Cindy was a thirty-two-year-old receptionist who realized that she had a drinking problem. For example, within the past six months she has experienced the need to have one or two drinks before going to work, four weeks ago she failed a random urine alcohol test at work, seven weeks ago she got arrested for a DWI, and last but not least, for almost three months she has started to forget what she says and does when she goes out drinking.
Like other individuals, Cindy's involvement with alcohol began slowly and continued at this pace for quite some time due to the fact that once in a "blue moon" she engaged in casual social drinking. In truth, for almost six months, every time she went out to drink, she made sure to drink responsibly. Something about her drinking behavior, however, seemed to fundamentally change when she and her husband got divorced.
Cindy got extremely gloomy about the loss of her husband, and as a way to abstain from dwelling on her depressing feelings she decided to start going out more frequently with some of her friends who love to drink and have fun. It didn't take very long, however, before her drinking increased to a significant degree the more often she went to and drank at private parties, family get-togethers, dinner dates, sporting events, and happy hours with her buddies.
In short, she was drinking and having lots of fun just like everybody else in her group of pals without giving too much thought to the alcohol short term effects and especially about the alcohol long term effects she has been experiencing. Yet in the recesses of her mind she knew about the adverse alcohol effects on the body and on the brain and that she most probably required alcohol rehabilitation but sidestepped the thought as much as possible.
One day during her annual physical, her healthcare professional asked her if she drank alcohol. Not wanting to lie to her healthcare professional, Cindy "came clean" and said that she commonly drinks more than she should. In reality, she stated that she frequently drinks in an excessive manner. Then Cindy told her healthcare professional about her depression. More plainly, she articulated that ruined relationships usually initiated a negative cycle of events typified by increased drinking which further led to more discouraging feelings that, in turn, led to even more drinking. And this is explicitly what took place when she and her husband got divorced five years ago.
Cindy's doctor then told her the following: "I am not trying to make a spur-of-the-moment analysis, but with your medical situation we may be confronting two separate problems. Consequently, I think we need to make an appointment for you to get an alcohol abuse and alcoholism evaluation from my partner, Dr. Galloway, who is an alcohol addiction and alcohol abuse specialist."
"Whether your drinking circumstance is more correlated with alcohol addiction or alcohol abuse is unclear at this time, but I think that further exploration is warranted. Then I think we ought to schedule an appointment for you to get a psychological exam from another one of my partners, Dr. Rudnick, who is a counseling psychologist."
"I need to get a better grip on your sadness and see how much your drinking and depression are interrelated." Cindy expressed her endorsement of her doctor's treatment strategy and thanked him for his assistance and concern.
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