NURS2119 - Dual Diagnosis and Community Work Report Writing - Medical Science Assignment Help

Assignment Task

Lisa is a 27-year-old woman who presents to her local GP. On interview Lisa presents as a softly spoken, petite young woman who sounds like a young child. She is dressed in jeans and a t-shirt top and is carrying a silver sports bag. She is well groomed and neatly attired and has her hair tied back in a ponystail. Lisa looks much younger than her actual age. She has cuts (mostly superficial) to her arms and legs. This is Lisa’s fifth presentation to the GP, and she is also well known to the community mental health service because of her frequent episodes of self- harm. She feels that her life is out of control and that she needs some assistance to get her life in order. Lisa had previously established a good relationship with community mental health team, but she becomes distressed if she thinks she has ‘let you down’. She is currently smoking cannabis daily and drinking 2 bottles of wine per day. Her substance use has escalated over the past few weeks.

Lisa has a history of self-harm when she is in crisis. Initially she was admitted when she became psychotic after using methamphetamines. Her first inpatient admission to substance use and mental illness treatment team was for withdrawal from cannabis. She has also had previous admissions to mental health services related to anxiety and post-traumatic stress disorder (PTSD). Lisa has a history of not completing substance misuse treatment programs as she wants to leave when she feels the stress is under control. She attended an anxiety group several times and engaged well but did not

Lisa has a long history of sexual abuse. Her mother remarried when Lisa was 11 and Lisa’s mother shared Lisa with her stepfather. Her stepfather also sold her to other men. Lisa was raped at some time during early adolescence but her recall of the event is vague. Currently Lisa has no contact with her family.

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