Substance–Related and Addictive Disorders
Training Title 82
Name: Lisa Tremblay
Gender: Female
Age: 33 years old
T– 100.0 P– 108 R 20 180/110 Ht 5’6 Wt 146lbs
Background: Lisa is in a Naples, FL detox facility thinking about long-term rehab. She is considering treatment for her Hep C+ but needs to get clean first. She has been abusing opiates, approximately $100 daily. She admits to cannabis 1–2 times weekly (“I have a medical card”), and 1/2 gallon of vodka daily. She has a past drug paraphernalia possession arrest. Her admission labs. abnormal for ALT 168 AST 200 ALK 250; bilirubin 2.5, albumin 3.0; her GGT is 59; UDS positive for opiates, THC. Positive for alcohol or other drugs. BAL .308; other labs within normal ranges. She reports sexual abuse as the child ages 6–9 perpetrator being her father who went to prison for the abuse and drug charges. She is estranged from him. Mother lives in Maine, hx of agoraphobia and benzodiazepine abuse. The older brother has not contact with family in the last 10 years, hx of opioid use. Sleeps 5–6 hrs., appetite decreased, prefer to get high instead of eating. Allergies: azithromycin
Symptom Media. (Producer). (2017). Training Title 82
Training Title 114
Name: Ally Chen
Gender: Female
Age: 44 years old
Background: Only child, raised by parents in Philadelphia, PA. Has PhD in biology and master’s degree in high school education (8–12). Her supervisor has asked the school EAP counselor to intervene with concerns regarding potential substance use in an effort to facilitate getting her help and be able to retain her. She is divorced and has a 4–year–old son who lives with his father. Appetite is healthy, sleeping 9 hours/24 hrs., and wakes 2–3 times during the night. Denied drug use. had a DUI when she was age 21.
Name: Daniela Petrov
Gender: Female
Age:47 years old
T– 98.8 P– 84 R 20 B/P 132/90 Ht 5’8 Wt 128lbs
Background: Moved to Everett, Washington from Russia with her parents when she was 16 years old. Currently lives in Boise, Idaho. She has one younger 1 brother and 3 older sisters. Denied family mental health or substance use issues. No history of inpatient detox or rehab denied self–harm hx; Menses regular. uses condoms for birth control Has fibromyalgia. She works part-time cashier at Save A Lot Grocery Store. Dropped out of high school in 10th grade. Sleeps 5–6 hours on average, appetite good. Symptom Media. (Producer). (2018). Training Title 151