Mr. Wilko is a 40-year-old salesperson with a wife and three teenage children. He has recently begun to have a beer at lunch and a few drinks after work to reduce his work-related stress. An economic downturn in the housing industry has reduced the need for new home appliances and his income and sales record has been affected. Several other salespeople have been laid off at his firm. He has been told that if his sales and attendance records do not improve he will be fired. He and his wife are constantly arguing about finances and the children’s increasing demands for money. His drinking has increased to several beers at lunch and continued drinking after dinner. When he returns to work with alcohol on his breath, he is dismissed from his job. He continues to consume alcohol during the day as he attempts a job search. His wife is very concerned, as are his teenage children.

• Mr. Wilko states he is a social drinker and “can stop at any time.” How accurate is his self-assessment? his self -assessment is not accurate for the simple fact that he considers himself a social drinker he is in denial that depression has set in.
• What stressors are present in Mr. Wilko’s case? anxiety,depression
• Why does Mr. Wilko continue to increase his alcohol intake? to surpress the feelings on depression or fear of losing his job he feels as if he continues to increase his drinking it will subside the feelings that he is having
• What changes in liver function can Mr. Wilko expect if he continues to drink large amounts of alcohol? his liver function
• Mr. Wilko complains to his wife that all the stress is causing “indigestion.” How do stress and alcohol consumption affect GI function?
• Why is Mr. Wilko at greater risk of trauma? because he is consuming way too much alcohol at an increasing rate above normal which can lead to gastritis as well as pancreatitis. Alcohol Abuse: Mr Wilko Case Study

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Alcohol Abuse: Mr Wilko Case Study

Introduction

Mr Wilko is a 59-year-old man with a long history of alcohol abuse. He has been in and out of treatment for years, but recently he has started to show signs of developing an alcohol problem again. In this case study we will look at some of his issues including his diagnosis, symptoms and how they relate to other mental health conditions such as depression or anxiety disorder

Primary diagnosis: Alcohol Dependence.

Alcohol dependence is a primary diagnosis in the DSM-5. For this reason, it’s important to remember that alcohol dependence can only be diagnosed by a licensed mental health professional and will not be made by you or your doctor. A mental health professional will want to take into account the patient’s history of alcohol abuse, their symptoms and behaviour before making a diagnosis of alcohol dependence. This is why it’s so important that people who are concerned about their drinking should see their GP or another medical professional who can help them develop an appropriate treatment plan for themselves.

History of problem drinking.

Mr Wilko has a long history of problem drinking. He has been in and out of rehab several times, and has been arrested for drunk driving on numerous occasions. His wife and children have left him due to his chronic alcoholism.

Continued use despite harmful consequences.

• Physical harm: Alcohol consumption can lead to an array of physical problems, including liver damage and heart disease.

• Social harm: Alcohol consumption is linked to poor relationships, depression and anxiety. People who drink excessively may be unable to focus on their work or schoolwork or care properly for their children.

• Emotional harm: Depression and anxiety are common psychological effects of alcohol use because it impairs brain function by interfering with chemical signals in the body that regulate moods like happiness and sadness.

Alcohol is important and central to his life.

Alcohol is a central part of his life and he spends a lot of time drinking. He has also seen it as an important part of his recovery, helping him to deal with the trauma that he suffered in the aftermath of World War II.

He finds it difficult to balance his work with family life because he has such a high alcohol intake – this means that he struggles with getting up in the mornings, going out for lunch or dinner and even attending social events at home or work.

Craves alcohol.

Craving is a strong desire or urge to drink alcohol. Craving can be different from wanting to drink, as it often occurs in the absence of withdrawal symptoms (such as nausea and irritability).

In Mr Wilko’s case study, he had been drinking heavily for several years and developed a craving for alcohol even when he was not feeling intoxicated. He would often go out drinking with his friends until late at night while they were still at work, but then return home and order takeaway pizzas after consuming only half of one beer each time they went out together.

Attempts to cut down unsuccessful.

Many alcoholics will try to cut down, but they are unable to do so. They may be able to cut down for a short time, but it soon becomes too difficult and they return to their old habits. Many drinkers, after several attempts at abstinence and relapse, realize that they have an alcoholic problem and seek help.

Much time spent obtaining alcohol/using alcohol or recovering from its effects as a result of its use (i.e., neglecting social, occupational, or recreational activities).

Mr Wilko has a long history of alcohol dependence and abuse. His symptoms include:

• Inability to limit drinking or control the amount consumed.

• Intense craving for alcohol, resulting in unsuccessful attempts to cut down or control alcohol use (e.g., through dieting).

• Great deal of time spent obtaining alcohol or using it in ways that result in high risk behaviors related to its use (e.g., driving while intoxicated).

The assessment tools used by medical professionals will help them determine if someone has an alcohol problem and should be referred for treatment services as needed. The most common assessments include:

Case Study – Mr Wilko

Mr. Wilko is a 71-year-old man who has been drinking alcohol for most of his life. He started drinking at a young age and has been regularly consuming alcohol since then. Mr Wilko currently drinks between 3 to 4 pints of beer every day, along with other types of alcoholic beverages such as wine and spirits.

He also smokes cigarettes regularly and has recently developed an interest in cannabis due to its medicinal properties; however, he does not use this substance alone but rather uses it alongside alcohol as part of his daily routine (see below).

This case study is a good example of some of the issues involved in trying to diagnose mental health problems like alcohol dependence.

Mr Wilko is a good example of some of the issues involved in trying to diagnose mental health problems like alcohol dependence. He has been drinking alcohol since he was 16 years old and currently consumes at least three bottles of wine every day, as well as other forms of intoxicants such as spirits, beer and gin. His use of these substances is not restricted to social occasions but also includes many days where he drinks alone at home or in pubs after work without getting drunk. He has had periods when his drinking was moderate (1-2 bottles per day) but these have become less frequent over time and now occur only occasionally; however, this does not appear to be related directly with any discernible change in his health or lifestyle – rather it appears more likely that Mr Wilko simply feels less inclined towards intoxication than before due to factors such as age or marriage

Conclusion

I hope that you have found this case study informative and useful. The information provided here is only one perspective on the subject, and it is by no means a complete picture of the issue. There are many other factors involved in diagnosis of alcohol dependence, as well as many different treatment options available to people who suffer from this condition. If you or someone you know needs help with their mental health issues, please contact us at Wilko Addiction Treatment Centre today!