PSYC FPX 4300 Assessment 1 What’s Your Problem? (Diagnostic Assessment)

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Medical Concerns

Zoe has medical concerns. She takes two to three Adderall pills when she feels stressed. She has a complete addiction, which means not being in control and doing very bad things. A disorder in which a person becomes accustomed to using drugs or alcohol is called substance use disorder. Habitual nonmedical medication administration is typically linked to addiction. It is typically characterized by signs of intoxication or symptoms of withdrawal. Tours of the brain mechanisms they elicit can also provide a description of similar requirements; The majority of addictive drugs raise levels of the neurotransmitter dopamine outside of the cell. Dopamine receptors in the brain that are normally activated are destroyed when addicting medications are ingested regularly, decreasing interest in conditioning (Wise & Robble, 2020). The following effects are seen in Adderall addiction.

Due to the inhibition of neurotransmitter reabsorption, the induction of Adderall results in an increase in the concentration of norepinephrine and dopamine in the synaptic cleft.

Expanded admission of the medication makes upgrade the thoughtful framework, which actuates a broad battle and-flight reaction in the body, bringing about an expanded heartbeat, widened students, vasodilation, expanded perspiring, and enactment of the sensory system.

PSYC FPX 4300 Assessment 1 What’s Your Problem? (Diagnostic Assessment)

Alcohol and the drug cause a dehydration response and raise blood pressure, both of which can eventually result in myocardial infarction.

Addiction to Adderall can cause kidney damage that lasts a lifetime. The kidneys’ blood vessels become harder as a result of the increased blood flow, which eventually results in kidney function being lost.

The enlistment of a survival reaction prompts a condition of consistent fomentation, which can bring about nervousness and the improvement of other mental issues (Tardner, 2022).

This case can be classified as Z55.9, an academic or educational problem disorder, or Z58, a problem with the individual’s external environment, according to the ICD-10 code (2023 ICD-10-CM Codes Z55-Z65: People with Potential Health Risks Caused by Socioeconomic and Psychosocial Circumstances, n.d.)

The DSM-5-TR states that substances used to treat substance use disorder fall into the class of stimulants. These substances are considered to be indicative of substance use disorder and meet the first criteria, which states that an individual is subjected to large amounts of the substance regardless of the results. Substance-induced depressive disorders are the result of moderate Adderall addiction (Hartney, 2022).

Zoe has not had any treatment in the past and does not have any medical records. She only went to the doctor after she was forced to get help for her Adderall addiction. The dependence was started because of her restless perspective. She took more medication as a result of being forced into treatment, which made the condition worse. However, in order to lead a normal and healthy life, she intends to address the root of the problem and break the addiction pattern.

Ecological Variables

PSYC FPX 4300 Assessment 1 What’s Your Problem? (Diagnostic Assessment)

Zoe is living with her folks and is given her room. In any case, she is confronting a difficult stretch with her companion circle, who are likewise dependent on Adderall. Additionally, her father’s alcoholism has contributed to her lifelong state of constant attention and anxiety. The ramifications of Adderall have additionally upheld the reason. She exerts constant pressure on herself for academic validation in order to possibly be able to receive funding for her future studies, despite the fact that the living conditions are bearable. However, she is concerned about the funding for her college.

Emotionally supportive network

Zoe’s companions are additionally dependent on Adderall, and they share it. They will not be supporting Zoe. The occurrence of her companions being associated with her Adderall compulsion makes her more defenseless to the dependence. In addition, she does not have a sibling with whom she can communicate or rely for assistance with the condition. Her mental illness is exacerbated by the fact that her parents are involved in their own problematic issues, rendering her without a support system.

The information provided indicates that Zoe’s mother uses Xanax and that her father is an alcoholic. Family History of Use Aside from that, their family does not have any other addictions. However, due to the fact that both drugs fall under different categories, these could not be considered driving factors. However, the suggestion that her father was an alcoholic demonstrates her propensity to use Adderall as an addiction. Children can rely on even more dangerous substances as a result of their parent’s involvement in addictive behaviors. A comparable example is portrayed in the expressed case, where the kid notices the contribution of guardians in the unnecessary utilization of substances to beat their uneasiness and issues. When Zoe takes a lot of Adderall to get rid of her anxiety, she uses the same strategies. There is no correlation between the effects of Adderall addiction in any of the generations in the family history; However, in the current scenario, an individual succumbs to the addiction due to physical and external factors (Alhammad et al., 2022).

PSYC FPX 4300 Assessment 1 What’s Your Problem? (Diagnostic Assessment)

The information provided indicates that Zoe’s mother has been diagnosed with anxiety. She takes Xanax to get rid of her episodes of anxiety. Aside from that, her family does not appear to have any history of substance abuse or mental health issues. Similarly to her mother, Zoe’s coping mechanism is evident in this instance as well. In addition, she employs the same strategy to cope with academic stress.

Present and Future Educational Status

Zoe’s academic performance is excellent. She will soon enroll in college. She has a fantasy about getting into Harvard for a superior future. However, the peer pressure that is placed on the student results in her anxiety showing through the conditions, which affects her grades. In addition, she is eager to secure funding for her college. Her early anxiety is caused by these and other factors. A ton of kids under scholastic pressure succumb to the improvement of compulsion designs.

Zoe does not owe anyone money and does not have any responsibilities. She only works by herself at a café on a part-time basis. No such circumstances have been suggested by her folks. Her folks assist her with each monetary matter. Because her parents pay for everything, she does not have to pay the rent or the bills. As a result, Zoe does not face any financial constraints.

