Addiction Case

ADDICTION CASE
DEMOGRAPHIC DATA
Name: S D
Age: 42
Gender: Male
Religion: Islam
Marital status: Married – 10 years back
No. of children: 2
Habitat: Rural
Place of birth: Calicut
Educational status: SSLC
Ordinal status: Elder son among 2 sibs
Occupation: Construction work
Informer: Wife
Reliability: Reliable
Family history
Father had alcoholic addiction

The client is from a middle socio economic Islamic family. He is the youngest member in his family.
Two elder brothers had been working abroad. They are living there with their family. Client is now living
with his parents.
The condition of his mother during pregnancy was normal. There is NAD detected in the childhood
and adolescent stages.
He started drinking alcohol at the age of 20years. At that time his father taking alcohol everyday
and he will make issues in home; elder brothers went abroad at their twenties; his father didn’t allowed
him to go abroad. He was under his father’s custody. Father was very strict and he didn’t allow him to do
as he likes. Gradually he started opposing his father. To compete with his father he started drinking
alcohol; after drinking he feels more confident. Gradually he became addicted. He was very obstinate
and head strong. His mother was a kind hearted women and she always advice him to stop drinking
alcohol.
Medical history
Any major illness: NIL
D M:Sympt
HTN: NIL
Symptoms on admission
He had came for de addiction therapy in the same institution 2 years back and relapse now. While
approaching him we understood that he didn't came for de addiction permanently, just for a break
because he is now under pressure from family and friends, to escape from them he agreed therapy now.
He want to settle some issues also.
Total duration: 22 years
More since: 18 years
Frequency of intake: Repeated
Morning drinking: Every day before breakfast, he keeps one bottle in the flush tank in his toilet
Type of intake: Alone or with company
Place of intake: At any place
Brand: Any brand(available)
Volume per day: 1 bottle minimum
Stock in home: Yes
Withdrawal symptoms
First 2 days he feels sleepy and low mood, after that he has some hallucinations like some mills working
near to his room and always disturbing him, he can't sleep at night, he wake up from sleep and talking a
lot of things which has no connection with reality. His orientation with place and time became extra
ordinary…
He feels he staying some where else, and he confused with day and night….etc.
Sleep pattern: sleepless
Food intake: normal
Blackouts: present
Friction with others: Shouting and using abusive languages with wife , showing disrespect with
psychiatrist and other staffs.
Delusion of infidelity: present
H/O suicidal attempt: Nil
H/O alcoholic hallucination: present
H/O Police case: Nil
H/O Accident: present
H/O Fall: present
H/O Financial problems: He spends all his savings for alcoholism, so some financial problems with his
brothers
Abstinent for: 8days
Last intake: Same day before coming to hospital
Habits: Using Hanse , Smoking
Treatment history
Relapse now.
Treatment taken before 2 years. For de addiction from the same institution
Diagnosis
Patient started his drinking habit in his early adulthood – twenties. At first he had an inspiration from his
father, his father is an alcoholic. He understood that whenever he had taken alcohol he became more
confident for talking and doing his work at workplace. He feels he will get more energy when he takes
alcohol and started arguing his father. Whenever he wants to talk with his father he takes alcohol to
become more confident….that leads to a complete addiction, he is very obstinate and head strong ,
usually using abusive languages towards his mother, she is a lovely, kind, orthodox women, many she
begged him to stop his addiction….
He stopped his studies after his SSLC… after that he started working , in construction field. For getting
more energy during his working time, he regularly taken alcohol and leads to complete addiction….he
starting his day with alcohol….
He got married at his 31.
His family never informed the addiction , after marriage only wife knows he completely addicted with
alcohol, that made problems in their family life. He never earned or spend money for his family. Never
given importance to his wife, gradually condition became worse, she went to her home, unfortunately
she was pregnant at that time.
After delivery she came back, but he continued the same attitude , she was from a poor family so she
stayed with him. Now they have 2 kids.
Problems
Alcoholic dependence syndrome- ADS
He is having fatty liver Grade 3
Hallucinations
Sleeplessness
He had convulsions
Diagnosis
Alcoholic addiction syndrome- ADS
Treatment
Pharmacotherapy
Behavioral therapy- Aversion therapy
Psycho education
Awareness training
Family counselling

Addiction Case

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ADDICTION CASE

Father had alcoholic addiction

Alcoholic addiction syndrome- ADS

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