CaseStudy: Bradisa22yearoldmalewhohasbeenreferredtoyoubyamutualfriendofhismotherwhohasaskedif youcouldhaveachatwithhimasheseemstobegettingintomoreandmoretroublewhichshebelievesisduetohisexcessivedrinking.Hehasalsorecentlylosthisdriver'slicenceforhighrangedrinkdriving. YouagreeandarecontactedbyBrad'smotherSandra:sheisclearlyveryanxiousanddistressedaboutBradand shegivesyouablowbyblowlistofhisnegativebehavioursoverthepast2years. SandrareportsthatBradwasdiagnosedwithADDatage9aswashissisterSamanthawhoisayearolder.HehasbeenfailingatUniversityoverthepast12monthsandhasbecomeverballyaggressiveathomeinparticulartowardsherself;heiscominghomeatallhoursandwilloftensleepalldayunlessshenagshimtogetup.ShebelievesBradisbecominganalcoholicjustlikeherfatherwasandthatheneedssomeonetomakehimseethatheisruininghislife.ShestatesthatBradwassuchalovelyyoungmanbeforehisdrinkingescalatedwiththeworldathisfeet.Shealsobelievesheneedstotalkaboutanaccidenthecaused4yearsagowhilstdrivingdrunkonafriend'sfarmwhichhasleftoneofhismateswithapermanentbraininjury.Shegoesontosaywehavegivenhimthebestprivateschooleducationandsupportedhiminwhateverhehaswantedtodoscholastically. HewastopoftheschoolinrowingandhasbeenstudyinglawatUniversityafteragapyearinEngland. ShesaysBradiswillingtotalktoyouandsetsupanappointment.Bradattendshisfirstsession;hismotherhasdroppedhimoffandiswaitingoutsideinhercaruntilhe'sfinished. Bradappearswellkemptandhealthy:heisoversixfoottallandagoodlookingyoungman.Heinitiallyseemsreluctanttoengagewithyouandhasdifficultymakingeyecontact;whenyouenquireastowhyhethinksheis herehesays,I'mnotquitesure-whatdidmumsay Youstatethathismotherisconcernedthathehasaproblemwithalcoholbutwouldliketohearwhathehastosayaboutthat.Bradgoesontodefendhisdrinkingbysayingthatit'snotthatbadandthathisfriendsdrinkthesamewayhedoesandthathismumisjustfreakedoutbecauseherdadwasanalcoholicwhichI'mnot! YoudiscoverthatBradexperiencesmemorylossfrequentlywhendrinkingbuthethinksthat'snormalashis mateshavehadsimilarexperiences.Hismateshavealsotoldhimthathecanbecomeaggressiveandwilloften startfightswhenoutwiththem.Hehasatendencynottobelievethisandthinkstheyareexaggerating. Heminimizesthedrinkdrivingchargeasjustbadluckandnotbeingallthatserioushoweverhedoesappeartobeconcernedwhenyoudescribetheconsequencesofsuchachargeandheisopentoseeingyouagainifyou canhelpwiththat. Howwouldyouproceedwiththissessionandbeyond?

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