PSYC FPX 4300 Assessment 1 What’s Your Problem? (Diagnostic Assessment)

Motivation for Treatment Zoe believes she is fine but isn’t because she is. She is experiencing mental issues. Zoe is depressed about the future she faces. She used to get good grades, but now she’s not happy. She is addicted to it, so everything is the result of an internal complaint. There are two primary criticisms of the DSM-5: an increase in medical diagnoses and a mood that is not considered extreme. Her mind isn’t in a state where she normally reacts to things. Additionally, Zoe is participating in volunteer work. She wants to show the world who she is. She’s likewise the main lady in the family who procured a degree. She probably goes to the doctor now that her parents are gone. She is content with her Adderall use and believes it is acceptable.

Clinical Assessment

Adderall is used to control impulses or treat hyperactivity symptoms. It has been linked to hallucinations, dizziness, weight loss, nausea, and stomach pain as side effects. Amphetamines’ effectiveness and blood pressure may drop as a result of increased use. It may result in an ADHD diagnosis (M Iqbal et al., 2020). Adderall is Zoe’s only medication. When she needs to feel better, she uses more of the substance. She has an increased desire to use drugs as a result of the addiction. From the perspective on ICD-10 inner sicknesses and as given in the content, it tends to be state of mind change, trademark inside illnesses, fanciful protests, and conduct grievances because of the utilization of psychoactive substances. Additionally, according to DSM-5, they may suffer from a variety of personality disorders.

Level of Character Working (LPF) addresses the section basis of the Elective Model for Behavioral conditions (AMPD) in DSM-5. It is defined as a dimension-general inflexibility criterion that applies to all personality disorders and is conceptually independent of personality types. It represents manner as identity and manner direction, as well as interpersonal as the functioning of empathy and closeness. 2021) Sharp & Wall Adderall is additionally used to counter gloom. It is used to treat ADHD-related problems. Doctors can observe depression symptoms because Adderall can cause the worst reactions in some people (Tardner, 2022).

Likewise, the medication related to enslavement is guessed to follow a heuristic structure that includes three spaces of brokenness (pathologic propensities, pessimistic profound states, and leader capability. Neurochemical dysregulations in the withdrawal phase of addiction are the focus of this study (Koob, 2020).

Treatment Suggestion

PSYC FPX 4300 Assessment 1 What’s Your Problem? (Diagnostic Assessment)

Above all else, inspiring Zoe is significant. She already excels in school and has a clear vision for the future. She is simply discouraged about her impending future. There are numerous treatment options available to drug users. One of them is detoxification. It’s the process of getting away from a substance abuser. It eliminates toxins from the patient’s body, which is highly dependent on drugs and alcohol (Erkekoglu & Ogawa, 2021).

Another way to effectively treat patients through psychological behavior and communication is through counseling. Behavior Change Counseling (BCC) is best for consolidating health-related issues through physical and mental health-related activities (Dragomir et al., 2019)

Moral Thought

Zoe is adequately youthful to deal with things, yet the specialist mustn’t share any data in regard to her. She has her loved ones, and without her assent, it is untrustworthy to share data about her substance use. Respect for the individual is essential, and individuals have the right to make decisions. In scientific research, ethics are regarded as crucial. The idea of nursing is for the most part, centered around the mindful, safeguarding, and support job (Braun et al., 2020).


Zoe, a 17-year-old girl with a substance abuse problem, is the conclusion. She is under pressure and depressed. Despite her overall success, she is depressed about attending high school. She utilizes Adderall every day and 2 to 3 pills when she needs to really buckle down under tension. To overcome her issue, she requires detoxification and support. She also requires encouragement to perform more.


2023 ICD-10-CM Codes Z55-Z65: Persons with potential health hazards related to socioeconomic and psychosocial circumstances. (n.d.). Retrieved January 26, 2023, from

Alhammad, M., Aljedani, R., Alsaleh, M., Atyia, N., Alsmakh, M., Alfaraj, A., Alkhunaizi, A., Alwabari, J., & Alzaidi, M. (2022). Family, individual, and other risk factors contributing to the risk of substance abuse in young adults: A narrative review. Cureus14(12).

Anonymous. (2020, October 27). Adderall. RxList; RxList.

Braun, R., Ravn, T., & Frankus, E. (2020). What constitutes expertise in research ethics and integrity? Research Ethics, 174701611989840.

Dragomir, A. I., Julien, C. A., Bacon, S. L., Boucher, V. G., & Lavoie, K. L. (2019). Training physicians in behavioural change counseling: A systematic review. Patient Education and Counseling102(1), 12–24.

Erkekoglu, P., & Ogawa, T. (2021). Medical Toxicology. In Google Books. BoD – Books on Demand.

Hartney, E. (2022, August 25). DSM 5 Criteria for Substance Use Disorders. Verywell Mind; Verywellmind.

M Iqbal, M., Joarder, A., & Iqbal, M. T. (2020). Adderall Abuse Among College Students. Journal of Anxiety & Depression3(1).

Tardner, P. (2022, April 5). Adderall and Depression. Https://

Teter, C. J., McCabe, S. E., LaGrange, K., Cranford, J. A., & Boyd, C. J. (2006). Illicit use of specific prescription stimulants among college students: Prevalence, motives, and routes of administration. Pharmacotherapy26(10), 1501–1510.