RT Book, Section
A1 Willenbring, Mark L.
A1 Speedlin, Stacy L.
A1 Hilton Jr, Donald L.
A2 Usatine, Richard P.
A2 Smith, Mindy A.
A2 Mayeaux, Jr., E.J.
A2 Chumley, Heidi S.
SR Print(0)
ID 1164350924
T1 Alcohol Use Disorder
T2 The Color Atlas and Synopsis of Family Medicine, 3e
YR 2019
FD 2019
PB McGraw-Hill Education
PP New York, NY
SN 9781259862045
LK accessmedicine.mhmedical.com/content.aspx?aid=1164350924
RD 2024/04/19
AB Theresa  is  a  39-year-old,  white,  single  woman  who  presents  with  insomnia  and  depression.  After  exploring  the  presenting  symptoms,  her  physician  reviews  some  screening  questions  about  potentially  related  problems.  In  response  to  a  question  about  heavy  drinking  in  the  past  year,  Theresa  responds  that  she  is  drinking  about  2  bottles  (10  drinks)  of  wine  nightly.  She  acknowledges  going  over  limits  repeatedly  and  a  persistent  desire  to  quit  or  cut  down,  as  well  as  continuing  to  drink  in  spite  of  hangovers  and  nausea  in  the  morning.  She  denies  withdrawal  symptoms,  driving  while  intoxicated,  job  or  serious  relationship  problems,  but  admits  that  her  social  activities  have  decreased  over  the  past  year  because  she  spends  her  evenings  drinking  alone.  No  one  else  knows  she  is  struggling  with  drinking.  Her  depression  and  insomnia  started  after  her  drinking  increased  about  2  years  ago.