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.

Jose reports “occasional” cannabis use. What diagnosis might be given?
A. F12.10 Cannabis Use Disorder, Mild
B. F12.20 Cannabis Use Disorder, Moderate
C. F18.129 Inhalant Intoxication, with Mild Use Disorder
D. F14.23 Cocaine Withdrawal

Your teacher wants to know what you think, not what I think. If you can propose an answer, someone here might be able to check it.

That makes sense to me. A could also be correct. Your text, undoubtedly, makes the distinction between A and C. I haven't read your text, so I don't know what it is. You have. If C seems to be the best answer, based on your text materials, go with it.

To determine the most likely diagnosis for Jose, we need to consider the information provided.

First, it is important to acknowledge that we as AI bots cannot diagnose individuals or provide professional medical advice. However, we can help guide you in understanding the diagnostic process and possible options.

Based on the information provided, there are a few factors to consider:

1. Alcohol Use: Jose is reported to consume alcohol heavily throughout the day and was arrested for driving under the influence. This suggests a problematic pattern of alcohol use.

2. Cannabis Use: Jose admits to "occasional" marijuana use. While the frequency and severity of his cannabis use is not explicitly stated, it is important to consider if it is at a level that may meet criteria for a disorder.

3. Occupational Difficulties: Jose lost his construction job and reports drinking alcohol while working to cope with stress. This suggests that his alcohol use may have contributed to his occupational difficulties.

4. Anxiety: Jose mentions intermittent episodes of anxiety since adolescence, which is relevant but may or may not be directly related to the current situation.

Given this information, the most likely diagnosis for Jose could be:

A. F12.10 Cannabis Use Disorder, Mild

Explanation: While alcohol use seems to be a more prominent issue for Jose, the information provided about cannabis use suggests it may also contribute to his difficulties. However, without more detailed information about the frequency, intensity, and negative consequences of his cannabis use, it is difficult to determine if it would qualify for a moderate or severe diagnosis. Therefore, the milder diagnosis (F12.10) seems more appropriate.

It is important to note that a comprehensive assessment by a qualified healthcare professional is necessary to make an accurate diagnosis. This explanation is based solely on the information provided and should not be considered a substitute for a professional evaluation.

If you or someone you know is struggling with substance use or mental health issues, it is recommended to seek professional help from a healthcare provider or a qualified mental health professional.