Chapter 13 Case 1 Reggie Is A 42-Year-Old African American M

Question

Chapter 13 Case 1reggie Is A 42 Year Old African American Male Recent Reggie is a 42-year-old African American male referred for outpatient psychotherapy by his primary care physician due to a recent increase in alcohol consumption. Despite good overall health, Reggie reports drinking excessively over the past three months, with an average of one to two drinks nearly every evening. He has a history of alcohol problem in his twenties but successfully maintained abstinence for 19 years with the help of Alcoholics Anonymous (AA) and his first male partner. Presently, Reggie struggles to abstain and has attended AA meetings without achieving complete sobriety. His partner, Bob, enforces a zero-tolerance policy on alcohol and has moved out, prompting Reggie to worry about the stability of their relationship. Reggie expresses concern about following his father’s fate, who drank himself to death at age 56. His family history includes a sister with benzodiazepine addiction and occasional alcohol use, both indicating a genetic vulnerability to substance use disorders. Reggie’s parents divorced when he was 15. This case warrants a comprehensive assessment to determine appropriate diagnosis and treatment strategies, integrating current clinical guidelines and evidence-based practices.

Dr. Jack HW Helper · Accepted Answer

The clinical case of Reggie presents a complex scenario involving relapse into problematic alcohol use after a prolonged period of abstinence. His recurrent alcohol consumption, family history of substance use disorder, and current psychosocial stressors underline the importance of a detailed diagnostic and treatment approach founded on the DSM-5 criteria and evidence-based guidelines. DSM-5 Diagnosis and Rationale The most appropriate DSM-5 diagnosis for Reggie is Alcohol Use Disorder (AUD), moderate severity. DSM-5 criteria specify that AUD is characterized by a problematic pattern of alcohol use leading to clinically significant impairment or distress, as reflected in the presence of at least two of eleven criteria within a 12-month period. Reggie’s history of consuming alcohol nearly daily over the last three months, despite previous abstinence, signals an ongoing pattern of problematic drinking. Specifically, Reggie reports impaired control over his drinking, as evidenced by frequent alcohol intake despite awareness of social and relational consequences. His unsuccessful attempts at abstinence and continued alcohol use despite interpersonal conflicts also meet criteria for unsuccessful efforts to cut down or control use. His family history, including a sibling with benzodiazepine addiction, highlights genetic predisposition, increasing his vulnerability. His concern about relapse and fear of following his father’s tragic demise further support the diagnosis. Specifically, the DSM-5 criteria met include cravings, persistent desire or unsuccessful efforts to cut down, continued use despite social/interpersonal problems, and increased tolerance. The severity is classified as moderate, because Reggie reports daily drinking and some loss of control but not necessarily physical dependence or withdrawal symptoms at this stage. Pharmacological Treatment: Medication Choice, Dose, and Rationale According to clinical guidelines, the most suitable pharmacological treatment

Chapter 13 Case 1 Reggie Is A 42-Year-Old African American M

Chapter 13 Case 1reggie Is A 42 Year Old African American Male Recent

Paper For Above instruction

DSM-5 Diagnosis and Rationale

Pharmacological Treatment: Medication Choice, Dose, and Rationale

Non-Pharmacological Treatment: Recommended Approach, Risks, and Benefits

Assessment of Treatment Appropriateness, Cost, Safety, and Adherence

Conclusion

References