D-Client Relapse Case Study

D-Client arrived on time for his scheduled appt. with this writer. The client was alert and engaging throughout the session. During the course of the one hour session, he was aware about completing his first initial tx plan, at which he was open to discuss and complete. The client reported that he participated at HOI prior – 15 years ago for heroin. He relapses in 2009 due to his liver transplant surgery in December of 2008. When asked by this writer about happen during his relapse. According to the client, he relapses on RX medication-oxycodone. He’s been abusing his Rx medication for 6 years. This writer asked the client about how his relapse affects his livelihood. According to the client, he affected him greatly financially whereas he spent his entire $150,000 inheritance on RX medication on the street. The client further mentioned that he spend $5,000 a week on daily Rx medication of 30 capsules of oxycodone. The client expressed his disappointment in himself because he was doing well, but since his surgery, at which the client recognized as a blessing, caused his addiction to pain killers. The client continues to say, “I cannot blame anyone, but me.” The client had a desire to open up his own Bar/Restaurant
He is currently not prescribed with any CNS medication. He is on the waitlist to see a psychiatrist. The client is aware that should he be prescribed with any medication to notify the HOI medical team. Addressing the dosing –the client reported that he is comfortable with his current dose. He reported past withdrawal symptoms as an issue. This writer encourages the client that if he continues to have to any future issue with withdrawal to notify the medical team at HOI, at which the client agreed to do so. The client reported of having chronic medical issues and is encouraged by this writer to continue to follow through with MD recommendation to address his