Beverly Beverly is a 21-year-old, Latina who was referred by the courts for a recent DUI. She presents as an energetic young woman, with difficulty sitting still, eyes darting around the room nervously. When asked about the circumstances of the DUI, Beverly tells you, “How ridiculous. Now that I am legally able to drink, it was just a fluke that I got caught. I can stop anytime I want. I just like to party, smoke a little weed, do a line now and then and enjoy the good life”. During your psychosocial assessment, Beverly discloses that she is currently involved in a tumultuous relationship with a man she has been dating for 2 years. She says, “he’s okay but he gets very jealous when I flirt, and pushes me around a bit. But I like when guys pay attention to me, so I try to hide it from him.” She tells you that when she was growing up, sexuality was, ”open and explicit, if you know what I mean”. When asked if she ever experienced trauma or abuse as a child, Beverly paled and asked, “do we have to talk about that? I’m not here to be psychoanalyzed. I just want to beat this legal rap”. 1. Considering the information in the course text and the DSM-5, formulate a provisional diagnostic impression for Beverly. What further information might you look for and why? 2. Create a brief initial treatment plan for Beverly. What treatment approaches would you consider for Beverly, that support your findings in question one? Paul Paul is a 55-year-old Native American man who presents as moderately obese. Paul is referred by his medical doctor to help him to stop smoking. He admits to smoking a pack of cigarettes a day. You discover that he also loves the thrill of gambling. He says, “I love excitement and living life to its fullest – a fine meal, good scotch, a couple of smokes and a night at the poker table”. As his mother died 2 years ago of lung cancer and his father of cirrhosis of the liver 10 years ago, Paul figures it is time to stop smoking and cut back on his drinking. He admits that he should probably lose a few pounds, but “there's no way I am going to stop gambling and hitting the buffets and bars now and then.
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