Case Study Case Study



Katieis a 35 years old mother of two children, a wife to Lewis and risingprofessional white woman. Katie has recently relapsed into her formersubstance addiction behavior of using pain killer drugs for alleviatelower back pain. Seemingly, Katie was involved in an accident andinjured her back when in the 20s and she started using painmedication. According to the Diagnosticand Statistical Manual of Mental Disorders, Fourth Edition(DSM-IV),substance dependence is viable if a person shows the greatertolerance to the pain pills, shows withdraw symptoms, and showsgreater focus on getting hold of the substance (O’Connor, 2010) .Without her knowledge, Katie became a victim of prescriptionsubstance addition, but she went into rehabilitation centre andstopped drug abuse to save his life.

Katieis keen on quitting using the pain medication, but her effort isbeing derailed by her work and family commitments. Katie sufferedfrom withdraw symptoms that made her relapse to abusing painmedication because of personal challenges and pain at her lower back.Although four years ago she successful underwent therapy and stoppedabusing the prescription in order to control her life. She stayed inthe residential treatment center for 4 weeks and regained her senseof responsibility. However, she failed to attend counseling orself-help meetings that would have helped her to stop substanceabuse. Katie had her second child about six months ago and probablyextreme pressure on her back due to the busy schedule to cater forfamily and satisfy professional obligations have made her back worse,which forced her to seek for pain pills from friends and co-workers.The information asserts that Katie’s actions are consistent withpain medication dependence since she exhibits the symptom of focusingon obtaining or using pills (Hojsted&amp Sjogren, 2007).During the past 3-months, Katie has relapsed severely to abusingprescription pain medication after discovering that she wouldpurchase them off the internet and have FedEx deliver them to herhome. Katie has continued to use the drugs because her history showsa consistent tolerance to the pain medication that is forcing Katieto purchase different types of the substance. For example, she hasabused vitimaim and Lewis discovered a 100 Vicodan pills that weredelivered by FedEx to their home. In fact, Katie has lost controlover the quantity of pills she uses.

Katie’saddiction to pain pills is affecting her family negatively since sheis not motivated as a mother to provide caregiver services to herchildren. Loss of focus on family and work responsibilities is aclear sign of substance addiction that affects Katie. Consequently,Katie’s husband, Lewis, has threatened to leave her and move awaywith the children. Katie would lose her husband and family due to theprescription addition that is slowly turning her into a dependencevictim. Lewis is willing to help Katie, but she must accept that sheis sick and need help by accepting to go to a rehabilitation center.Furthermore, Lewis has recently stopped working due an injury, whichleaves Katie as the sole breadwinner of the family, a responsibilityshe is unable to fully commit to because of prescription addition.Additionally, Katie’s parents are concerned that the addictionmight cause her stress that may interfere with her capacity to workand she might lose her job too. If the victim loses her job, shemight lose her credibility as a family caregiver and lose herself-esteem as a woman of respect. Furthermore, she has lost herreliability among her peer and family since everyone thinks shebehaves like a child, particularly when she cries and wines insteadof enrolling in a treatment center to get help. Although she has notlost her job, Katie’s dependence on the pain pills is affecting theexpected level of concentration to perform work-related tasks tocompletion without experiencing mental lapses.

Katieresponded positively to the prescription addition challenge and shewas healed about 4 years ago after attending a 4-week session.However, after her relapse 3 months ago, Katie is now unable to focuson rehabilitation, family responsibilities, or work tasks because ofthe need for more pills to make her feel better (Hojsted&amp Sjogren, 2007).Although parents and her husband had a meeting and decided that shemust enroll to treatment center to seek new help, Katie did not keepher promise of attend a 10-day therapy session once per week and onlywent for a few days. Thus, Katie has neglected her abuse treatmentand is focusing on working to help her family get financially stable.However, substance dependence has affected her level of concentrationand she lacks focus to either work or take care of homeresponsibilities that she has now left under the care of her husband.Katie has relapsed and her situation is dire in need ofrehabilitation to help her function normally without abusing painmedication.


O’Connor,P.G.(2010). Advances in the treatment of Opioid dependence: Continuedprogress and ongoing challenges. Journalof the American Medical Association,304 (14), pp.&nbsp1612–14.

Hojsted,J., &amp Sjogren, P. (2007). Addiction to opioids in chronic painpatients: A literature review. EuropeanJournal of Pain,11, pp.490-518.