Substance Use, Abuse, and the Adolescent

For this Application, review the client case study provided below. Consider the characteristics of the client. Which specific characteristics might you consider important in developing an Axes I through IV diagnosis? The Assignment (3–4 pages) An Axes I through IV diagnosis of the client in the case study An explanation of your rationale for assigning these diagnoses on the basis of the DSM-IV-TR.

Casestudy – Substance Use, Abuse, and the Adolescent:

Mom: So, he’s always doing things, on the computer, he talks on the telephone, texting. He never stops, not even to eat. He never eats much anymore.

Boy: (In a nagging way to his mother) Eat your veggies, drink your milk. Eat your veggies, drink your milk. Who needs to eat? (Changes the subject drastically and looks at the counselor) See any good movies lately? I like horror movies, myself. Zombies especially, the fast ones.

Mom: There’s no alcohol or drugs in our house, none. We’ve never done that. We don’t even drink wine. That’s why I wanted our minister to talk to him.

Boy: Talk about zombies.

Mom: He’s the one who suggested that we come here and talk to you because he was thinking that maybe you know something’s going on.

Boy: Yuck! I hate booze. I don’t do drugs either. I say no everyday.

Mom: Personally, I think it’s the music he’s listening to.

Boy: Oh Brother!

Mom: I mean, the screaming. It’s so aggressive and angry.

Boy: Feels good.

Counselor: Maybe you agree with your mom that you’ve been depressed and angry in the past. Do you remember, maybe, why you felt that way?

Boy: Because I’m stupid.

Mom: (Putting her hand on his arm) You’re not stupid, honey.

Boy: (Pulls his arm away from his mother).

Mom: See he had to repeat the fifth grade, so he’s a year behind all his friends in school.

Boy: They’re not my friends. You hate my friends.

Mom: I don’t hate them. It’s just, I don’t think you should be hanging around boys who are that much older than you.

The Assignment (3 pages)

An Axes I through IV diagnosis of the client in the case study
An explanation of your rationale for assigning these diagnoses on the basis of the DSM-IV-TR
An explanation of what other information you might need about the client to make an accurate diagnosis
A brief description of additional individuals you might include in your assessment and explain why.

Support your Application Assignment with specific references to all resources and current literature used in its preparation. You must utilize the uploaded resources provided below first before searching for other sources on the web.

Uploaded Resources:

Burrow-Sanchez, J. J. (2006). Understanding adolescent substance abuse: Prevalence, risk factors, and clinical implications. Journal of Counseling & Development, 84(3), 283–290.
Retrieved from the Walden Library databases.
Escobar, J. I., & Vega, W. A. (2006). Cultural issues and psychiatric diagnosis: Providing a general background for considering substance use diagnoses. Addiction, 101(Suppl), 40–47.
Retrieved from the Walden Library databases.
Gloria, A. M., & Peregoy, J. J. (1996). Counseling Latino alcohol and other substance users/abusers: Cultural considerations for counselors. Journal of Substance Abuse Treatment, 13(2), 119–126. Retrieved from the Walden Library databases.
Helwig, A. A., & Holicky, R. (1994). Substance abuse in persons with disabilities: Treatment considerations. Journal of Counseling & Development, 72(3), 227–233.
Retrieved from the Walden Library databases.
Schinke, S. P., Orlandi, M. A., Botvin, G. J., Gilchrist, L. D., Trimble, J. E., & Locklear, V. S. (1988). Preventing substance abuse among American-Indian adolescents: A bicultural competence skills approach. Journal of Counseling Psychology, 35(1), 87–90.
Retrieved from the Walden Library databases.
DSM-IV-TR pdf file

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Introduction

Axis 1 holds descriptions of clinical symptoms. These symptoms can lead to significant impairment. Adjustment impairment is one of these disorders. Hopelessness, feeling sad and stress are among the symptoms of impaired adjustment. The patient is clearly suffering from impaired judgement. This is evident where he says that he is stupid. For him to think he is stupid, he must be feeling hopeless. Otherwise he would not conclude on being stupid and instead would hold a belief of self improvement. The patient’s sadness is also depicted when he comments that the mother hates his friends. Having to avoid the people whose company must bring……………..

APA

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