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1. 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
Solution
A. Alcohol use disorder
Heavy drinking leads to "alcohol use disorder." It is characterized by increased tendency to
drink alcohol, inability to quit alcohol, neglecting the family responsibilities due to heavy
drinking, anxiety, depression and alcohol withdrawal symptoms such as difficulty in sleeping,
seizures, high blood pressure, etc.

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  • 1. 1. 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 Solution A. Alcohol use disorder Heavy drinking leads to "alcohol use disorder." It is characterized by increased tendency to drink alcohol, inability to quit alcohol, neglecting the family responsibilities due to heavy drinking, anxiety, depression and alcohol withdrawal symptoms such as difficulty in sleeping, seizures, high blood pressure, etc.