Uses substances as a way to cope

Abuse of a variety of substances such as: Prescription medications, Xanax and Oxycodone, Psychadelics, Adderal, Heroin, MDMA, Marijuana, alcohol, and other unknown substances

Interpersonal conflict

Grief

Risk-taking behaviors

Severe substance use disorder

F41.1 Generalized anxiety disorder with panic attacks

Parents brought client to a psychiatrist at a young age and was suggested to have Obsessive Compulsive Disorder, Generalized Anxiety Disorder, Attention Deficit Disorder, and Bipolar Disorder, but the psychiatrist claimed she was "too young to tell"

• Took various medications

• Does not remember much from ages eight to twelve

Suffered from panic attacks at an early age

Given liquid valium at age 11

Father passed away from cancer

Experimented with drugs (father's prescriptions) at a young age

Drug overdoses

Went to rehab (residential) during the summer before junior year

• Narcotics Anonymous

• Faked her way through it AKA did not stay clean

Strong support system: Family and friends

• Younger Sister: Gia

• Mother

• Best Friend: Lexi

• Girlfriend: Jules

• Fezco

• Sponsor

Well-liked

Resilient

Internal motivation to recover

Using the substance in greater quantities and for a longer duration than initially planned

Unsuccessful attempts to stop using the drug (relapse)

Spends most of her time seeking out, using, and recovering from substances (preoccupation with the drug)

Drug cravings

Social impairment (addiction interfering with school, home)

Interpersonal problems due to substance use

Tolerance otherwise known as chasing the dragon

Withdrawal symptoms such as sweating, vomiting, insomnia, fatigue

Theory: Cognitive Behavioural Theory

Interventions:

• Rapport Building

• Motivational interviewing

• Relapse Prevention

• Trigger Identification

• Cognitive Restructuring

• Psychoeducation

• Urge Surfing

• Identification of Client Strengths

• Coping Skill Development

Offers support for a range of addictive behaviors. This would be ideal for Rue since she abuses a variety of substances.

Offers services free of charge since it is a non-profit organization. This would benefit Rue since it is easily accessible and she does not have the resources to afford rehabilitation services.

Services do not incorporate spirituality. This serves as an advantage for Rue because she did not like or find that helpful in her previous program.

Flexibility! Offers service in person and online.

Many of the facilitators have completed this program which can serve as an installation of hope for Rue.

Programs focus on the cultural factors that influence Rue.

Not as structured as the client's previous rehabilitation program.

Focus on self-direction may be overwhelming for the client.

Difficult for the provider to track progress and hold the client accountable due to the flexibility of the program.

May not fully address the client's history of trauma and loss which can make treatment more difficult.

Stigma associated with addiction as a female and adolescent. Additionally, Rue may experience stigma surrounding her mental health and substance use, particularly in her community.

Rue identifies as lesbian, which may lead to experiences of stigma, discrimination, or rejection. This could impact her mental health and willingness to seek support.

Being biracial may affect Rue’s sense of belonging and identity.

Rue’s various identities (biracial, lesbian, lower-middle-class) intersect, creating unique challenges that affect her experiences and treatment needs.

Build a strong therapeutic alliance by creating a safe and approachable space for the client

Set clear and realistic goals that are attainable for the client

Provide psychoeducation for the client about their disorder, interventions, and cycle of addiction

Involve support systems such as family and friends

Empower and motivate! Promote autonomy through collaboration

As an addiction counselor, prioritize self-care

SMART stands for self-management and recovery training

This rehabilitation method is influenced by rational emotive behavioral therapy (REBT) and cognitive behavioral therapy (CBT)

Helps individuals develop internal motivation, manage cravings, regulate thoughts, emotions, and behaviors, and create a balanced lifestyle

Principles: self-management, mutual support, choice, evidence-led, and person-centered

Smart Recovery Programs: the 4-point program, Family and Friends, InsideOut, Military, Veterans and First Responders, Youth and Teens, LGBTQAI+