Describe the symptoms and how substance abuse or an addictive behavior might temporarily counteract the symptoms of the co-occurring disorder.

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Addiction is a disease of the mind, a disease of obsession, and a disease of isolation. The role of a particular substance, whether it is alcohol, opiates, marijuana, gambling, food, or sex, is merely the symptom of the disease, not the disease itself. Any substance has the potential to be abused due to the addiction disease itself. Many naively believe that merely removing the substance from the addicted person will “cure them.” If the disease of addiction were that simple, this disease would not be a rampant social problem.

“The idea of addiction being a neurological disorder is critical to understanding its development and the recovery process” (Recovery Connection, n. d.). There are a variety of reasons and opportunities that support people with addiction seeking help. Whether from internal turmoil and conflict, outside interventions, or a combination of both, clients will seek to stop the addiction cycle. The goal is to develop a healthier lifestyle called recovery. It may take months, years, or decades before this process leads to the path of recovery (Recovery Connection n. d.).

For this Assignment, review this week’s resources and explore co-occurring disorders and their impact on addiction or addictive behavior. You also examine how an individual’s addiction impacts other individuals or society. Support your response with references to the resources and current literature.

Submit a 2- to 3-page paper that addresses the following:

  • Provide two examples of how symptoms of a co-occurring disorder may influence efforts to stop the abuse of a substance.
  • Describe the symptoms and how substance abuse or an addictive behavior might temporarily counteract the symptoms of the co-occurring disorder.
  • Explain how the development of a ritual around substance abuse or addictive behavior can be used to strengthen an addiction or be used to treat an addiction.
  • Explain why the type of substance or other obsession is relevant when it comes to the disease of addiction itself.
  • Describe three examples of how an individual’s addiction might impact others or society.

Identify one area related to the main issue that was not addressed by the media piece but that you would like to explore further.

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The purpose of this assignment is to evaluate your ability to critically examine an aging-related issue portrayed in the current media and to show your ability to apply the concepts studied in class to your analysis. For this assignment, you are asked to select a media piece from any of the following sources – news or journal article (print or web), podcast, a video or an audio segment. The topic selected in the media piece must be current and directly related to aging. You can select from any of the following age related issues: physical or mental health, spirituality, health care policy and programs, economy, retirement, management, housing, religion and spirituality, death and dying, intergenerational issues, and ethics. Carefully study the piece you have selected and construct a written analysis of the issue at hand using the following points as a guideline:

  1. Clearly articulate the main idea/issue presented in the original source. Remember that the reader of your assignment is not familiar with the specific media piece you have selected. Therefore, you should provide a context and a background for your paper by including a succinct description of the most salient points of the original piece – 15%.
  2. Describe how the idea/issue relates to the theories or concepts studied in the class. Be very specific in drawing these connections and provide a rationale/example to support your position. – 20%.
  3. Describe the significance of the main idea/issue for the lives of older adults and provide a rationale for your position. Specifically, what is the positive impact of the issue on older adults? Equally important, what potential or actual drawbacks can you identify relative to this idea/issue? (Remember, every position has its merits and limitations; try to identify what these are for your selected idea). Explain in detail and with examples (Hint: since most of the points of this assignment pertain to this section, focus on placing most of your paper’s emphasis here) – 35%.
  4. Identify one area related to the main issue that was not addressed by the media piece but that you would like to explore further. What specifically would you like to learn more about and why? Provide a strong rationale using the concepts studied in class (i.e., explain why it is important to know more about this issue) – 10%
  5. Follow the relevant criteria in the General Grading Rubric for Writing. Be sure to write this assignment in your own words, rather than “regurgitate” the original media piece. For the purposes of grading, a well written assignment shows the writer’s solid grasp of the content through depth of analysis, rather than simple paraphrasing. Limit your assignment length to 3-5 pages. Follow APA style for writing and formatting your assignment, citations, and references. If you are not familiar with APA, use the resources provided on Blackboard to help you. Prior to uploading your file, give it a name using the following format: AGNG200_LastName_FirstName_FileName – 20%.

Demonstrate an understanding and application of the course readings and any other outside reading you may choose to use to answer the question.

