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Case Study Miguel

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The primary focus of treatment is Moderate Alcohol Use Disorder 303.90 (F10.20) (DSM-5, 2013). Miguel exhibits four or more of the DSM-5 criteria. Miguel shows signs of unsuccessfully limiting his alcohol consumption, he craves alcohol when he is paying bills, the alcohol consumption is affecting his functionality at home and work and he continues the use of alcohol when he is aware of the reason is using the substance (DSM-5, 2013). There is no unknown medical diagnoses until further information is gathered, assessments and medical examination are taken. It has been suggested that Miguel has moderate alcohol use disorder. Further investigation of information is required to identify additional salients than Miguel is showing signs of depression that signaled his alcohol consumption. The previous listed assessment tools can provide additional resources to make a medically sound diagnosis. Additionally, Moderate …show more content…
This can be the primary reason individuals reject treatment. The risk for Miguel would be the loss of his job since it was required to continue employment. The second would be Miguel’s health. The third would be the safety of his family and their care. Miguel may believe that the only reason he is drinking is because of their financial situation and once that becomes under control than he won’t have to drink as heavily. Therefore, alcohol is commonly used as a substitution to cope with an underlying issue (DSM-5, 2012). However, a form of negative metacognitive thinking process (Spada, Caselli, & Wells, 2013) forms. An example could be, “no matter what I do, I can’t stop myself.” The more an addict thinks about the effects of the substance, the more they feel powerless over their abilities. The cognitive and emotional messages are not able to cross over together to relay positive metacognitive thinking as a result of the addiction

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