Chisholm University - Comorbidity and Complex Care Case Study

This case study focuses on Sarah, who is experiencing anxiety and potential substance abuse following a breakup. The assessment involves identifying high-risk areas like anxiety and substance abuse, utilizing the MOCA scale to evaluate cognitive abilities. Proposed interventions include Cognitive Behavioral Therapy (CBT), mindfulness-based therapies, and effective counseling. The care model emphasizes creating a safe environment, fostering positive thoughts, and providing counseling to manage addictive behavior, potentially in combination with medication. The assignment demonstrates an understanding of comorbidity, assessment tools, and intervention strategies. The case study provides a real-world scenario for applying theoretical knowledge. The study also emphasizes the importance of a safe environment and positive thoughts in the recovery process.

COMORBIDITY AND
COMPLEX CARE
-PRESENTED BY:

CASE PRESENTATION:
 Sarah recently had a breakup
 Her friends invited her to a
party to divert her mind
 In the party she met Tom and
exchanged numbers to keep in
touch
 Tom didn’t respond
 Disturbed state of mind
 Consumption of alcohol
 Social seclusion

ASSESSMENT CRITERIA:
 Two critical areas can be
identified as high risk areas:
 Anxiety inferred from her
feelings of nervousness and
restlessness
 Substance abuse inferred from
excessive consumption of
alcohol

RISK-SCREENING TOOLS
Cut-off
score >26 <26 <28
Interpret
ation
Normal Mild-
cognitive
impairme
nt
Alzheime
r Disease
 The MOCA scale would be used to
evaluate Sarah’s cognitive ability
 The MOCA assessment assesses a
client on the basis of cognitive
aspects such as attention and
concentration, memory, language,
conceptual think, visual-
constructional skills, executive
functions, calculations and
orientations (Freitas et al., 2013)
 The score equivalent or less than
26 represents normal, greater than
or equal to 26 represents mild
cognitive impairment and
equivalent or greater than 26
represents presence of Alzheimer’s
diseases and other mental health
issues.

PROPOSED INTERVENTION:
 Administration of Cognitive
Behavioural therapy has been
documented to help in regulating
the dominating negative thoughts
in case of anxiety (Baer, 2015)
 Inclusion of therapies such as
mindfulness based therapy like
Yoga, meditation and ensuring a
safe environment can help in
harbouring positive thoughts
(Leichsenring et al., 2013)
 Effective counselling can help in
controlling addictive behaviour

CARE MODEL:
 Administering care would
comprise of:
 Regulating a safe environment
to harbour positive thoughts
and feelings
 Creation of positive thoughts
 Counselling to control addictive
behaviour in combination with
addiction control medication

REFERENCES:
Baer, R. A. (Ed.). (2015). Mindfulness-based treatment approaches:
Clinician's guide to evidence base and applications. Elsevier.
Freitas, S., Simões, M. R., Alves, L., & Santana, I. (2013). Montreal
cognitive assessment: validation study for mild cognitive impairment
and Alzheimer disease. Alzheimer Disease & Associated
Disorders, 27(1), 37-43.
Leichsenring, F., Salzer, S., Beutel, M. E., Herpertz, S., Hiller, W., Hoyer,
J., ... & Ritter, V. (2013). Psychodynamic therapy and cognitive-
behavioral therapy in social anxiety disorder: a multicenter
randomized controlled trial. American Journal of Psychiatry, 170(7),
759-767.

THANK YOU!!