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Jose is a Latino client who presents with occupational difficulties. He was laid

ID: 3488334 • Letter: J

Question

Jose is a Latino client who presents with occupational difficulties. He was laid off from a construction job 8 months ago and has been unable to find work. Ever since he lost his job, he has been drinking alcohol heavily throughout the day. he also reports occasional marijuana use. Jose recently was arrested for driving under the influence of alcohol and has to appear in court next month. His wife is angry with him because she depends on him to pick up their 3 children from school, and now he may lose his driver's license. Jose has always been a hard worker but he admits that there were times that he often drank alcohol while working on construction jobs to eliminate his stress. He reports having intermittent episodes of anxiety since adolescence. Should Jose be diagnosed with F10.929 Alcohol Intoxication without use disorder?

Explanation / Answer

Jose may definitely be diagnosed with F10.929 Alcohol Intoxication without use disorder as he presents clinical and diagnostic features for the same. The clinical features of Alcohol Intoxication are presence of pertinent and problematic changes in one’s behavior and psyche. The person starts making inappropriate sexual or aggressive behavior, his/her judgment is impaired and occupational functioning is disrupted. The changes become more prominent right after intake of alcohol which also lead to impaired functioning and is at times life threatening for the individual. The levels of in-coordination can interfere with driving abilities and performance of usual activities to the point of causing accidents. Alcohol can be smelled form the breath of the individual.

In case of Jose, impaired functioning and occupational impairment is evident. He was arrested for driving under the influence of alcohol. Therefore, this diagnosis is apt for Jose.