1
\n(Notice: This case examine relies on many precise instances. All of the names used are made up, and
\nany relation to precise folks or occasions is solely unintended and coincidental.)
\nPSYCHOSOCIAL CASE STUDY
\nMarci has smoked cigarettes since age 16 and at present smokes one pack day by day. Marci
\nstopped smoking cigarettes for six months one yr in the past, however she presently doesn’t plan to chop
\ndown or give up.
\nShe has 5 prescription capsules (Xanax) for despair and nervousness that got to
\nher by a school classmate (for whom they have been prescribed). Marci shared that she had been
\ncombating emotions of disappointment and worrying an excessive amount of about two months in the past. She hasn\u2019t
\ntaken them but however has thought-about attempting them.
\nMarci first experimented with marijuana throughout her senior yr of highschool (age 17),
\ntogether with her use turning into extra common after she entered school. Marci was first launched to
\nmarijuana by her highschool boyfriend, who used it each day together with alcohol on the
\nweekends. Marci has by no means been in an in-patient nor an out-patient program. When her dad and mom
\nfirst found her marijuana use, they insisted that she search skilled Help for what they
\nperceived to be a drug downside. Though they even threatened to name her school educational
\ndean due to her dropping grades, Marci refused Help and started to debate quitting college.
\nWhereas she began ingesting wine together with her household when she was 13, she began to
\n\u201cseverely\u201d drink beginning round 18-years-old. She at present drinks 4 or extra alcoholic
\ndrinks (often wine or wine coolers; typically beer) three to 4 occasions every week and had
\nbeen smoking marijuana two to 3 occasions every week for one yr. Her ordinary sample was to go
\non weekend binges, beginning to drink and smoke on Friday evenings till 2:00 a.m. She
\nwould then have a glass or two of wine round lunchtime on Saturday, smoking a joint or two
\n2
\nwith a few buddies throughout Saturday afternoons previous to attending school sporting or
\nsocial occasions. She would then go to events with buddies on Saturday evenings, sometimes
\nconsuming six to seven cans\/bottles\/cups of beer and sharing a number of joints of marijuana with
\nothers. She had additionally began to devour vitality drinks (Crimson Bull, Monster, and so on.) when she
\ndrank beer at these events to get an added \u201cenhance\u201d to her excessive.
\nIn the course of the previous two months, she has typically had one to 2 glasses of wine (she
\nadditionally used to smoke half a joint of marijuana with it) when alone on college nights. On the
\nmornings after she used alcohol, Marci tended to sleep in and reduce class, however not each week.
\nHer leisure and social pursuits had more and more concerned using alcohol and
\nmarijuana, now since her arrest, it’s primarily alcohol (though she nonetheless needs to smoke
\nhashish). Not too long ago, Marci has begun to specific concern to her buddies about \u201cfeeling
\ndepressed and anxious,\u201d however she studies no suicidal ideation or panic assaults. She can be
\ninvolved since she has missed her interval.
\nMarci doesn’t admit to any bodily issues. She says she was not damage in her
\naccidents apart from a couple of bumps and bruises. She says she didn’t hit her head or lose
\nconsciousness from the accidents. She says she has been sexually lively for the previous two
\nyears together with her \u201csemi-permanent\u201d boyfriend of two years. She thought she was pregnant about
\none yr in the past, however it turned out to be a \u201cfalse alarm.\u201d She says from time to time, particularly
\nthroughout allergy season, she tends to get a \u201cdry, hacky cough.\u201d
\nMarci is the oldest of three youngsters (one brother, Jacob, 17-years-old; and one sister,
\nSarah, 14-years-old) and continues to stay at residence whereas attending school. Her mom, Joan,
\nis a profitable lawyer, and her father, John, is a college administrator. Her household has at all times
\nthree
\nattended weekly providers at their church and have, on a few events, gone as a household on
\nchurch-sponsored humanitarian missions to Latin America. Marci and her siblings have been at all times
\nvery lively within the youth teams, and serving to with varied church ministries, such because the nursery
\nand pre-school child-care Sunday colleges. From taking these journeys, the household began
\nincorporating ingesting wine with their night dinners, much like among the native customs
\nnoticed in these international locations. This began when Marci was round 13-years-old. Marci\u2019s dad and mom
\ncame upon about her use of marijuana six months previous to her arrest. Marci\u2019s dad and mom came upon
\nabout her use of marijuana six months previous to her arrest. After her DUI, her dad and mom sat her down
\nand expressed their concern in regards to the quantity she was ingesting and need her to cease.
\nSince their confrontation and her arrest, she did reduce down considerably on her use of each alcohol
\nand marijuana, and (when pressed by her dad and mom) she would abstain for a number of weeks at a time.
\nAs one consequence, her dad and mom stopped giving her permission to drive a household automotive and have been
\ninvolved about her affect on her youthful siblings.
