PCN 475 Topic 2 Case Study Lori

PCN 475 Topic 2 Case Study Lori

Case Study Lori

An opinion of two or further internal health diseases alongside a substance use complaint is known as co-occurring disease. It’s important to directly diagnose both diseases before moving on with treatment for one, as the symptoms of each can impact one another. This is done through proper assessment and input processes. A professional can also move on to identify the part the substance use complaint will play in the recovery process, establish treatment pretensions, and identify other service providers that can be banded with to maximize treatment success.

Co-occurring Diseases

In the case of Lori, a twelve-time old girl, she presents with symptoms of two separate diseases. Lori is roughly thirty- pounds fat and doesn’t show important care for particular hygiene. She’d rather swim than shower and has begun displaying irregular eating habits. She binges, eats as presto as she can, and also will hide in the restroom to purge while running the gate and shower to conceal it. Lori also sneaks into the kitchen at night after everyone is sleeping to eat further, and her mama hears water running in the restroom after the fact. Lori and her musketeers have made a weight-loss pact and are taking laxatives together to do so.

PCN 475 Topic 2 Case Study Lori

Incipiently, she passed out from drinking too important with her musketeers, and her mama set up vodka and more laxatives in her room. She shares that she’s frequently comparing herself to her family and feels fat, unattractive, and stupid and that no boys like her. Lori’s irregular eating and purging habits align with the symptoms of bulimia nervosa. Bulimia is a life-changing eating complaint that’s characterized by secret binging followed by purging (Mayo Clinic Staff, 2018). Individuals with bulimia employ a variety of tactics to relieve themselves of calories and help weight gain, including tone-convinced vomiting and abuse of laxatives.

Red flags of bulimia that Lori is presenting with as well include constantly eating surprisingly large amounts of food in one sitting, not wanting to eat in front of others, going to the restroom right after eating, and being preoccupied with weight( Mayo Clinic Staff, 2018). The binge drinking and caching of alcohol point to another complaint. The substance that Lori is floundering with is alcohol. A substance use complaint (SUD) occurs when there’s an unbridled use of substances despite the consequences (Hartney). Symptoms and advising signs of SUDs that Lori is flaunting include deterioration of particular grooming habits, binge drinking, trying to hide one’s drinking patterns, and drinking in redundant (Hartney, 2022). Still, SUDs can range in inflexibility from mild to severe. Lori is showing four of the symptoms, which equates to a moderate substance use complaint (Hartney).

PCN 475 Topic 2 Case Study Lori

Part of Co-occurring Substance Use Disorder

Carrying a co-occurring complaint opinion isn’t uncommon. Those who have an internal health complaint are more likely to have a substance use complaint than those who do not. In fact, the National Institute on Medicine Abuse states that roughly half of the individuals who have a SUD or internal illness will develop the other at some point in their life( Psychology Moment Staff). Also, the relationship between SUDs and eating diseases (ED) is largely linked, especially in women. A study set up that women with either a SUD or ED were further than four times as likely to develop the other complaint as women who had neither complaint (SAMHSA Advisory, 2011).

Although, the co-occurring opinion does make treatment much more unique and complicated. It’s critical to ensure that both diseases are being treated rather than targeting one at a time. Not only is this form of treatment more effective for co-occurring diseases, but it drastically decreases the chance of relapse( Psychology Moment Staff, 2021). Bulimia nervosa is formerly associated with the abuse of alcohol and other substances, so if only the SUD is addressed, it’s likely that Lori’s bulimia will drive her to drink again anyway (Mayo Clinic Staff, 2018). Treating both diseases contemporaneously is known as an intertwined treatment, and it’s the most recommended approach when dealing with co-occurring diseases.

PCN 475 Topic 2 Case Study Lori

Treatment Goals

Integrated treatment consists of coordinating substance abuse and internal health interventions to address both gests. Being suitable to address both internal health conditions is pivotal for the customer’s long-term success (Psychology Moment Staff, 2021). The overall pretensions of intertwined care include reduced or discontinued substance use, enhancement in psychiatric symptoms, bettered quality of life, and recovery from both diseases. In Lori’s case, it would be important to set pretensions that target each of her diseases. For bulimia nervosa, a thing would be to produce a healthier station towards food and cease her cycles of binging and purging (Mayo Clinic Staff, 2018).

To address the moderate substance use complaint, a thing would be to achieve abstinence from alcohol consumption and avoid any situations that encourage further use (Hartney, 2022). Both of these are really the end of treatment pretensions for Lori, and there are some necessary roots that must be laid before these can be achieved. Some pretensions along the way for Lori are to learn about healthy eating, apply learned managing mechanisms in place of alcohol use, and work through the issues she has with her family.

PCN 475 Topic 2 Case Study Lori

Treatment Service Providers

In order to reach these pretensions, an applicable treatment plan must be put in place. As was mentioned before, this treatment can’t be handled by addressing one complaint at a time. In order to duly address both bulimia and substance use, a variety of service providers will need to be employed. Typical treatment for bulimia consists of nutritive recuperation, pharmacotherapy, and psychosocial treatments (SAMHSA Advisory, 2011). Substance use treatment frequently consists of psychotherapy and drug (Hartney, 2022). With the pretensions and typical approaches of treatment in mind, Lori’s case would bear a therapist, substance abuse counselor, nutritionist, and croaker.

A croaker is an important first step in order to assess the physical impacts of the ED and SUD on Lori’s body and determine if she’s in need of medical stabilization. Medical stabilization is inpatient medical care that targets the physical consequences of the ED, similar to malnourishment, dehumidification, and electrolyte imbalances (SAMHSA Advisory, 2011). The nutritionist can help with Lori’s nutrition education as well as her relationship with food, all while covering her weight gain/loss (SAMHSA Advisory, 2011). The substance abuse counselor is an important piece of the platoon who can help walk Lori through her recovery process. This may include furnishing managing mechanisms, educating on relapse and the consequences of it, as well as implicit triggers to avoid and how to do so (McWhirter, McWhirter, & McWhirter, 2017).


Hartney,E.( 2022, August 25). DSM 5 criteria for substance use diseases. VerywellMind.


Mayo Clinic Staff.( 2018, May 10). Bulimia nervosa. Mayo Clinic.


McWhirter,B., McWhirterE., & McWhirter,A.( 2017). At threat youth A comprehensive response for counselors, preceptors, psychologists, and mortal service professionals( 6th ed.). Cengage Learning. ISBN- 13978133747 1466

Padwa, H., Guerrero, E.G., Braslow, J.T., & Fenwick, K.M.( 2015). walls to serving guests with occurring diseases in a converted internal health system. Psychiatric Services Washington, D.C.), 66( 5), 547 – 550.


Psychology moment Staff.( 2021, July 22). Co-occurring diseases. Psychology moment.


SAMHSA Advisory.( 2011, February). Guests with substance use and eating diseases.


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