1. Elise is using alcohol to self-medicate. She suffers from debilitating depression, but since adolescence she has turned to alcohol and street drugs to alleviate the symptoms of this depression rather than take her medication. Her reasons for doing so are that the medication is too expensive, coming in every time she needs a prescription is "a pain," and she can go to the liquor store and buy cheap liquor without the inconvenience. Lately she seems to be thinking that maybe using alcohol is not the best idea, but she is defensive about why she has used alcohol in the past. (a) What are some interviewing techniques you can use at this point to help Elise? (b) Does the case manager have an obligation to explain the negative effects of alcohol on depression or is there a way to get Elise to describe these? How would you get Elise to do that?
2. Christy has a diagnosis of schizophrenia. She believes, when she is ill, that she is related to the president of the United States and she has made her way to Washington on several occasions. Both times Capitol police have arrested her and then had her hospitalized in Washington. Christy has returned home now and is talking to her case manager. She realizes when she is on her medication consistently that she is not related to the president, but she tells her case manager that she gets an overwhelming desire to see the president to warn him about "all the bad people out there." She goes on to give an elaborate description of how she is related to the president through her "earth mother." (a) Should the case manager explain to Christy how she is not related to the president? (b) Are there other interviewing techniques that the case manager could use? (c) Is the case manager responsible for making sure that Christy does not return to Washington? If yes, to what extent?