case study – Cheap Research Essays

1) What preliminary DSM Substance-Related Disorders diagnosis would you give for Client 1 and Client 2 and why? include DSM codes and reasoning for each case.
Client 1

The client is a 32-year-old who is requested medication for pain. He reports that he is under prescription for Oxycodone. He is exhibiting some symptoms of withdrawal including stomach cramps, dilated pupils, muscle spasms, elevated heart rate, and blood pressure. Aside from these withdrawal symptoms, he appears to be in good physical shape and his vital signs are stable. He reports no other adverse medical problem and no psychological problems. He is hoping you can just give him some medications until he can see his regular doctor. He becomes angry and threatening to you and the staff when you tell him you may not be able to comply with his request. He complains about the poor service he has been given. He wants a bed and medications, and if you do not provide one for him you are forcing him to go out and steal and possibly hurt someone. On questioning, he reports some suicidal ideation and states, “I can’t go on living like this.” He also tells you that he previously had problems with heroin and drinks alcohol daily and “more when I can’t get my meds”. He reports that he has never been involved with any treatment but wants to turn his life around if he is just given a chance, some medication, and a bed for tonight.

Client 2

The client is an older man in his early 60s. He is accompanied by a person who found him outside his apartment and brought him to the hospital. He is somewhat evasive about how he knows him other than that he lives in same apartment complex and that he does not know details of his life. His says he has been having trouble sleeping and must have “dozed off” outside after taking a walk. His appearance is disheveled and unkempt, he is sweating, his eyes are dilated, and his hands are trembling. He smells of alcohol but his blood–alcohol level is low and his speech is not slurred. He can correctly identify himself but also appears confused and anxious and wants to go home and go to bed. His nose and cheeks are red with tiny spider veins and his stomach is distended. His demeanor is polite but he does not want to give you any information about family to contact. He tells you he has never had a problem with alcohol but admits to drinking some most days. He reports that he was drinking earlier today but cannot say exactly how much. He says he would be willing to stay at the hospital overnight but would prefer to go home and “sleep it off.”