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belvigadarciane
Take each question of the AUDIT and connect it to the criterion of…
Take each question of the AUDIT and connect it to the criterion of the AUD for which it is attempting to assess, describing your reason(s) for such connection. (Please number your responses to coincide with the AUDIT questions.) What questions from the AUDIT apply to the case study? What criteria of the AUD diagnosis applies to the case study?
CASE STUDY DETAILS
Jeff is a 66-year-old Caucasian man whose wife has encouraged him to seek treatment. He has never been in therapy before, and has no history of depression or anxiety. However, his alcohol use has recently been getting in the way of his marriage, and interfering with his newly-retired life. He describes drinking increasing amounts over the last year, currently consuming approximately a six-pack of beer per day. He notes that this amount “doesn’t give me the same buzz as it used to.” He denies ever experiencing “the shakes” or any other withdrawal symptoms if he skips a day of drinking. Jeff comments that his wife is his biggest motivation to decrease his alcohol use. She tells him that he gets argumentative and irritable when he drinks, though he does not always remember these incidents. He has also fallen while intoxicated twice, causing bruises both times and hitting his head on one of the occasions.
DSM-S Alcohol Use Disorder Diagnostic Criteria:
A problematic pattern of alcohol use leading to clinically significant impairment or distress,as manifested by at least two of the following occurring within a 12-month period:
1. Alcohol is often taken in larger amounts or over a longer period than was intended.
2. There is a persistent desire or unsuccessful efforts to cut down or control alcohol use.
3. A great deal of time is spent in activities necessary to obtain alcohol, use alcohol, or recover from its effects.
4. Craving or a strong desire or urge to use alcohol.
5. Recurrent alcohol use resulting in a failure to fulfill major role obligations at work, school, or home.
6. Continued alcohol use despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of alcohol.
7. Important social, occupational, or recreational activities are given up or reduced because of alcohol use.
8. Recurrent alcohol use in situations in which it is physically hazardous.
9, Alcohol use is continued despite knowledge of having a persistent or recurrent physical or psychological problem that is likely to have been caused or exacerbated by alcohol.
10. Tolerance, as defined by either of the following:
– A need for markedly increased amounts of alcohol to achieve intoxication or desired effect
– A markedly diminished effect with continued use of the same amount of alcohol.
11. Withdrawal, as manifested by either of the following:
-The characteristic withdrawal syndrome for alcohol.
-Alcohol {or a closely related substance, such as a benzodiazepine} is taken to relieve or avoid withdrawal symptoms.
