06-08-2007, 07:40 PM
A 19yr old man presents to the emergency deptt after a car accident in which he was driving drunk. He was wearing a seat belt and sustained only minor cuts n bruises.When questioned about his history of drinking alcohol, he states that he has driven while intoxicated before and that his rinking has caused him to miss work on a few occasions. He was arrested twice for driving under the influence. He says his drinking caused his parents to force him out of the house last month. When questioned further, he states that in the past it took hime a few drinks to get intoxicated,now it takes him alot more. Which of the following factors in the pat's hist suggests a diagnosis of substance dependance rather than substance abuse?
a continued use despite persistent problems.
b failure to fulfil work obligations because of substance use.
c.increased amount of alcohol necessary to achieve intoxication.
d recurrent alcohol related legal problems, like a DUI arrest
e recurrent substance use while driving.
a continued use despite persistent problems.
b failure to fulfil work obligations because of substance use.
c.increased amount of alcohol necessary to achieve intoxication.
d recurrent alcohol related legal problems, like a DUI arrest
e recurrent substance use while driving.