Part 1
Write what the 3 differential diagnoses are 150-to-200-word count. Taking into account the patient case study below.
1) Alcohol Use Disorder (AUD)
2) Alcohol Intoxication (AI)
3) Alcohol Withdraw (AW)
Case study: AC. is a 44 y/o Asian female on an intervention psychiatric evaluation secondary to suspected substance use disorder as requested by the school principal where she is currently employed. The school principal asked that the EAP therapist intervene and assess the patient due to several complaints from students and parents suggesting that the patient seemed intoxicated and impaired while at work. The patient appears irritable, easily agitated, defensive and denies appears to be in denial. During the assessment, the patient requested to leave the section several times, stating, “I am missing class right now, and I can do this in my third period while I am on my break. According to the school principal, the patient has missed work at school twenty-two times this year. She feels the students are disrespectful and out to get her and the school is taking their side. The patient denies having any substance use issues, although she later admitted drinking five to six glasses of wine and a couple of drinks every night. Furthermore, she believes that it takes her more alcoholic beverages than what the average person would consume to become intoxicated. She also admits to at times having blackout spells when misusing alcohol. As a results to her alcohol use, she is divorced and lost the custody of her four-year-old child. The patient current job is at jeopardy if she does not comply with the psychiatric evaluation.
Part 2
Reflection notes: What would you do differently with this client if you could conduct the session over? Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).
