Donovan Cocaine Use Analysis

1997 Words8 Pages
Donovan has called to make an appointment because he uses cocaine and he knows it is a problem for him. Donovan admits that he needs to quit, but he knows that he might have difficulties doing so. Donovan states that he has tried to quit before but was not able to leave the cocaine alone. When Donovan arrives for his first appointment, he states that his wife is concerned about his cocaine use. Donovan also states that using cocaine is getting expensive, but he feels that he works hard for the money and this is the only vice he has. Donovan says him using the cocaine has not caused any other problems, so he feels it is not a big deal. But Donovan stresses the fact that his marriage is important to him and his wife has said she will divorce…show more content…
To begin, I would ask Donovan questions about his cocaine use, like how often does he use it. The nature of his cocaine use is that he uses it to meet the demands of his job. The severity of his cocaine use is very serious and he states that it has become expensive. Donovan needs to understand the negative consequences that could be a result of his cocaine use, like his wife divorcing him. The parallel Inventory of Drug Use Consequences assesses negative consequences of alcohol/drug use more generally. These instruments can be motivationally useful as well, because they connect drinking and drug use with current problems and hassles that the client might want to change (Miller, 2011). I feel like Donovan is ready for change because he called to make the appointment himself, I feel his wife was a source of his motivation because of the views she had about his cocaine use and he wants to save his marriage. Donovan’ strengths is the fact that he likes his job and he was concerned enough to call to make the appointment. Mobilizing clients’ own strengths and social supports is important not only in rehabilitation, but in maintenance as well. Exploring strengths can also bolster clients’ self-efficacy, which is a predictor of successful change, and build a working therapeutic alliance (Miller, 2011). A functional analysis seeks to understand what roles or functions substance use is playing in the person’s life. It focuses both on antecedents (triggers or stimuli that increase the likelihood of use) and consequences of substance use (which may reinforce it). The Situation Temptation Scales that have three subscales: negative effect, social/positive use, and cravings/habitual use. The underlying assumption with these scales is that there is a causal link between prior use and the likelihood of a recurrence of drinking or drug use in these situations. Individualized risk profiles can inform treatment
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