Preview

Understanding Dual Diagnosis: Case Study David

Powerful Essays
Open Document
Open Document
1422 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Understanding Dual Diagnosis: Case Study David
Understanding Dual Diagnosis: Case Study David
For many people who suffer from addiction, there is usually a root cause of some sort of mental disorder dual diagnosis or a co-occurring mental health disorder. Having a dual diagnosis or co-occurring mental disorder can lead to many other difficult issues that will make treatment for a client a long process, and an understanding of what came first, the mental disorder or the addiction disorder (Phillips, McKeown & Sandford, 2010).
Case Study
David a 32 year- old divorced male who was placed on administrative leave at his job, was asked to see a mental health counselor. When asked about the events leading up to his being placed on administrative leave, David states that no one at his job not
…show more content…
Axis III: NONE
Axis IV: Other problems related to employment 256.9 (V62.29). Reasons for Diagnosis
The reason for the diagnosis of Narcissistic personality disorder is because David feels the need of his own importance, he has the need for admiration and he has lack the of empathy for others and how others feel in his work place. When an individual has a Narcissistic Personality Disorder they have problems in many areas of their life, relationships, work, as well as financial affairs. Individuals also will feel unhappy and disappointed when they aren’t given special favors or admirations they believe they desire (Morrison, 2014).
The reason for Cocaine-Induced Psychotic Disorder; David is irritable, he feels annoyed with everyone and everything, David is very touchy and he is this way with the people at his work. David is feeling detached from his environment which this can happen as a symptom of a panic attack. He may feel uncomfortable and detached from everyone and everything in his life especially at his job (Morrison, 2014). Due to his Cocaine-Induced Psychosis David could have a mental disorder before use of cocaine and can then manifest this

You May Also Find These Documents Helpful

  • Good Essays

    case study schizophrenia

    • 756 Words
    • 3 Pages

    Increase in dopamine levels would explain Randy’s psychotic symptoms; his positive symptoms can be explained by increases in serotonin levels, and increases in Norepinephirine causes decreased pleasure in people with schizophrenia.…

    • 756 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    Case Study 3 Diagnostic 1

    • 434 Words
    • 2 Pages

    Findings: Ct scan of the chest was performed in 7 mm axial sections with no intrrveous contrast enhancement. Comparison is made to previous ct scans made during his admission last year. There is interval resolution of the previously noted cavitary lesions in both upper lobes. However, there is evidence of chronic residual infultrates or scarring in both upper lobes as well as in the mid- and lower-lung fields posteriorly. Heart again appears enlarged. There is evidence of mild bilateral pleural thickening. No interval pulmonary parynchimal or pleural based mass lesions. No mediastynal or hylar masses. No lymphadenopethy, no pleural effusions, and no significant lesions of the boney thorax.…

    • 434 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    His old age could have effected how intensely the cocaine affected his body, but due to how small the amount was, I would not have expected it to happen.…

    • 659 Words
    • 2 Pages
    Good Essays
  • Better Essays

    Psy/270 Appendix H

    • 914 Words
    • 4 Pages

    A. Causes: When it comes to this disorder the cause is unknown. This one of many mental disorders and the cause is a mystery of complexity. Many psychologist have long believe that dyfunctunality in childhood, such as extremely high expectations, excessive pampering, and neglect or abuse play a role in this disorder, but can not provide definitive data to prove this theory.…

    • 914 Words
    • 4 Pages
    Better Essays
  • Good Essays

    : ) : ) : ) Smiley Face

    • 642 Words
    • 3 Pages

    1. A double blind study was conducted measuring the effects of ritanserin on cocaine addiction. Both a placebo and ritanserin group were established. Both groups were given cocaine cues while measurements of their heart rate, skin temperature, and skin resistance were taken in two sessions, four weeks apart. Self reports (quantitative scales of qualitative characteristics such as mood, craving intensity, etc.) were also taken in order to determine levels of craving. Ritanserin groups showed a significant difference in decreasing skin temperature and qualitative self reports. However, the results were not solid enough or free of confounding variables to determine that ritanserin is an effective method of reducing cocaine craving.…

    • 642 Words
    • 3 Pages
    Good Essays
  • Better Essays

    EBSCOhost: 'Paul 's Case ': A Narcissistic Personality Disorder, 301.81." EBSCO Publishing Service Selection Page. N.p., n.d. 16 Apr. 2012. .…

    • 1283 Words
    • 6 Pages
    Better Essays
  • Satisfactory Essays

    He then got treatment and went back to islolation. Through the years David kept to himself, trying to hold jobs as long as he could, till the anxiety was to much to…

    • 438 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    A dual-diagnosis patient is an individual who has a SUD and some form of mental illness at the same time (Doweiko, 2015). Dual diagnosis is not uncommon, individual with a mental disorder are twice as likely to have an SUD (Clinton & Scalise, 2013). Currently there are 4 million people in the United States who are suffering from some sort of dual-diagnosis. (Doweiko, 2015). According to the text if an individual has a mental illness they are 270% more likely to have an SUD. Studies further indicate that the more serious the mental illness the harder it will be for the individual to abstain from drug use.…

