Primary Counselor's Relapse Case Study

Pt. currently regain his Phase 3 take home privileges after submitting a positive UDS, which came back positive for opiates. Pt. has relapsed after having 8 months clean, but he demonstrated a desire to learn from the relapse and regain previous take home privileges. Pt. has experienced a recurrence of symptoms but he learned how to cope with the consequences of his current use and decided what to do next. Pt. dealt with these issues by finding and using his sources of support and AMS staff. Pt discussed his relapse was caused by speeding time with negative friends who are actively using. Pt. reported that the he has not responded as expected to his prescribed methadone medication. Pt. has maintained his financial responsibilities as evidenced by paying all his treatment services fees in advance over the last
Pt. maintained his full-time employment status and self-reported that he has no issues or concerns with his personal finance. Pt. has become more open in acknowledging and accepting his chemical dependence and the destructive consequences that it has had on his social support network, intimate relationship and his family unit. During this quarter, Primary Counselor will encourage Pt. to attend informative AMS group sessions associated to relapse prevention and the recovery process. Primary Counselor will encourage Pt. to examine his commitment to his recovery and come up with new strategies for effectively balancing work, recovery and family. Counselor will help Pt. in arranging social and leisure activities that are free from any form of connection with substance abuse during the next quarter individual sessions. Pt.’s current treatment plan goals focus on opiate use disorder, financial, relapse prevention strategies and lack of support network. During the upcoming quarter, current goals will continue to be