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1. Choose one LGBTQ person of color in the media (NOTE: this person might identify as LGBTQ in their personal lives or they may depict an LGBTQ person as a made-up character on a TV show or movie). Describe your reaction to their character/persona, and reasons why you believe this depiction is helpful or harmful to the LGBTQ community (or both). {300 words}

2. LGBT rights differ depending on the country and even the state in which you live in. Choose two countries OR choose two states. List and then describe two areas in which LGBT rights differ in those two countries or those two states. Make sure to explain why these differences are important. {300 words}

Discussion Post Guidelines:

  1. (20%) LENGTH. Each answer should be approximately 300 words in length. For example, if your Discussion 2 assignment requires you to answer 2 discussion questions, your entry for that week should be 600 words in length total (at least 300 words for each of the 2 questions for that week)
  2. (40%) COMPREHENSION. Demonstrate an understanding and application of the course readings and any other outside reading you may choose to use to answer the question.
  3. (20%) REFERENCES. You MUST cite using at least 1 citation per question: • All discussion postings are expected to integrate information from at least one of the readings, class materials, and/or from an outside empirical or reputable news source. You should cite both within the text and provide a full reference at the bottom of your post.

Explain the diagnosis by matching the symptoms identified in the case to the specific criteria for the diagnosis. Explain why it is important to use an interprofessional approach in  treatment. Identity specific professionals you would recommend for the  team, and describe how you might best utilize or focus their services.

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The Case of OPATIENT SUMMARY—ODEMOGRAPHIC DATA:This was an emergency, voluntary admission for this 28-year-old single white female. This was her fourth psychiatric hospitalization. O lives with a 24-year-old female roommate in New York City. She has a bachelor’s degree in art   history and is employed by a major New York museum. O is of    Jewish ancestry.CHIEF COMPLAINT:“My therapist said I was decompensating because I broke my leg, and I was despondent.” HISTORY OF PRESENT ILLNESS:O reported that she began an Optifast diet and,although she was supposed to be eating 600 calories a day, she was only eating between 200 and 400 calories a day. She also admitted to purging and frequent use of laxatives. O reported her weight was being monitored, and she had lab work done to be sure she remained healthy. In 3 months, O lost approximately 80 pounds.O reported that she has a very stressful job. She stated that approximately one month prior to admission, she started to “decompensate” and had difficulty maintaining control at   work. She had several altercations with coworkers. One week prior to admission, O reported that her NA sponsor “said something nasty, and I lost it.” According to her mother, the sponsor made a reference to O being overweight. O reported that she was angry and “hit everything I knew I could—but that did not help.” She then kicked a brick wall, fracturing her right leg. O also reported being under stress due to applying for her master’s degree in art   history and difficulties with her boyfriend.O complained of    depression with insomnia and sleeping only a few hours per night, feeling confused, decreased concentration, irritability, anger, and frustration. She admitted to suicidal ideation. She complained of feeling paranoid over the past few weeks and believed the police were after her and that she heard them outside her door. She believed the police had her under surveillance. O also complained of a fear of dirt, taking time to frequently bathe and brush her teeth. O reported she was emotionally abused as a child and suffered from post-traumatic stress disorder, but she denied a history of    flashbacks or nightmares. She also complained of panic attacks and reported that she controlled them by taking Klonopin, but there was no clear information about this. She reported a history of bulimia since the age of 17. O also reported a history of drug and alcohol use, but she stated that she has been clean and sober for two years.PAST PSYCHIATRIC HISTORY:O’s mother reported that O saw a clinical social worker briefly when O was 10 years old. O reported that she was hospitalized at a New York hospital 3 years ago for 3 months. Six months after that, O took an overdose of Halcion and was treated at the same hospital, and then was transferred to a state hospital. After discharge in the next month, O attended a partial hospitalization program for drugs and alcohol every day for 5 weeks. She also saw a psychiatrist for 2 years. Two years after that, O saw a clinical social worker and psychiatrist and continues to the present with them.