    • 778 Words
    • 4 Pages
    Good Essays
  • Better Essays

    Dual Diagnosis

    • 1457 Words
    • 5 Pages

    Duel Diagnosis has become more frequent, with the advancement into the signs and symptoms of each disorder progresses. I great amount of the time when a person has an addictive personality they tend to have other personality disorders also. Just three generations ago if a person had substance use disorder (SUDs) they would stop after that diagnosis. At that time they didn’t know that the majority of psychiatric patients also had a co-occurring SUD (Doweiko 2015 p. 339). The book goes on to say that the health care professionals do not understand why they would have more than one problem at a time. Earlier in the text it did mention that drugs and alcohol abuse does change the person with the disorders brain, and sometimes the brain never goes back to the way it was before the addiction. Today the norm for people with SUDs is to be diagnosed with multiple disorders. From going to AA and NA meetings I learned that some people stop drinking or drugs but they are still miserable because they have not changed anything except taking the drink or drug out of the hands. Dual-diagnosis patients are people that suffer with co-existing disorders of mental illness and SUDs. All of these mental illnesses do not have to be related to each other, the book used hypertension and obesity. The book also mentioned that the SUDs did not cause the psychiatric disorder (Doweiko 2015 p. 340). There is always a chance that SUDs can increase the person secondary disorder like cirrhosis or the liver, heart failure, alcohol or drug overdose and other medical disorders that could put the person in the hospital. Having a dual-diagnosis can be very tricky for both the licenses professional counselor and the patient to identify and to treat properly.…

    • 1457 Words
    • 5 Pages
    Better Essays
  • Better Essays

    People with Narcissistic Personality Disorder suffer from rage, shame, or humiliation when hearing criticism, they have unreasonable expectations to receive special and favorable treatment, and are unable to recognize and experience how the people around them feel (New York-Presbyterian). These are just some of the symptoms people with this disorders may experience. These symptoms may appear to be just having confidence or strong self-esteem, but in reality they are crossing a border of having healthy confidence and self-esteem. They think so highly of themselves, they put themselves on a pedestal (Mayo Clinic). These traits are often seen in adolescents, but most grow out of this behavior. Having Narcissistic Personality Disorder causes people to belittle or look down on others they see as inferior to them. Narcissists use other people to get what they want and don't care about the cost to the other people. People with NPD automatically aspect their wishes to be a reality or aspect especially favorable treatment, such as thinking…

    • 1420 Words
    • 6 Pages
    Better Essays
  • Good Essays

    The last scenario includes a 30-year-old male, Gary, he is known to be a significant liar He frequently brag about his achievements, both genuine and imagined. He energetically appreciates being the center of attention. This patient additionally needs faithfulness, sympathy and comprehension in his relationships. Gary is engrossed with his own appearance, and has a fear of growing old. Gary’s diagnosed with a serious instance of Narcissistic personality disorder. Narcissistic personality disorder is a mental disorder in which people have an inflated sense of their own importance, a deep need for admiration and a lack of empathy for others. But behind this mask of ultra-confidence lies a fragile self-esteem that's vulnerable to the slightest criticism. A narcissistic personality disorder causes problems in many areas…

    • 827 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Narcissistic: (personality disorder) is a mental disorder in which people have an inflated sense of their own importance, a deep need for admiration and a lack of empathy for others. But behind this mask of ultraconfidence lies a fragile self-esteem that's vulnerable to the slightest criticism.…

    • 490 Words
    • 2 Pages
    Good Essays
  • Satisfactory Essays

    A person who is diagnosed with Narcissistic Personality Disorder has a strange behavior. This kind of person doesn’t care whether he could hurt somebody’s feelings; they are selfish and very abusive. These are just some of the traits of people with this disorder. They do believe that they need special treatment. They think that they’re good, and distinct from others that they feel so special and unique. They easily get jealous and unreasonable expectation of favorable treatment and exaggerate achievements and talents. These are just some of the symptoms of people with this disorder. Narcissists are physically attractive and charming at first sight, which is their advantage. While it takes, they intent to show their real behavior. Until now,…

    • 179 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    Chronic cocaine intake causes brain cells to adapt functionally to strong imbalances of transmitter levels in order to compensate extremes. Thus, receptors disappear from the cell surface or reappear on it, resulting more or less in an "off" or "working mode" respectively, or they change their susceptibility for binding partners (ligands) – mechanisms called down-/upregulation. However, studies suggest cocaine abusers do not show normal age-related loss of striatal dopamine transporter (DAT) sites, suggesting cocaine has neuroprotective properties for dopamine neurons.[13] The experience of insatiable hunger, aches, insomnia/oversleeping, lethargy, and persistent runny nose are often described as very unpleasant. Depression with suicidal ideation may develop in very heavy users. Finally, a loss of vesicular monoamine transporters, neurofilament proteins, and other morphological changes appear to indicate a long term damage of dopamine neurons. All these effects contribute a rise in tolerance thus requiring a larger dosage to achieve the same effect.[14]…

    • 532 Words
    • 3 Pages
    Good Essays
  • Good Essays

    The Science Behind Drugs

    • 3026 Words
    • 13 Pages

    COCAINE – the short term effects of Cocaine is that it makes you feel high, confident and full of energy. But this can turn into feelings of anxiety, panic and paranoia. Users of cocaine can end up feeling tired and depressed.…

    • 3026 Words
    • 13 Pages
    Good Essays