Here is a case study with questions I did answer all questions, and Just need someone to read them and tell me if there is any comments or feedback, just need to make sure I am on the right track and everything clear

Jeff is a 55 year old man who admits to being addicted to alcohol and barbiturates. He also admits bulimic since his early 20s. He has never been married and has always lived whith his mother. He describes his relationship with his mother as a love/hate one: His mother dominates him (which Jeff resents), but Jeff says he does not believe he could live without his mother. Jeff says his mother ignores every assertion or boundary he has made in the relationship. He believes his addiction and his eating disorder are fused: He drinks to avoid the shame of his eating disorder.

Jeff has just entered the halfway house and is open to working on his issues. He says he does not see himself as being able to stay sober, because he knows he needs alcohol and barbiturates to be able to live with his mother. Due to financial constraints, Jeff will return to live with his mother when he leaves the halfway house in 6 weeks.

As his primary halfway house counsellor, answer the following questions:

What are the High-Risk Situations for Jeff?

The high-risk situations for Jeff include any situation in which he experiences feelings of shame, guilt, or anger in relation to his relationship with his mother or eating disorder, as it contributes to drinking alcohol and barbiturates.

Since he was in his early 20s, Jeff has been struggling with alcohol and barbiturates, in addition to the eating disorder. Jeff is now 55 years old, and he has never got married, He has spent his entire life living with his mother. His relationship with his mother is weird as he cannot live without her, but at the same time he resents his mother for the way she controls him and disrespects his boundaries. Consequently, he believes to be able to live with his mother after leaving the half-way house he needs to drink and take barbiturates, to cope with his negative feelings. In the end, I can see that lack of support system and his coping skills help in maintaining his behaviours.

What Coping Responses Might He Lack in Those High-Risk Situations?

Jeff may lack the coping responses necessary to manage these high-risk situations, such as assertiveness and boundary-setting skills, emotional regulation skills, and problem-solving skills. According to Ganji (2022), among factors affecting the drug use tendency are the unfamiliarity of individuals with assertiveness skills, decision-making skills, coping with anxiety, lack of emotion regulator, lack of attention of family members to sensitivities during puberty, lifestyle changes, ease of preparation and access to drugs, and depression and anxiety in a person.

Assertiveness is a key coping skill for Jeff in these high-risk situations, as it allows him to express his needs and boundaries in a respectful manner. This could be beneficial when it comes to his mother, as it could allow him to set boundaries and communicate his needs effectively and with confidence. Ganji (2022) stated that assertiveness training is a method that helps to strengthen the "saying no" skill and is an efficient interventional method in which individuals are taught the proper social behaviours to express themselves, express feelings, wishes, points of view, and interests so that they can express their ideas, beliefs, feelings, and emotions easily and without fear and worry, which would be very useful for Jeff's case. Problem-solving skills are also important for Jeff to develop to cope with high-risk situations. Identifying the problem and evaluating the options, such as his financial problem, can help him make decisions that are more likely to be valuable and may prevent his relapse. Additionally, emotional regulation is a critical coping skill for Jeff to develop to manage his high-risk situations. Learning how to identify and regulate his emotions can help him cope with his cravings for alcohol and eating disorders in a healthier way. It will also help him regulate his feelings of shame and guilt due to his eating disorder, which maintaining his drinking behaviour. Moreover, boundary-setting skills are an important skill Jeff needs to build, to set healthy boundaries with his mother to break her controlling attitude and develop a healthy relationship with his mother. In the end, developing these coping skills can help Jeff to manage his high-risk situations in a way that is less likely to lead to relapse.

How do You Perceive His Self-Efficacy Level in Terms of His Recovery, and How Might that be a Dangerous Match with His Positive Outcome Expectancies of the Alcohol and Drugs?

Kandasamy and Menon (2018) defined self-efficacy "as the degree to which an individual feels confident and capable of performing certain behaviour in a specific situational context" (p.4). Jeff's self-efficacy level in terms of his recovery is likely to be low, as he believes that he is not capable of staying sober and that he needs alcohol and barbiturates to be able to live with his mother. His low self-efficacy also could lead him to have positive outcome expectancies of alcohol and drugs, as Jeff believes that using them is the only way he can cope with his mother's domination. This could lead to an increased risk of relapse as he may be more likely to use it to cope with his negative emotions. According to Kandasamy and Menon (2018), In high-risk situations, an individual expects alcohol to help him or her cope with negative emotions or conflict. They added that positive expectancies are related to relapse, with positive expectancies being a risk factor for relapse. Additionally, his low self-efficacy could lead him to believe that he cannot make positive changes in his life. This could further contribute to his feelings of hopelessness and demotivated, which could hinder his recovery. Miller (2015) emphasized the importance of motivation for individuals to commit to recovery.

Based on his Story, what are Some Possible Abstinence Violation Effects JeffMay Experience After Using?

"The abstinence violation effect (AVE) refers to the negative cognitive (i.e., internal, stable, uncontrollable attributions; cognitive dissonance) and affective responses (i.e., guilt, shame) experienced by an individual after a return to substance use following a period of self-imposed abstinence from substances" (Curry, Marlatt, & Gordon, 1987, as cited in Abrams et al., 2013, p.1). Possible abstinence violation effects Jeff may experience after using could include cognitive dissonance, feeling shame and guilt, loss of control, hopelessness and decreased motivation to stay sober. Jeff may experience cognitive dissonance, a conflict between his thoughts and behaviour. He believes it is better for him to stay sober after leaving the halfway house, but his belief does not align with his drinking behaviour. This behaviour will lead which results in uncomfortable and uneasy feelings. Loss of control is another abstinence violation effect Jeff may experience after using. This could lead to feelings of hopelessness and could make it difficult for him to stay sober. Additionally, feeling shame and guilt is a common abstinence violation effect Jeff may experience after using. This could lead to negative emotions such as guilt and self-hate, which could make it challenging to prevent relapse (Abrams et al., 2013). These effects may be accompanied by a decrease in motivation to stay sober, which could make it difficult for him to stay on track with his recovery. In the end, these abstinence violation effects could lead to a relapse if Jeff is not able to gain the necessary skills to cope.