\nNeither her brother nor her sister at present drink or use substances. Her brother Jacob
\nadmits to \u201cingesting a beer together with his buddies\u201d when he was 16-years-old, however didn’t prefer it. He
\nadditionally admitted to attempting his mom\u2019s (Joan) cigarettes a number of occasions (about 10 of them) when he
\n15-years-old, however since he needed to play sports activities, he stopped. Her sister Sarah says she has by no means
\nused and doesn’t wish to strive any of it as a result of she \u201chates the scent of all of it, and sees from
\nMarci\u2019s instance how a lot bother it causes.\u201d
\nHer father (45-years-old) drank alcohol to the purpose of inebriation many occasions when he
\nwas youthful (being arrested as soon as for Public Intoxication when he was 19), however stopped when he
\nmet and married Joan 25 years in the past after they have been each 20-years-old. He has not drank alcohol
\ncommonly since then (apart from the glass of wine at dinner). He has not had any specific
\nfour
\ndownside with temper issues, though he says he \u201cworries from time-to-time about issues at
\nwork and offering for his household.\u201d He says each his dad and mom struggled with despair and
\nnervousness, however by no means (to his information) used any prescription or unlawful medication. He says his dad
\ndrank often, and John acquired his first style of liquor from the stash his dad stored within the
\nworkshop when he was round 12-years-old. John\u2019s mom by no means drank, however she advised John her
\nfather (John\u2019s grandfather) was an alcoholic most of John\u2019s life till his loss of life 42 years in the past.
\nJohn is an solely baby.
\nMarci\u2019s mom (45-years-old) says she used marijuana rising up (\u201clike everybody my
\nage on the time\u201d) and has struggled off-and-on with despair and nervousness since she was fairly
\nyounger. She by no means drank when she was youthful however has loved the observe of ingesting a glass
\nof wine with dinner. She says she often may have one other glass or two \u201cto Help her
\nsleep.\u201d Joan says she was hooked on tobacco, and smoked cigarettes for over 30 years earlier than
\nstarting to give up about three years in the past utilizing nicotine gum and patches. She has now reduce the
\ngum and patch use down significantly and has not had a cigarette for 2 weeks. Joan says her
\nfather drank excessively all her life and was fairly violent when he was drunk. She says that her
\nfather would beat up her mom often, and put her within the hospital at the very least as soon as that she
\nremembers for 2 days. Her father is also verbally abusive to her two brothers and two
\nsisters (Joan is the youngest). Joan\u2019s father died from a automotive accident 10 years in the past, and alcohol is
\nthought to have been an element. Joan\u2019s mom additionally drank, however to not the surplus of her father, and
\nmay get \u201cacid-tongued\u201d to the daddy and all the youngsters. Joan studies that she and the 2
\nsisters do not need a superb relationship with their mom, however the two brothers appear to have an
\nokay relationship. Right now, Joan\u2019s oldest brother drinks excessively, and appears to be
\nfollowing in her father\u2019s footsteps. The opposite brother has by no means touched alcohol so far as Joan
\n5
\nis aware of. (Apparently, each brothers blame the use and non-use of alcohol on the instance of
\ntheir father.) Joan says she could be very near the youthful brother, however she has a \u201clove-hate\u201d
\nrelationship with the older brother, since he reminds her a lot of her dad and his abuse. Each
\nof Joan\u2019s sisters drank and smoked slightly after they have been youthful however stopped as soon as they
\nmarried and had youngsters (although the oldest sister\u2019s first-born son shows some signs of
\nFetal Alcohol Syndrome). She doesn’t know something about her grandparents since they died
\n(on either side) earlier than she was born, though there have been \u201chousehold rumors\u201d that there was quite a lot of
\ningesting that happened on each maternal and paternal sides.
\nMarci is at present unemployed. Previously she has labored as a waitress, and when she
\nturned 21, as a part-time bartender for the additional cash. Her longest place of employment was
\nwaitressing for six months. Over the previous 4 years, she has been fired or left three different locations
\nof employment resulting from extreme absenteeism and as soon as for destruction of property.
\nMarci was arrested 5 months in the past for Driving Whereas Impaired (DWI) with a blood
\nalcohol degree of zero.13. She was additionally charged with possession of 1 gram of marijuana. Her license
\nwas suspended, however she has driving privileges to get to highschool\/work and again. Over the previous
\nthree years she has had two accidents that occurred whereas she was intoxicated with alcohol and
\nmarijuana, however no different folks or automobiles have been concerned, and no prices have been filed in opposition to her.
\nWithin the first one (30 months in the past), she backed into a lightweight pole within the mall car parking zone. Within the different
\n(13 months in the past), she slid right into a ditch when making a average curve on a street underneath regular
\nstreet situations, struggling some cuts to her face and bruises to her chest, sides, and knees, and
\nneeding to name a good friend to tug her automotive out of the ditch. She additionally had one \u201cdestruction of
\nproperty\u201d depend two years in the past, the place she was positioned on six months of probation and ordered to
\npay reparations to the proprietor, which she did.
