Case Study

Axis I 303.00 Alcohol Intoxication
292.89 Cannabis Intoxication
Axis II None
Axis III None
Axis IV
Axis V

Axis I
Bonita is an 18-year old college student who was brought to the emergency room because of a drug reaction. Bonita’s case raises two diagnostic questions that of a Cannabis Intoxication and that of a Alcohol Intoxication disorder.   First, she found it difficult to breathe her lungs seemed to hurt. She began to feel tightness in her head. She is experience impaired motor coordination; she was unable to move her legs. However, the criteria for a Cannabis Intoxication stipulate that there be maladaptive behavioral or psychosocial changes (e.g., impaired motor coordination, euphoria, anxiety, sensation of slowed time, impaired judgment, social withdrawal that develop during, or shortly after, cannabis use” (American Psychiatric Association, Diagnostic and statistical m annual of mental disorder, 4th edition, text revision, 2000, p. 237). In this case she exhibit symptoms shortly after her cannabis use.
Second, Bonita had consumed some beer. Shortly after she develops some symptoms and an hour later, she began to panic. She also acknowledges that she had consumed some bear a few days ago but did not develop any symptoms. She was in some distress and and experience a panic attack hour after, she felt as if she would die or go mad. DSM-IV-TR delineates that Alcohol Intoxication “is the presence of clinically significant maladaptive behavioral or psychological changes associated with intoxication” American Psychiatric Association, Diagnostic and statistical m annual of mental disorder, 4th edition, text revision, 2000, p. 237). She recently used alcohol and shortly after the alcohol ingestion developed symptoms.  
Differential Diagnosis
Bonita’s differential diagnose of Substance Intoxication may be made if the “symptoms are not due to a general medical condition and not better accounted for by another mental disorder “(American Psychiatric...