SUBS 606
Case Scenario
A client reports that he is feeling down and withdrawn lately. You notice that his movement and affect are slow and restricted. He is aware that he has become more isolated and doesn’t find much satisfaction in his work anymore. At one time he enjoyed his work and took pride in his skill as a cabinetmaker, but lately he is having trouble completing the jobs he has and doesn’t have the energy to go after new jobs.
He tells you it is harder to get out of bed in the morning and he often doesn’t return calls from friends or customers. He says this has been going on for the last four months and he feels completely stuck.
He has become isolated from friends and ruminates over how he messed up past relationships. He says he drinks alcohol most nights – usually a few beers or wine with dinner. Occasionally, he has a few shots of brandy before going to bed. When you encourage him to be more specific about his alcohol intake, (e.g. how much wine and how many beers and when), he becomes irritated and dismisses your questions insisting that he doesn’t believe he has problem with alcohol.
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