Case study of a Drug Addict

Background of the Case

Adnan is 25 years old man. He is now affected by physical and mental problems.
He was presented with the complaint of drug addiction, Smuggling, Gambling,
poor problem solving capacity, attention seeker, misbehavior with relatives and his
parents. His family tried a lot to help him recover. He has been taken to rehab
center but he would start taking drugs the day he came out of the center.
I conduct interview, homevisit to collect necessary information for assessment,
treatment and evaluation.
Client Personal Information
Name Adnan
Age 25
Education H.S.C
Occupation Unemployed
Marital status Married
Children One Girl
Address Sazia, Maheshpur, Jhenaidah

Format of Family Member

Name of the Relation with Age Education Occupation

member client
Fafiz uddin Father 56 Class Nine Shopkeeper/Farmer
Rabia khatun Mother 50 - Housewife
Rakib uddin Brother 16 Class 10 -
Minuara wife 24 H.S.C Housewife
khatun
Sharmin Children 02 month - -
 Family Condition
The client belongs to a middle class family. He lives in a nuclear family system.
Client’s father is a shopkeeper and by nature an unconcerned person and the
authoritarian figure of the family. Client don’t have a satisfactory relations with his
family because according to him his father never gave a quality time to him like all
father gave to their children. He said his father loves his work more than his
family. Actually client’s father was the only earning member of his family. On the
contrary client’s mother is an uneducated women. She is a housewife and by nature
calm and quiet person also less aware about client’s mental and psychological
condition. Sometime coming back home drunk he has conflict with his wife but he
loves his child very much he has also a conflicting relationship with his younger
brother.
Overall there remain so much gaps present in the family communicative system.
Physical Condition
The Client have a poor health and he is suffering from various physical problems
such as insomnia, Back pain, Urinary infection, Headace, Aversion to eat. He has
been treated under many doctors but after few months his problems appeared
again.
Psychological Condition
Client has many psychological problems mainly his physical illness are caused by
his psychological condition. He is facing Depression, Frustration, Anxiety, Stress,
Negative thought. He has less mental satisfaction that’s why he feels restless all the
time.
Nature Restless Conversation Incongruous
Temperament Crabbed Attention Less
Memory Not Sharp Thinking power Not so Good
Inferiority Feeling inferior Fear of Death Yes
Complex
Incapability Fear of Tends & Drugs, Women,
Feeling Establishment in life Attractions Bad company
Guilty Feeling Sin does not hurt Suicidal tendencies There was one time
 Recreational Condition
The client doesn’t like any outdoor sports. He just like to gamble and enjoy bad
company.
Social Condition
His relationship with his relatives is overall good as well as with his neighbor. He
has a satisfactory relationship with his friends. He gets a lot of support from his
friends. There is very little religious feeling and attraction inside him.
Diagnosis
Adnan first Started smoking cigarettes in 2009 when he was in class six by
contacting with bad company and being located next to the border area, drugs were
readily available in his village. He become completely addicted to drugs due to
maintain bad company less parental guidance and main reason his divorce with his
first wife in 2016. In the charge of smuggling and gambling he got caught by local
BGB and consign him to police there he was in police custody for 07 days.
After released from jail his parents and relatives admit him ‘CREA’ drug
addiction treatment and rehab center in mohammadpur after 60 days he return
home having a notable change but due to frustration of refusal of relationship after
few days he started to take drugs again.
His doctor said that the causes of his physical problems due to drug addiction
and his mental instability. Doctor said due substance use acutely disrupt sleep-
regulatory systems, affecting the time it takes to fall asleep (latency), duration of
sleep, and sleep quality.
The client has a high ambition to establish in life. His Frustration occurs due
to block from reaching his desired goal. Becoming an unemployed and having
child and wife he has facing symptoms of somatization, depression, and anxiety
deviations on self-esteem and stress.
Homevisit
They have 03 separate rooms in their house. From childhood he used to lived in a
separate room that’s why he had less interaction with his parents and there create a
communication gap. When his parents little scolded him he entered his room and
locked the door. Being located his room in a corner of his house no one needed to
go to his room. That’s why he used to stay alone and due to staying alone he don’t
like any outdoor games from childhood and also used to smoking and taking drugs
sitting in his room. But his younger brother’s room located middle inside their
house that’s why his parent’s easily monitor his younger brother.
Drug Addiction
The client occasionally sits in his father’s shop from where he raise his money for
drugs. He also borrowed money from his friends, relatives and neighbor. He also
used to worked as supplier of drugs and as smuggler.
List of drugs he used to take:
Name of drugs
Yaba 250 to 300 tk per pill
Mandrax 1-2 (tablet)
Weed 20 tk
Charosh 50 tk
Toddy 50 tk
Phensedyl 500 tk

Treatment
1. To alleviate his mental instability I talked and discussed with him long time
also take few interview.
2. Provide Counseling to remove negative thoughts also inspired him to live in
present not in the past and help him to be happy with his baby girl and wife
and his family. For better counseling support I refer him to a well-known
psychologist in Dhaka.
3. Provide guidance to leave bad company and to hang out good friends.
4. Provide guidance to maintain proper diet and his doctor’s advice and
suggested medicine.
5. Advice him for creation of religious feeling he should pray 5 times salat and
also inspired him to explore and read about islam.
6. Make him awareness about the negative impact of drugs. Inspired him to
play outdoor games and take physical exercise regularly.
Evaluation
“I learned my lesson. Look back on the way I was then a Young Stupid boy who
committed that terrible crime I want to talk to him I want to try to talk some sense
to him tell him the way things are but I can’t that kids long gone this man is all
that’s left. I got live with that I want to change myself to be a good father”