O admitted to using marijuana, cocaine, opiates, and hallucinogens in the past. She denied IV drug use but admitted to “skin popping” cocaine. O has abused alcohol in the past. According to her mother, O has also abused prescription medications in the past. O reported that she has been sober for the past 2 years and attends AA and NA meetings regularly.MEDICAL HISTORY:At 17 years old, O suffered from bulimia with bingeing, purging, and the use of laxatives. She reported she had not purged for 3 years until she began the Optifast diet 3 months ago. Although O is currently not bingeing, she admitted to purging and using laxatives. O is allergic to penicillin and has a lactose intolerance. She wears glasses for reading.PSYCHOSOCIAL AND DEVELOPMENTAL HISTORY:O’s parents were married when her mother was 19 years old, and O was born the following year. O’s mother described O as a wonderful, even-tempered, and happy baby. Two years later, O’s sister was born; mother stated O’s personality changed; she became stubborn and difficult. O’s mother said that O began biting and having temper tantrums and has been moody since then. O’s motherstated her marriage was conflicted because she has a communication problem with her husband and he was “never an active parent.” O’s mother reported that O “adores her father” because he is not the disciplinarian. O frequently caused conflict between her parents. When O was 12 years old, her parents separated for 2 weeks. O reported her mother quit college after O’s birth and returned to college after her sister’s birth. She said her father worked all the time, and there was a housekeeper who cared for the children.O reported that the family moved to Arizona when O was in sixth grade, where she began using marijuana that she reported stealing from her parents. The family returned to New York when O was in seventh grade.O’s mother reported that when O was in high school, her maternal aunt, who was dying of cancer, came to live with the family and that this was very stressful for O. During those years, O told the school counselor that her mother was abusive, and school officials visited the family. During the visit, O had a temper tantrum and there was no further investigation.O reported she was always an above-average student who rarely studied. She said she was always hyperactive and had difficulty sitting in school. O stated that in college she had a 3.8 GPA and was on the Dean’s list. O is currently applying for admission to graduate school and has taken some courses toward her master’s degree. O was always an athlete (soccer) in school, and according to her mother, she was a champion.O reported that in high school, most of her friends were athletes. She stated that she had one close friend. Currently, O is friendly with her roommate but does not have any other friends. “I don’t trust anybody.” O’s mother reported that when O lived in Connecticut during college, O had many friends and was active in NA and AA. O’s

mother stated that she was surprised when O returned to New York. O agreed that she was happy living in Connecticut and felt returning to Queens was “a stupid mistake.” O hoped to return to Connecticut in the future. O’s mother reported that when O returned to New York, she at first moved in with her parents. Conflict increased in the household,and O’s parents began marital therapy. O’s mother stated that she and her husband became united and finally asked O to move out. O’s mother stated that within 6 weeks of moving out, O was doing well and seemed happy. O’s mother felt O has difficulty accepting adult responsibilities and felt O needed to separate from her parents. O’s mother stated that they do not want O to return home to live, but O stated that she wants to return home.O’s mother reported O worked during summer vacation while in high school. She baby sat during college and worked as a graduate assistant. Since graduating from college, O has been employed by a museum. O reported that she currently has financial problems because of money owed to her therapist and the hospital in New York.MENTAL STATUS EXAMINATION:O presented as an overweight, somewhat disheveled, white female who had a cast on her right leg. She was relaxed but very restless during the interview. Her facial expression was mobile. Her affect during the initial interview was constricted and her mood dysphoric. In    subsequent interviews, her affect was full range and her mood very liable. O’s speech was pressured and often circumstantial or tangential, and she spoke in    a loud voice. At times her thinking was logical, and at other times it was illogical. O denied hallucinations but complained of hearing policemen outside her door prior to admission. She denied homicidal ideation and initially admitted to suicidal ideation but in subsequent interviews denied this.O was oriented to person, place, and time. Her fund of knowledge was excellent. O was able to calculate serial sevens easily and accurately. O repeated 7 digits forward and 3 in reverse. Her recent and remote memory were intact, and she recalled 3 items after five minutes. O was able to give appropriate interpretations for 3 of 3 proverbs. Her social and personal judgment were appropriate. O’s three wishes were: “To be skinny, to have a big house where I can take in all the stray cats, and for a million more wishes.” When asked how she sees herself in 5 years, O replied, “Hopefully graduating from graduate school.” If O could change something about herself, she would “make myself thin.”

For this Discussion, you focus on guiding clients through treatment and recovery.

To prepare:

  • Review the Learning Resources on experiences of living with an  eating disorder, as well as social and cultural influences on the  disorder.
  • Read the Case of O.

Post a 300- to 500-word response in which you address the following:

  • Provide the full DSM-5 diagnosis for O. Remember, a full diagnosis  should include the name of the disorder, ICD-10-CM code, specifiers,  severity, and the Z codes (other conditions that may be a focus of  clinical attention). Keep in mind a diagnosis covers the most recent 12  months.
  • Explain the diagnosis by matching the symptoms identified in the case to the specific criteria for the diagnosis.
  • Explain why it is important to use an interprofessional approach in  treatment. Identity specific professionals you would recommend for the  team, and describe how you might best utilize or focus their services.
  • Explain how you would use the client’s family to support recovery. Include specific behavioral examples.
  • Select and explain an evidence-based, focused treatment approach that you might use in your part of the overall treatment plan.
  • Explain how culture and diversity influence these disorders.  Consider how gender, age, socioeconomic status, sexual orientation,  and/or ethnicity/race affect the experience of living with an eating  disorder.

Note: You do not need to include an APA reference  to the DSM-5 in your response. However, your response should clearly be  informed by the DSM-5, demonstrating an understanding of the risks and  benefits of treatment to the client. You do need to include an APA  reference for the treatment approach and any other resources you use to  support your response.