00:01
Hello students, in this question we have been told that jane is a 50 year old woman with a 12 year history of severe alcoholism with four hospital detoxification and four chemical dependency treatments, none of which had any significant impact on her drinking.
00:27
She was court ordered ordered to treatment for her third dui.
00:37
After two weeks in the treatment center, the staff noted that jane rarely was seen sleeping.
00:46
So at night she would walk up and down and walk up up and down the halls of the treatment center.
01:00
She was also becoming uh she was also becoming more agitated in group therapy.
01:08
Agitated in group therapy, she alternated between being very quiet to very agitated and very hostile when confronted or probed for information about herself by the counselor.
01:27
She was the topic of most staff meetings as counselors complained about how frustrating it is to work with her.
01:34
There was discussion in the meeting of discharging her.
01:38
The other clients increasingly refused to associate with her because of her highly critical manner and her tendency to be emotionally explosive.
01:57
So what aspect of the situation indicates that jane may be struggling with a dior disorder? how would you initially intervene in the situation with jane and how would you approach the staff about the situation with jane and also the clients? so the aspects of the situation indicating dior disorder is firstly severe alcoholism and multiple unsuccessful treatments.
02:28
So this is these are the two first indicators.
02:34
Multiple unsuccessful because you are not treating the underlying issue here.
02:39
So because one is dependent one disorder is dependent on the other.
02:45
You are unable to remove one because you are not aware of the other.
02:49
She has difficulty sleeping, sleep disturbance, sleep difficulty or insomnia, mood swings, agitation, restlessness and hostility.
03:03
Her behavior is causing significant distress to both staff and the clients.
03:12
Then the intervention, what would be the initial intervention with jane? assess jane for possible co -occurring mental disorders such as depression, anxiety or bipolar disorder...