Case Study: Mid-20s Male with Mental Health & Alcohol Use Disorder
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.
As days passed since his admission, it became clear that this client was highly resistant to medical interventions and psychotropic medications. His appearance was disheveled and mood consistently paranoid and pessimistic. He was suspicious of his Therapist and the Psychiatrist, remaining unwilling to waiver in his beliefs. This limited his capacity for progress in effectively addressing his mental health diagnoses and substance abuse issues. With the consistent collaboration of various departments over the first few weeks of this client’s treatment, including clinical, medical, and case management, he eventually became open to trying certain medications. Shortly thereafter, it was clear that the medications were beginning to work, allowing this client to let his guard down and begin to receive the full benefits of treatment. Initially in a hurry to discharge and “move on with my life”, the client became receptive to completing all levels of care, including Residential, PHP, IOP, and OP.
As time progressed, the client transitioned to our Cottages Transitional Living Community and remained a resident through the final few months of his 6 month treatment regimen. Initially adamant in his refusal to accept clinical aftercare recommendations, client became more openminded as his level of trust toward staff increased. He accepted a referral to a wonderful supportive housing and outpatient program back home. About one year later, client’s family reached out to Destination Hope Staff to express gratitude for helping her son. She reported that as of today, her son “is a totally different person”, going on to mention that he has remained medication compliant, sober, and avoided any further legal issues.
This client arrived at our doors a broken man who had lost trust in medical professionals and was clouded by paranoia and untreated mental health. By discharge, his entire attitude and outlook took a one hundred and eighty degree turn. By letting treatment staff in, this client was able to take advantage of all that treatment at Destination Hope has to offer and change his thinking to change his life.