Application: Case Study – Substance Use and the Adolescent Over the past decade, cases of substance related disorders have appeared more prevalent in society. From the mental health perspective, research has shown an increase in cases of substance related disorders, particularly with adolescents. This increase has prompted further investigation into adolescent risk and resilience factors, as well as accuracy in diagnosis and appropriate treatment plans. Yet, in cases of adolescent substance use, further investigation is still needed concerning notification rights of parents, legal authorities, and/or case workers. For this Application, review the client case study in the Learning Resources. Consider the characteristics of the client. Which specific characteristics might you consider important in developing a diagnosis? Consider your rationale for assigning particular diagnoses on the basis of the DSM. Also, think about what other information or people you may need to include in the assessment in order to make an accurate diagnosis. The Assignment (3–4 pages) A DSM diagnosis of the client in the case studyAn explanation of your rationale for assigning the diagnosis on the basis of the DSM An explanation of what other information you might need about the client to make an accurate diagnosisA brief description of additional individuals you might include in your assessment and explain why References American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing. Substance-Related and Addictive DisordersParis, J. (2015). The intelligent clinician’s guide to the DSM-5 (2nd ed.). New York, NY: Oxford University Press.Chapter 12, Substance Use, Eating, and Sexual DisordersBurrow-Sanchez, J. J. (2006). Understanding adolescent substance abuse: Prevalence, risk factors, and clinical implications. Journal of Counseling & Development, 84(3), 283–290. Retrieved from the Walden Library databases.Escobar, J. I., & Vega, W. A. (2006). Cultural issues and psychiatric diagnosis: Providing a general background for considering substance use diagnoses. Addiction, 101(Suppl), 40–47. Retrieved from the Walden Library databases.Gloria, A. M., & Peregoy, J. J. (1996). Counseling Latino alcohol and other substance users/abusers: Cultural considerations for counselors. Journal of Substance Abuse Treatment, 13(2), 119–126. Retrieved from the Walden Library databases.Helwig, A. A., & Holicky, R. (1994). Substance abuse in persons with disabilities: Treatment considerations. Journal of Counseling & Development, 72(3), 227–233. Retrieved from the Walden Library databases.Schinke, S. P., Orlandi, M. A., Botvin, G. J., Gilchrist, L. D., Trimble, J. E., & Locklear, V. S. (1988). Preventing substance abuse among American-Indian adolescents: A bicultural competence skills approach. Journal of Counseling Psychology, 35(1), 87–90. Retrieved from the Walden Library databases. Media Laureate Education. (Producer). (2012). Psychopathology: Substance-related and addictive disorders. [Video file]. Retrieved from

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Substance Related and Addictive Disorders
Substance Related and Addictive Disorders
Program Transcript
FEMALE SPEAKER: He’s– he’s always doing things on the computer. He talks
on the telephone, texting. He never stops, not even to eat. He never eats much
MALE SPEAKER: Eat your veggies. Drink your milk. Eat your veggies. Drink
your milk. Who needs to eat?
Seen any good movies lately? I like horror movies, myself. Zombies, especially.
The fast ones.
FEMALE SPEAKER: There’s no alcohol or drugs in our house, none. We’ve
never done that. We don’t leave drink wine. That’s why I wanted our minister to
talk to him.
MALE SPEAKER: Talk about zombies.
FEMALE SPEAKER: He’s the one who suggested that we come here and talk to
because he was thinking that maybe something’s going on.
MALE SPEAKER: Yuck! I hate booze. I don’t do drugs, either. I say no every day.
FEMALE SPEAKER: Personally, I think it’s the music he’s listening to.
MALE SPEAKER: Oh, brother.
FEMALE SPEAKER: I mean, the screaming. It’s so aggressive and angry.
MALE SPEAKER: Feels good.
FEMALE SPEAKER: Maybe you agree with your mom that you’ve been
depressed and angry in the past, Do you remember, maybe, why you felt that
MALE SPEAKER: Because I’m stupid.
FEMALE SPEAKER: You’re not stupid, honey. See, he had to repeat the fifth
grade, so he’s a year behind all his friends at school.
MALE SPEAKER: They’re not my friends. You hate my friends.
©2013 Laureate Education, Inc.
Substance Related and Addictive Disorders
FEMALE SPEAKER: I don’t hate them. It’s just I don’t think you should be
hanging around boys who are that much older than you.
Substance Related and Addictive Disorders
Additional Content Attribution
Images provided by
Creative Support Services
Los Angeles, CA
Dimension Sound Effects Library
Newnan, GA
Narrator Tracks Music Library
Stevens Point, WI
Signature Music, Inc
Chesterton, IN
Studio Cutz Music Library
Carrollton, TX
Special Thanks:
Fairland Center/Region One Mental Health
©2013 Laureate Education, Inc.

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