I need help with a Psychology question. All explanations and answers will be used to help me learn.
- Apply all sections of the ASI using the media piece for this unit.
- Interpret results for each section, indicating client problems, strengths, resources, and potential barriers to treatment.
- Analyze the assessment data to develop a diagnosis based on the DSM-5 criteria.
- Analyze the assessment data and develop initial treatment recommendations for the client in the chosen case study?
- Create two treatment goals for the client in the chosen case study based on the completed ASI data.
- Identify any legal issues associated with use of the assessment for diagnosis and treatment planning.
Kyle Quincy, 20, is a student at Beck University in Riverbend City. He reports he has been abusing methamphetamine. Kyle reports that he is gay, but he has revealed this to very few people.
Hello, Kyle. Thank you for coming in. I’m going to be asking you some questions. For starters, how old are you?
I just turned 20. I’m a sophomore at Beck University.
Are you a full time student?
What’s your current living situation?
I live in a campus apartment with three other guys.
What are you studying in school?
Finance. I just got accepted into the business school. I’m good at math and stuff and I always wanted to be a stockbroker. But now that I’m taking the classes, they’re really boring. I don’t know. I’m just not interested in it the way I used to be.
Do you also have a job?
Not now. I was working at the Chicken Hut, but… well, I’m just not anymore. It was a really lousy job. I’m looking for a better job now. Like an internship or something that has to do with my major, I guess. But I don’t know. Like I said, that stuff isn’t interesting to me like it used to be.
Okay. Kyle, do you have any medical problems?
Have you ever been hospitalized?
Just once when I was seven and I broke my leg. I fell off the jungle gym.
Do you take any prescriptions?
So, you said that you’re not working right now. What other jobs have you had in the past?
I’ve worked at a bunch of fast food places. But never more than a couple of months.
Why have you left these jobs?
Because they suck. And…well, I don’t always get along with the managers real well. They’re not flexible when it comes to hours, and I’m a full time student, so that’s a problem. To be honest, it’s partly my fault. It’s hard for me to get up early and get to work on time. Plus I don’t have a car or even my license, so I have to rely on public transportation, and that doesn’t always run when I need it.
Do you parents support you?
Yeah, my mom and dad pay for college and books and stuff, but they expect me to earn spending money. Which sucks, honestly.
Why is that?
I just hate being dependent on them. I can’t wait until I can support myself so I wouldn’t have to hide… well, that I’m gay. If they knew, I’m pretty sure they would stop paying for college. And it would pretty much kill my mom. She’s very closed-minded.
Thank you for sharing your personal information with me, Kyle. Other than to your mother, do you find it difficult to disclose that you are gay?
I’ve always felt kind of different and weird. I mean, there’s not a lot of black kids at my school, and I don’t really fit in with the ones who are here. It was like that in high school too. I was bullied a lot. So I kind of just keep to myself. I don’t want to stand out more than I already do by being gay.
Kyle, have you ever been in a relationship?
Not really. I mean…well, there’s this guy in one of my classes, and I think he might like me. But I haven’t done anything about that. I went out with girls in high school because that’s what my mom expected me to do.
Kyle, I’m going to ask you some questions about alcohol and drug use. Is that okay?
Have you used drugs or alcohol in the past 30 days?
Um, not much alcohol. I drink with my roommates sometimes, but not more than a couple of beers at a time. But…are you sure I can tell you about this?
Kyle, what is said in our sessions is completely confidential, unless you threaten to harm yourself or others or disclose any child or elder abuse.
Okay, well. I’ve been experimenting a little bit. With meth. Since my second semester freshman year. I used to get it at this bar that I went to with a friend. But now I know a guy I can get it from.
Thank you for telling me this, Kyle. How often do you use meth?
I don’t know. More than I used to. I used to just do it once in a while, like maybe once a week or so? Now I do it like three or four times a week. I used to smoke it, but now I inject. The high is a lot better.
In the past 30 days, has your meth use caused any problems in your life?
That’s a good question. I mean, I guess that’s why I lost my job—because I didn’t feel like getting up in the morning. And I’ve missed some classes too. I used to have really good attendance. In the past 30 days, I’ve probably missed class 5 or 6 times. And…well, this is hard to talk about, But I’ve had unprotected sex a couple of times with guys I’ve met when I was high. I know, that’s a really stupid thing to do. But it’s hard to control myself when I’m high.
Would you like to stop using meth?
To be honest, I don’t even know. I know that I should. It’s pretty much the only thing that makes me feel good anymore. I guess I’d be willing to try to give it up because I don’t want to mess up my whole life. But I’m scared of quitting cold turkey.
Have you ever tried to stop?
No, not really. I mean, I was home for the summer and didn’t do it then. But I wasn’t using as much as I am now, so it didn’t affect me much. I don’t know what I’m going to do if I go home for the summer and don’t have access to it. I’m thinking about staying on campus all summer so I don’t have to go home.
Have you ever used other drugs, or prescription pills?
Never. I mean, I smoked pot a few times. But that’s it. Just meth.
Thank you so much for answering these questions, Kyle. I have a few other questions I need to ask you. Have you ever been arrested for committing a crime?
Never. I’ve always been kind of a goody two-shoes, until now.
You said you don’t have a driver’s license. Is there a reason for that?
I don’t know. My parents only have one car, and I never got to practice much. I guess I ought to get my act together and start driving, huh?
Does anyone in your family drink a lot, or use drugs?
My mom doesn’t drink at all because she’s so religious. My dad doesn’t drink much. I have two younger sisters, and as far as I know they don’t drink or use drugs at all.
How about your roommates?
Yeah, they all drink a lot. And my roommate Jack, he uses meth too. That’s how I got so involved with using it. He showed me how to inject.
Do you consider Jack a close friend? Or your other roommates?
No. I mean, I guess Jack is kind of a friend. He’s one of the only people who knows I’m gay. I don’t have a lot of friends though. I wouldn’t say I have any close friends at all.
Kyle, have you ever been abused in any way? Physically, emotionally, sexually?
No. I mean, not really. No one’s ever hit me or anything, but I guess you could say there’s a lot of verbal and emotional abuse in my family. My dad says a lot of really angry things to me and my sisters–like, he calls us names and tells us that we’re worthless and stuff like that. We have to be really careful not to let him lose his temper, but that can be really hard. Most of the time he’s just kind of randomly mad at us. That’s one reason I don’t him to know I’m gay. He’ll blow up.
I’m sorry to hear that. Have you ever spoken to a counselor before?
Have you ever felt very anxious?
Like, all the time. Except when I do meth.
Have you ever felt depressed for a significant amount of time?
Yeah. I mean, not now. But like I said, I was bullied a lot as a kid and my dad was really mean to us at home. So I was depressed a lot as a kid.
Have you ever had a hallucination?
Did you ever think about hurting yourself?
Not in a long time. In high school, I thought about suicide a lot. I used to look up things on the Internet about how to do it. I never tried to do it though, and I don’t think about that anymore.
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