and achieving success in their life. Unfortunately, sexual abuse is alarmingly common; more than 200,000 cases are reported each year in the United States. However, the majority of incidents go unreported, often out of fear, shame or guilt.
It is estimated that upwards of six in every 10 individuals with a drug abuse problem also have an associated mental health condition. This is known as dual diagnosis or a co-occurring disorder. There’s always a reason people start using drugs, and oftentimes it’s a pre-existing mental condition. It may be something as simple as curiosity that gets the ball rolling, but for some, there is a deeper reason to use drugs. Interestingly, it is a two-way street, as addiction may heighten the risk of developing a mental illness as well.
Alcohol abuse is not always clearly understood by many clients. Many assume only the most extreme habits of alcohol consumption are to be considered alcohol abuse. As such, heavy drinking and other unhealthy drinking habits like binge drinking are often cloaked as “social drinking”. Find out what alcohol abuse is and learn about how we, at Destination Hope, treat it.