PRAC 6635 Week 4 Assignment 1; Clinical Hour and Patient Logs
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Clinical Hour and Patient Logs
1. Substance Use Disorder/PTSD
Name: C.V
Age: 17 years old Gender: Female
Diagnosis: Substance Use Disorder/PTSD
S: C.V is a 17-year-old female patient who came to the clinic accompanied by her mother with a chief complaint of heroin addiction. She has been taking heroin for the past 2 years, 10-14 stamp bags daily. The patient was recommended to rehab, but she refused. She confirms low self- esteem, low self-worth, depression, hopelessness, helplessness, and poor insight. She has a history of sexual abuse by her uncle from the age of 5 to 12 years. She started taking marijuana to counter the experience, then pain pills before she started taking heroin. She confirms having self-injurious behavior like cutting herself, with a history of PTSD. She also sells sex for drugs and is positive for hep C test. The mother is an alcoholic, while the father died at the age of 30 years from an opioid overdose……….. Continue