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The recurrent substance use in situations where it is physically hazardous. (Ben drove the car while drunk (DUI)).

Substance 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 substance use. (Still drinking despite knowing it is contributing to his symptoms of depression)

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So the priority is teaching Ben new healthy coping skills to manage his stress at work and finding alternative activities to help relief stress other than drinking. Which is why skills development for group therapy is chosen for him. (Yan Yi)

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So the priority is teaching Ben new healthy coping skills to manage his stress at work and finding alternative activities to help relief stress other than drinking. Which is why skills development for group therapy is chosen for him. (Yan Yi)

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What we can conclude from the case study (Yan Yi)

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What we can conclude from the case study (Yan Yi)

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Ben is drinking due to the immense stress at work.

It is shown that Ben has a lack of healthy coping skills to deal with stress.

Despite trying to lessen, he wasnt able to do so because it has been an addiction. Addiction is known to be a strong need to do something that is difficult to control or quit. - jothi

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Ben has met 8 criteria out of the 11 criteria to be diagnosed with substance abuse disorder. Thus we can conclude that the severity of his substance use disorder is on a severe level (as 6  or more criteria is classified as severe)

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The average man take 4-5 cans of beer in an hour to get drunk. Ben's increased consumption to current 12 cans of beer showed increased tolerance and diminished effect of alcohol to get drunk and achieve the same 'de-stress' effect as before. It could be due to the daily, frequent consumption.

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Recurrent substance use resulting in a failure to fulfill major role obligations at work, school, or home (goes into work drunk or hungover)

Continued substance use despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of the substance (arguments with his family members and wife due to drinking habits but still continued to drink)

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Impaired Control (Eliora)

Ben drinks at least 12 cans of beer for the past 6 months. The substance is taken in larger amounts or over a longer period than intended. It has been ongoing for 6 months which has been a long period of time - jothi

Knowing that Alcohol is bad for him there is no a persistent desire to control or cut down substance use as it affects the relationship with family members.

There is a strong desire in him to drink as a form of stress relief.

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DSM-5 criteria to diagnose substance use disorder

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DSM-5 criteria to diagnose substance use disorder

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Skills Development Group

-To help him learn and adopt new skills to manage his addiction
such as teach him ways to cope with his urges and cravings for alcohol. Also, teaching him ways to avoid or manage his drink triggers.
-Teach him ways to manage his stress healthily e.g teach him some healthy coping mechanisms to manage his stress such as exploring new hobbies, exercising, mediation
-Have someone to talk to about his problem or even adhere to a weekly reduction schedule - jothi

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For the past 6 months, Ben is experiencing a lot of stress at work and to cope with it he uses alcohol to cope with the stress even if he knows that it is not a good habit.

He drinks at least 12 cans of beer every night after he gets home and as a result occasionally he goes into work drunk or hangover. He has tried to lessen the amount of cans he drinks per night but was unable to do so. There were times where he was caught driving under the influence (DUI).

He gets irritated when his family members try to talk to him about his drinking habits and often gets into arguments with his wife.

He has been experiencing symptoms of depression, and Ben contributes to his drinking problem, but is still unable to stop.