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Ashley Girl Case Study

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Simulated Interview

Confidential
Ashley Girl
55 Main Street
Brockport, NY 14420
Phone: (555) 458-8574
DOB: 7/9/93

11/11/14, Initial Evaluation, 75 minutes

Identifying Information: Ashley Girl is a 21 year old, single (currently involved) white female who has voluntary agreed to participate in this evaluation for training purposes. She currently lives in the village of Brockport in an apartment with three of her friends (Sarah, 21; Sally, 21; Jane, 21).

Presenting Problem: The purpose of this evaluation is for Alcohol and Substance Abuse Counseling training. Ms. Girl did not present any clear problem.

Sources of Information/Informants: The source of information for this evaluation is a single interview. No family members were asked to validate. No medical records or treatment history was obtained.

Reason for Evaluation: Ms. Girl was asked voluntarily to participate in this interview for training purposes.

History of Present Illness
Alcohol and Drug Use: Ms. Girl reports the use of the substances alcohol, marijuana, cocaine, ecstasy, and amphetamine (Adderall). She states that alcohol was the first substance she ever used, and is her primary substance. She reports her first drink was when she was 15 years old. At that time her older boyfriend (18 yo) invited her to a party and gave her a …show more content…
Girl reports the use of cocaine. Her first use was at a house party with her boyfriend at the time. She reports snorting two lines of powdered cocaine at the party. After this event, Ms. Girl reports using “a handful of times” (around 10) from then until her freshman year of college (19 yo), typically at house parties. She states that her senior year of high school (18 yo) was her heaviest use period. She reports that her boyfriend took her to college parties where she was using most frequently (1 time per month), snorting no more than two lines during one use. Ms. Girl denies any severe impairment or distress surrounding her cocaine

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