Vignette Twisted Sister Case Study Paper

This paper will use a case vignette, Twisted Sister, in an attempt to identify patient’s substance use disorders, mental health diagnosis, and other problems that affected patient’s major life areas. In addition, to fulfill the assignment requirements, patient’s stage of change and readiness to change will be discussed. Also, using CBT framework, this paper will explore the type of CBT homework that would be assigned and hypothetical counseling dialogue will be created between the patient and the counselor.
Substance Use Disorder and Mental Health Diagnosis
This section presents a description of the patient’s substance use disorder and mental health diagnosis based on the information provided. The patient arrived to the hospital agitated and argumentative. The patient’s breathing was irregular, heart rate rapid, and pupils dilated. Based on the information provided, one cannot conclude cocaine dependence due to inadequate amount of information provided, however, the diagnosis for Cocaine abuse and intoxication can be concluded based on the symptoms. The patient meets the diagnostic criteria for stimulant intoxication; cocaine in this case. In addition, the patient had a previous polysubstance abuse, with no drug predominating, for one year, while using alcohol, marijuana, and speed
For example, the patient is resentful of all authority and he is disobedient. According to diagnostic criteria for Antisocial Personality Disorder, the client fulfills the necessary diagnostic requirements. For example the patient is not attending school regularly, he cannot hold a job, fails to meet financial obligations, has no regard for the truth, and doesn’t not respect authority. Therefore, provisional diagnosis of Mild Substance Abuse and Antisocial Personality Disorder is