Addictions & Substance Abuse by https://padlet.com/slouispierre/bxdtph5h3etiwv2w A case study on Benjamin Sanderson en-us 2021-10-11 17:23:28 UTC 2023-11-07 03:00:32 UTC hello@padlet.com slouispierre https://padlet.com/slouispierre/bxdtph5h3etiwv2w/wish/1813607842 Demographic Info:
Benjamin Anderson
  • Middle Aged
  • White
  • Male
  • Heterosexual
  • Upper Class
  • Was employed as screenwriter, but recently lost job due to poor performance
  • Was married with one kid, but is now separated from wife and his child

]]> 2021-10-13 11:29:11 UTC https://padlet.com/slouispierre/bxdtph5h3etiwv2w/wish/1813607842 slouispierre https://padlet.com/slouispierre/bxdtph5h3etiwv2w/wish/1813614999 Presenting Problems:
  • Excessive alcohol consumption
  • Symptoms of withdrawal, including nausea, vomiting, hand tremor, sweating and psychomotor agitation
  • Suicidal ideation
]]> 2021-10-13 11:33:03 UTC https://padlet.com/slouispierre/bxdtph5h3etiwv2w/wish/1813614999 slouispierre https://padlet.com/slouispierre/bxdtph5h3etiwv2w/wish/1813640760 Pros:
  • Sanderson has isolated himself and pushed people away due to his alcoholism. Having a group of people who can understood his predicament and instill hope in him will be beneficial.
  • Sanderson longs for social connection, as evidenced by his relationship with Sera. Being a part of this self help group with people who will not judge him, but be there for him and support him would be helpful to his recovery.
  • Being able to hear stories of how others have overcome alcoholism and interacting with people in different stages of their journey an help combat the hopelessness that he feels.
Cons:
  • AA tends to promote an abstinence model, which may be an unrealistic model for Sanderson given his current state. A more harm reduction approach would be better suited for him.
]]> 2021-10-13 11:46:16 UTC https://padlet.com/slouispierre/bxdtph5h3etiwv2w/wish/1813640760 slouispierre https://padlet.com/slouispierre/bxdtph5h3etiwv2w/wish/1813657041 Supporting Articles for Effectiveness & Efficacy of AA:
  • Humphreys, K., Blodgett, J. C., & Wagner, T. H. (2014). Estimating the efficacy of Alcoholics Anonymous without self-selection bias: an instrumental variables re-analysis of randomized clinical trials. Alcoholism, Clinical and Experimental Research, 38(11), 2688–2694. https://doi-org.tcsedsystem.idm.oclc.org/10.1111/acer.12557
  • Kelly, J.F., Humphreys, K., Ferri, M. Alcoholics Anonymous and other 12‐step programs for alcohol use disorder. Cochrane Database of Systematic Reviews 2020, Issue 3. Art. No.: CD012880. DOI: 10.1002/14651858.CD012880.pub2.
]]> 2021-10-13 11:55:12 UTC https://padlet.com/slouispierre/bxdtph5h3etiwv2w/wish/1813657041 slouispierre https://padlet.com/slouispierre/bxdtph5h3etiwv2w/wish/1813681486 There are three cultural factors that may exacerbate Sanderson's alcoholism:
  • Sanderson is white, which is among the demographic with the greatest number of individuals having alcohol use disorder(only preceded by Native Americans).
  • Sanderson is male, and males have higher rates of drinking and related disorders than females.
  • Sanderson works in the entertainment industry, where use of substances, including but not limited to alcohol, is simply part of the culture and almost can't be escaped. 
]]> 2021-10-13 12:07:15 UTC https://padlet.com/slouispierre/bxdtph5h3etiwv2w/wish/1813681486 slouispierre https://padlet.com/slouispierre/bxdtph5h3etiwv2w/wish/1813699013 “People with family histories of alcoholism tend to have lower levels of endorphins- the endogenous morphine that is responsible for many of our pleasure responses- than do people genetically disinclined to alcoholism. Alcohol will slightly raise the endorphin level of people without the genetic basis for alcoholism; it will dramatically raise the endorphin level of people with that genetic basis. Specialists spend a lot of time formulating exotic hypotheses to account for substance abuse. Most experts point out, strong motivations for avoiding drugs; but there are also strong motivations for taking them. People who claim not to understand why anyone would get addicted to drugs are usually people who haven't tried them or who are genetically fairly invulnerable to them.”
