osis: Because of an amalgamation of two diagnoses, it is often difficult to establish whether the problem is majorly due to substance abuse, mental illness, or both (Australian Drug Foundation, 2013).
3) Complex treatment: The treatment of dual diagnosis consists of multiple steps, namely, engagement of patient in a health care service, keeping him/her in service, intervention, and finally relapse preclusion and rehabilitation (Watson & Hawkings, 2002).
Major issues with treatment are resistance to treatment/non-compliance, relapse of one illness leading to subsequent relapse of the other, and pharmaco-dynamics and pharmacokinetics of the prescribed medication and alcohol/drug affecting each other. Even normal dosages prescribed by the doctor can lead to adverse effects in such scenarios (Australian Drug Foundation, 2013). Lack of support from society and health care staff is also a problem (Graham, 2013).
Unfortunately, most regular health facilities are incapable of dealing with multi-problems like these. Health practitioners and nurses do not have the training or the expertise to recognize, investigate, and treat these disorders
Stigma is a social construction that demarcates people on the basis of a certain property, and then isolates and humiliates them because of that demarcation (Bos et al, 2013). Stigma leads to inhumane behaviour towards the victim (Goffman, 1963).
The phenomenon of stigmatization is very common in the field of psychiatry. Since time immemorial both mental ailment and substance abuse have individually been regarded worthy of contempt. Stigma is of many different forms and manifests itself in many ways. It can hinder delivery of proper treatment by health care staff, socially isolate a person, or stall him/her from disclosing his/her true problems (stigma article). All these effects result in delayed treatment when disease has become advanced or relapses, resulting in increased costs (Biernat & Dovidio, 2000)
Since dual diagnosis is ...
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Betsy is an Army veteran after having spent time in the Middle East as a supply technician. She states that this was difficult for her because she was afraid for her life. She married man she felt could protect her there, but he turned out to be very abusive and he also abused drugs.
He was married to Fiona with whom they have a child named Liam but now they are divorced, with Fiona taking custody of their child. Currently, he is a client of Alcohol and Drug services. Joe has a drinking problem that has developed gradually over years.
Moreover, the duration of the disorder has been three years as reported by James’ wife without the presence of a Mixed Episode, Manic Episode or Major Depressive Episode. The symptoms presented by James cannot be accounted for by Schizophrenia, Schizophreniform Disorder, Delusional Disorder or other Psychotic Disorders since James is not hallucinating or behaving as required by the aforementioned disorders.
His disease is inadequately controlled and is manifested by alcohol intake and delusions. For schizophrenia, an approach of psychoanalytic psychotherapy would be the best which can be incorporated into the need-adapted approach of therapy. A psychodynamic understanding of this patient's situation is imperative.
This is designed to demonstrate the scientific rationale and clinical efficacy of an assessment tool and the engagement process that would have been used while assessing a client of this kind. The primary diagnosis of this client was paranoid schizophrenia with a subsequent secondary diagnosis of a substance-related disorder, drugs and alcohol dependence.
He has a beautiful, trusting, and responsible wife, two daughters, and parents, both of whom are elderly and unwell. As the father, he is loved by his daughters. Not that his wide does not love him or vice versa. Somewhere within this opulence and business of success and professional excellence, which seemingly appear so full and content, he senses gap and keeps coming to a nearby psychiatrist, where he fails to communicate.
The picture is consistent with microcytic hypochromic anaemia. There is an associated inflammatory component of the disease suggested by leukocytosis. Since there is normal platelet count, one can freely rule out bone marrow inflammation.
2. In this setting, small-bowel involvement may lead to malabosrption.
Piggle saw Winnicott in a series of occasions, sixteen in all, until she reached the age of five. Winnicott wrote about these sessions, and included some notes and messages from the parents which gave details of Gabrielle at home.
Winnicott was an expert child analyst who ran a busy and well-known practice in England.
Her story is rather dark and full of misfortune as she misses her family back at home. Sultana’s other children: her eldest son and her daughter both live in Iraq. Her current family, in the US, consisting
Sarah has shown disruptive behaviors like the fits of anger and acting out at home. Communication has also been an uphill task between Sarah and her mother. Sarah has been affected enormously by her father`s death, therefore, it
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