\n6
\nMarci is a 22-year-old feminine school pupil who was arrested 5 months in the past for
\ndriving whereas impaired with a blood alcohol degree of zero.13. She was additionally charged with possession
\nof a small quantity (about 1 gram) of marijuana. Her license was suspended, however she has driving
\nprivileges to get to highschool\/work and again.
\nMarci admits that, since she started smoking marijuana, her beforehand good and trusting
\nrelationship together with her dad and mom has soured. She had begun to cover and lied to them about utilizing, and
\nhad felt more and more destructive about herself, particularly as her grades have suffered and her basic
\npursuits have narrowed. On a number of events she tried cocaine, and on one other, LSD, however she
\ndiscovered the experiences disagreeable. It was not till her arrest that she started to really feel some guilt and
\nregret over the truth that her ingesting and particularly her marijuana use was negatively impacting
\nher relationship together with her dad and mom, and interfering together with her want to be an lawyer. She had additionally
\nchange into step by step conscious that marijuana had been affecting her motivation, her schoolwork, and her
\nreligious life, however she has not expressed considerations about her use of alcohol.
\nMarci achieved regular milestones and carried out nicely in highschool, usually
\nattaining A\u2019s and B\u2019s. She is in her junior yr of school. She needed to stay away from residence
\nthroughout school, however her dad and mom resisted the concept due to monetary pressures and their tendency
\nto be overprotective. Though she has at all times been a superb pupil, her grades have begun to go
\ndown and she or he shouldn’t be assembly her educational potential.
\nMarci is neatly dressed, and shows a compliant method. Her grooming was
\napplicable. She was cooperative within the interview answering all questions politely. Her temper
\nappeared considerably anxious and depressed.
\nHer have an effect on was applicable, and she or he was not overly emotional however seems torn between
\nembarrassment and anger at being compelled to attend counseling. Her price of speech was considerably
\nfast when addressing her substance utilizing historical past and appeared pressured at occasions, however in any other case
\nappeared regular. Her tone modulated from excessive when discussing topic (sample nursing essay examples by the best nursing assignment writing service)s that made her anxious
\n7
\n(comparable to failing college, getting arrested), and low when discussing topic (sample nursing essay examples by the best nursing assignment writing service)s that have been miserable
\nto her (issues together with her dad and mom trusting her). Her thought processes have been logical, and she or he
\nWeb page eight of 9
\ndemonstrated correct perception to her personal actions, how they contributed to her scenario, and her
\ncontinued lack of feeling the necessity to cease marijuana and alcohol consumption. She was oriented
\nx four (to individual, place, time, motive why she is being assessed). She had no downside answering
\nthe psychological standing questions or doing \u201cserial sevens.\u201d
\nShe states that, though she has not used marijuana since she was arrested, she nonetheless has
\ndoubts about its harmfulness. Her use of alcohol has not modified. She says that she finds
\nmarijuana pleasurable and stress-free and that, if she may discover a technique to not get caught, she would
\nwish to proceed utilizing it. She believes that each alcohol and marijuana have helped her really feel higher
\nabout not attaining the excessive objectives she had set for herself and never fulfilling the expectations her
\ndad and mom have for her.
\nMarci exhibits no proof of a thought dysfunction, and her content material of thought appeared
\nregular. She didn’t exhibit any psychotic signs, and denied any previous or present
\nhallucinations or delusions. She admitted to feeling paranoid at occasions when she was utilizing
\nmarijuana. She denied any obsessions or compulsions. She studies that she has been depressed
\nand anxious at occasions however that these emotions have by no means been lasting (though they’ve been
\nextra frequent over the previous month). Her reminiscence didn’t appear impaired, and her intelligence
\nappeared above common. She has only some issues relating to sleeping (bother sleeping
\nsoundly, getting up too late), however no consuming issues, historical past of panic assaults or agoraphobia,
\ncognitive deficits, or studying incapacity. She denies any suicidal and homicidal ideations.
\nWeb page 9 of 9<\/p>\n
——<\/p>\n
1 (Notice: This case examine relies on quite a few real-life examples.) The entire characters’ names are made up, and<\/p>\n
Any resemblance to actual folks or occasions is totally coincidental.)<\/p>\n
STUDY OF A PSYCHOSOCIAL CASE<\/p>\n
Marci has been smoking cigarettes since she was 16 years outdated and at present consumes one pack per day. Marci<\/p>\n
She gave up cigarettes for six months a yr in the past, however she has no plans to take action now.<\/p>\n
down or hand over.<\/p>\n
She was given 5 prescription capsules (Xanax) for despair and nervousness.<\/p>\n
a school classmate of hers (for whom they have been prescribed). Marci revealed that she had been by way of a troublesome time.<\/p>\n
Two months in the past, I used to be combating disappointment and overthinking issues. She hasn’t achieved so.<\/p>\n
He hasn’t tried them but, however he’s contemplating it.<\/p>\n
Marci started by experimenting with<\/p>\n","protected":false},"excerpt":{"rendered":"
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