Citation

Crockford DN, Berg A. CJAM Canadian Journal of Addiction Medicine 2013; 4(1): 18-21.

Copyright

(Copyright © 2013)

DOI

unavailable

PMID

unavailable

Abstract

Jane is a 41 year old married woman who has worked as an administrative assistant for the past 14 years. She began drinking alcohol sporadically at the age of 17. At age 28 her drinking increased, with regular drinking on the weekends of half a bottle of wine on Fridays and Saturdays. Her father died suddenly of a myocardial infarction when she was 35 years old. She describes that her mood began to deteriorate with her father's death when she was 37 years old, followed by progressive loss of interest and isolation. Her 2 children left the home to go to University 2 years later. She reports that her drinking escalated over the last 2-3 years to drinking of a bottle of wine per day with occasionally more on weekends. Her mother has suffered from depression; however, there is no family history of substance problems. Despite recognizing that she needs to cut back or stop her alcohol use, she finds she cannot. She comes to see you complaining mostly of impaired sleep with early morning awakening, but also lethargy, anhedonia, poor concentration, guilt, and passive thoughts of suicide.

Language: en

Keywords

adult; human; suicide; female; case report; psychotherapy; depression; major depression; substance abuse; article; drinking behavior; clinical feature; cognitive therapy; drinking; heart infarction; guilt; evidence based medicine