Cindy was a forty-five-year-old financial planner who realized that she had a problem with her drinking. As an illustration, within the past six months she has felt the need to have a few drinks before going to work, four weeks ago she failed a random saliva alcohol test at work, three weeks ago she got stopped by the police for a DUI, and last but not least, for approximately three months she has started to forget what she does and says when she drinks.
Not unlike hosts of other people, Cindy's involvement with alcohol started out at a "snail's pace" and continued at this pace for quite a long period of time due to the fact that every now and then she engaged in occasional social drinking. In actual fact, for almost three years, every time she went out to drink, she made sure to drink responsibly. Something about her drinking behavior, nonetheless, seemed to radically change when she divorced her husband.
Cindy got awfully disheartened about the loss of her husband, and as a way to quit obsessing about her depressing feelings she arrived at a decision that she would start palling around more repeatedly with some of her pals who love to drink and have fun. It didn't take long, however, before her drinking increased to a significant degree the more habitually she went to and drank at happy hours, family get-togethers, dinner dates, sporting events, and private parties with her pals.
Simply put, she was drinking and having a great time just like everybody else in her group of friends without giving too much consideration about the alcohol short term effects and especially about the alcohol long term effects she has been experiencing. Yet somewhere in the recesses of her mind she knew about the adverse alcohol effects on the body and on the brain and that she probably required alcohol rehab but sidestepped the thought as much as possible.
One day during her twelve month physical, her healthcare practitioner asked her if she drank alcohol. Not wanting to tell "stories" to her physician, Cindy "came clean" and said that she frequently drinks more than she should. In actual fact, she stated that she frequently drinks in an abusive and irresponsible manner. Then Cindy told her healthcare practitioner about her dejection. More specifically, she articulated that shattered relationships usually initiated a negative chain of events characterized by increased drinking which further led to more disheartening feelings that, in turn, led to more drinking. And this is explicitly what happened when she and her husband got divorced five years ago.
Cindy's doctor then said the following: "I am not trying to make a snap diagnosis, but with your medical circumstances we may be facing two separate problems. As a result, I think we need to make an appointment for you to get an alcohol abuse and alcoholism appraisal from my partner, Dr. Franks, who is a chemical dependency and substance abuse specialist."
"Whether your drinking situation is more associated with alcohol addiction or alcohol abuse is not clear, but I think that further exploration is warranted. Then I feel we ought to schedule an appointment for you to get a psychological examination from another one of my partners, Dr. Devor, who is a counseling psychologist."
"I want to get a better read on your sadness and see how much your drinking and depression are interlinked." Cindy expressed her agreement with her physician's strategy and thanked him for his assistance and concern.
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