Patient Relapse: A Case Study

D-The patient arrived on time for her appointment. Reported unstable on her dose and requested to increase her dose by 5 mgs. The patient is experiencing craving, yawning. sweaty, clamping, not sleeping, and sometimes body aches. This writer completed the dose change request form, but also reminded the patient to update Rx Script as her script had expired on 07/04/2016. According to the patient, she wishes Nursing would notify her because she has her updated script in her car. This writer strongly advised the patient to present it to Nursing before she dose tomorrow, If not, it will delay her dose increase.

During the course of the session, this writer discussed alternatives for her stressors in her life and her daily use of heroin. This writer strongly advised the patient, she cannot hide from her problem and use drugs as a symptom relief because the patient have to
Please note, this individual was still present in the patient life for the past two weeks. This writer discussed triggers and alternatives, referring to people, place, & things. Patient is planning to distant herself from this person (Michael) to focus on her recovery.

The patient is disappointed at herself for relapse, but was advised from his writer, relapse can happen at any point in recovery. The patient needs to learn how triggers and develop alternative to prevent future relapse.

A-Based on this writer's assessment, the patient appeared to be a downer, referring to depressing. The patient has an upcoming appointment with her mental health provider on Thursday with a female counselor, not a male counselor. This writer strongly urges the patient to be honest in her session and learn how to develop new coping skills. Appears to be alert and oriented. No evidence of SI/HI.

P-The patient will continue to meet with his writer weekly. The next appointment is scheduled on Monday, 07/25/2016 at