 59 CHEMICAL DEPENDENCE CLIENT PRESENTATION 1. Consistent Abuse of Alcohol (1) * A. The client described a history of alcohol abuse on a frequent basis, often until intoxicated or passed out. B. Family members confirmed a pattern of chronic alcohol abuse by the client. C. The client acknowledged that his/her alcohol use began in adolescence and has continued into adulthood. D. The client has committed himself/herself to a plan of abstinence from alcohol and participation in a recovery program. E. The clien t has maintained total abstinence, which is confirmed by his/her family. 2. Consistent Drug Abuse (1) A. The client described a history of mood-altering illicit drug abuse on a frequent basis. B. Family members confirmed a pattern of chronic drug abuse by the client. C. The client acknowledged that his/her drug abuse began in adolescence and has continued into adulthood. D. The client has committed himself/herself to a plan of abstinence from mood-altering drugs and participation in a recovery program. E. The client has maintained total abstinence, which is confirmed by his/her family. 3. Exacerbation of Primary Symptoms (2) A. The client displayed an increase in his/her primary psychosis symptoms (e. g., hallucinations, delusions, mania) as a result of abuse of mood-altering illicit substances. B. The client has displayed a compromised reality orientation due to the abuse of mood-altering illicit substances. C. Due to the client's withdrawal from mood-altering illicit substances, he/she has displaye d an increase in primary psychosis symptoms. D. As the client has terminated his/her use of mood-altering illicit substances, his/her experience of primary psychosis symptoms has decreased significantly. 4. Exacerbation of Secondary Symptoms (2) A. The client has displayed an exacerbation of secondary psychosis symptoms (e. g., anxiety, unstable affect, disorganization) as a result of abuse of mood-altering illicit substances. * The numbers in parentheses correlate to the n umber of the Behavioral Definition statement in the companion chapter with the same title in The Severe and Persistent Mental Illness Treatment Planner, 2nd ed. (Berghuis and Jongsma) by John Wiley & Sons, 2008. 