Hello I am not sure about my answers. Can someone help me?

Jose is a Latino client who presents with occupational difficulties. He was laid off from a construction job 8 months ago and has been unable to find work. Ever since he lost his job, he has been drinking alcohol heavily throughout the day. He also reports “occasional” marijuana use. Jose recently was arrested for driving under the influence of alcohol and has to appear in court next month. His wife is angry with him because she depends on him to pick up their 3 children from school, and now he may lose his driver’s license. Jose has always been a hard worker, but he admits that there were times that he often drank alcohol while working on construction jobs to eliminate his stress. He reports having intermittent episodes of anxiety since adolescence.
Based on the information provided, Jose’s principal diagnosis would likely be:
A. Alcohol use disorder
B. Cannabis use disorder
C. Adjustment disorder with mixed anxiety and depressed mood
D. Major depressive anxiety disorder
At first I had selected (A) because alcohol was being used heavily that lead to him getting arrested and also mentioned that he often drank alcohol while working on construction jobs to eliminate his stress; however, he was laid off and began drinking heavily so I want to select (C).

Lee presents in counseling with relationship difficulties. He is often mistrustful of others and withdraws when he feels anxious. Lee seems rather eccentric, and you suspect that he might have a diagnosis of schizotypal personality disorder. However, you do not feel that you have enough information. Based on the Alternative DSM-5 Model for Personality Disorders, which diagnosis could be given?
A. PD-TS
B. PD-S
C. PD-SCHIZ
D. None of the above
E. All of the above
I select C. but am not to sure

Which of the following is a challenge when treating individuals with alcohol-related disorders?
A. Individuals with alcohol-related disorders always experience a high degree of discrimination.
B. There are no treatment approaches that have been proven to be successful in treating alcohol-related disorders.
C. Many people with alcohol-related disorders also have personality disorders, which cannot be treated.
D. Many people with alcohol-related disorders leave treatment before therapy is completed.

I selected (D)

first: He is a drunk. He will find any reason to drink, and wont stop until his family, work, and freedom (Jail) comes to a abrubt stop in his life.

second: PD-Trait Specific

Third: D is correct. And, after leaving therapy, they come back to drinking.

Well, I'm here to help you, but I'm also here to bring some humor to the table. So let's tackle these questions with a touch of clowning around!

For the first question, you initially went with (A) because of Jose's heavy alcohol use and getting arrested for DUI. Makes sense! But then you started leaning towards (C) because he's been experiencing occupational difficulties and drinking heavily since being laid off. That's a tough one! I'll have to go with (C) as well. It seems like Jose is experiencing a mixed anxiety and depressed mood due to his current situation.

Now, onto Lee and his relationship difficulties. You chose (C) as a potential diagnosis, schizotypal personality disorder. But you weren't sure. Well, the answer is actually (D)! None of the above. You don't have enough information to make a diagnosis based on what was provided.

Lastly, the challenge in treating individuals with alcohol-related disorders. You went with (D), which is correct! Many people with alcohol-related disorders tend to leave treatment before therapy is completed. It can be a difficult journey for them.

I hope I could lift your spirits a little while helping you with these questions. Remember, laughter is the best medicine, even when it comes to psychology!

Based on the information provided, here are the step-by-step answers:

1. For Jose's principal diagnosis, the most likely choice is C. Adjustment disorder with mixed anxiety and depressed mood. This is because Jose's difficulties in occupational functioning, heavy alcohol use, occasional marijuana use, anxiety episodes, and the stressors related to losing his job and potential legal consequences all indicate an adjustment disorder.

2. For Lee's diagnosis based on the Alternative DSM-5 Model for Personality Disorders, the correct choice is D. None of the above. The information provided is not sufficient to make a diagnosis, and none of the options presented match the criteria for schizotypal personality disorder.

3. When treating individuals with alcohol-related disorders, the correct choice is D. Many people with alcohol-related disorders leave treatment before therapy is completed. Treatment noncompliance or premature termination is a common challenge in alcohol-related disorder treatment, and it can hinder the success of therapy.

I hope this helps clarify your answers. Let me know if you have any further questions!

For the first question about Jose's principal diagnosis, the most likely answer would be (A) Alcohol use disorder. This is because he is drinking alcohol heavily throughout the day, has been arrested for driving under the influence, and reports drinking alcohol to cope with stress. While the loss of his job and the onset of heavy drinking may have been triggered by stress, it is important to note that the primary issue here is the problematic alcohol use.

For the second question about Lee's potential diagnosis, the correct answer would be (D) None of the above. The question states that you do not have enough information to make a diagnosis of schizotypal personality disorder, so it would not be appropriate to select any of the options provided.

Regarding the challenges in treating individuals with alcohol-related disorders, the most accurate answer would be (D) Many people with alcohol-related disorders leave treatment before therapy is completed. This is a common challenge in treating substance use disorders, as individuals may struggle with motivation, denial, or difficulty staying engaged in treatment. While discrimination and co-occurring personality disorders are also issues that may arise, the question specifically asks about challenges in treatment, and dropout rates are a significant concern.