― Andrew Solomon, The Noonday Demon: An Atlas of Depression]]> 2021-10-13 12:15:23 UTC https://padlet.com/slouispierre/bxdtph5h3etiwv2w/wish/1813699013 slouispierre https://padlet.com/slouispierre/bxdtph5h3etiwv2w/wish/1813709494 “Millions of deaths would not have happened if it weren’t for the consumption of alcohol. The same can be said about millions of births.”
― Mokokoma Mokhonoana]]> 2021-10-13 12:18:10 UTC https://padlet.com/slouispierre/bxdtph5h3etiwv2w/wish/1813709494 slouispierre https://padlet.com/slouispierre/bxdtph5h3etiwv2w/wish/1813737259 2021-10-13 12:29:50 UTC https://padlet.com/slouispierre/bxdtph5h3etiwv2w/wish/1813737259 slouispierre https://padlet.com/slouispierre/bxdtph5h3etiwv2w/wish/1813749478
  • Be patient
  • Be understanding
  • Be compassionate
  • Be empathetic
  • Be supportive
  • Be a source of accountability
  • Be a source of positive reinforcement
  • Be realistic
  • Be flexible
  • Just be there for them and remember that the person has a problem not the other way around (the person is the problem).

    • ]]>     2021-10-13 12:34:53 UTC https://padlet.com/slouispierre/bxdtph5h3etiwv2w/wish/1813749478     slouispierre https://padlet.com/slouispierre/bxdtph5h3etiwv2w/wish/1813766890 I personally would find this a difficult case to take on because of the severity of the case. The client is very persistent and adamant about not giving up drinking. He recognizes that it is a problem that is negatively impacting his life but yet chooses to reject anyone who suggests he seek help to stop excessively drinking. I wouldn't even know where to begin.]]> 2021-10-13 12:41:15 UTC https://padlet.com/slouispierre/bxdtph5h3etiwv2w/wish/1813766890 slouispierre https://padlet.com/slouispierre/bxdtph5h3etiwv2w/wish/1813784614 An added complexity to this case is also the suicidal ideation. Granted, the means is "drinking himself to death" which is something that will take much longer to complete than a more immediately lethal method such as shooting oneself or asphyxiation. This means that there is a greater window of opportunity to possibly reach him, treat him and reverse as much damage as can be feasibly and realistically done. ]]> 2021-10-13 12:47:27 UTC https://padlet.com/slouispierre/bxdtph5h3etiwv2w/wish/1813784614 slouispierre https://padlet.com/slouispierre/bxdtph5h3etiwv2w/wish/1813790705 2021-10-13 12:49:36 UTC https://padlet.com/slouispierre/bxdtph5h3etiwv2w/wish/1813790705 slouispierre https://padlet.com/slouispierre/bxdtph5h3etiwv2w/wish/1813801126 2021-10-13 12:53:24 UTC https://padlet.com/slouispierre/bxdtph5h3etiwv2w/wish/1813801126 slouispierre https://padlet.com/slouispierre/bxdtph5h3etiwv2w/wish/1813811112 2021-10-13 12:56:23 UTC https://padlet.com/slouispierre/bxdtph5h3etiwv2w/wish/1813811112 slouispierre https://padlet.com/slouispierre/bxdtph5h3etiwv2w/wish/1813817184 2021-10-13 12:58:23 UTC https://padlet.com/slouispierre/bxdtph5h3etiwv2w/wish/1813817184 slouispierre https://padlet.com/slouispierre/bxdtph5h3etiwv2w/wish/1815642681 Level of Care:
    • Due to his severe withdrawal symptoms, it will be prudent to have Sanderson be medically detoxed to ensure safety and wellbeing. 
    • Due to his current physical and mental state, as well as his suicidal ideations, Sanderson should be admitted for medically managed intensive inpatient services.
    ]]>     2021-10-14 01:51:16 UTC https://padlet.com/slouispierre/bxdtph5h3etiwv2w/wish/1815642681     slouispierre https://padlet.com/slouispierre/bxdtph5h3etiwv2w/wish/1815935180 2021-10-14 04:00:19 UTC https://padlet.com/slouispierre/bxdtph5h3etiwv2w/wish/1815935180 slouispierre https://padlet.com/slouispierre/bxdtph5h3etiwv2w/wish/1815983764 2021-10-14 04:28:30 UTC https://padlet.com/slouispierre/bxdtph5h3etiwv2w/wish/1815983764