Case Study Details

Anna is a 28-year-old Caucasian woman who has struggled with alcohol use for most of her teenage and young adult life. She began drinking in high school, at age 15, and dropped out of college partway through her first year because she was missing so many classes due to alcohol use. She has attempted to go back to school twice since then but has been unsuccessful each time due to relapses.

Anna reports multiple attempts to stop drinking, but has only been able to maintain sobriety for 2-4 weeks at a time. Whenever she tries to stop drinking, she gets nauseous, shaky, and disoriented. Within the last 4 months, she has withdrawn from her friends, feels sad almost every day, and has frequent suicidal ideation. Her appetite has decreased, but her alcohol use has continued to increase, and she is currently consuming approximately half a “fifth” of vodka per day. She has frequent arguments with her parents, who are now threatening to cut her off financially because she spends most of her rent money on alcohol. She “can’t stop thinking about my next drink,” and reports feelings of guilt and worthlessness over being unable to stop drinking.


  • Alcohol Use
  • Depression
  • Guilt
  • Irritability
  • Loss of Interest
  • Substance Abuse
  • Suicidal thoughts