Smith’s secondary diagnosis is Alcohol Use Disorder. This diagnosis is made based on the evaluation made on Smith. For an individual to be diagnosed with this disorder, there have to a number of problematic patterns of alcohol use over a period of twelve months. Alcohol has to be often taken in large amounts than was intended, unsuccessful efforts to cut down on alcohol use, recurrent alcohol use, and recurrent social and interpersonal problems. Specifying the severity of alcohol abuse helps to identify the DSM Code. In this case, Smith can be categorized as a severe case. The DSM Code is hence 303.90 (F10.20) (American Psychiatric Association, 2013).
Now at 41, Smith has been using alcohol for most of her life, and at different occasions. It started when her mother took out her frustrations on her. Like her father, Smith started using alcohol to numb her feelings. In occasions such as breakups, she would resort to using alcohol and isolate herself. She has also tried to stop using alcohol in different instances and failed. Smith explained to Jackson that she had entered different programs trying to remain sober, but this has proved difficult. In fact, she has been arrested three times for driving under the influence while still trying to remain sober. She exhibits more than six symptoms that constitute a severe case of Alcohol Use Disorder.
The decision to make Alcohol Use Abuse the secondary diagnosis is based on the fact that it has been a constant issue for the majority of Smith’s life. She has been using alcohol since she was in high. She has also unsuccessfully tried to cut down and give up the use of alcohol at different stages in her life. Developing an intervention to treat this disorder would significantly assist the patient to overcome her current state.
Possible Alternate Secondary Diagnosis
Another possible secondary diagnosis for Smith would be Other Hallucinogen Use Disorder. The use of hallucinogens impairs and distress the patients in various ways. By the age of eighteen, Smith had begun to rely on crystal meth to regulate her mood. This is a strong and addictive hallucinogen. She did not follow up on a friend’s recommendation to seek outpatient counseling services. Recurrent hallucinogen use is one of the symptoms of Other Hallucinogen Use Disorder. Smith continually used crystal meth for many years before seeking psychological help. The DSM Code for this disorder is 304.50 (F16.20) (American Psychiatric Association, 2013).
Although Smith uses hallucinogens to moderate her mood, this is not the most used substance. The selected secondary diagnosis was Alcohol Use Disorder because it was the maid substance used by the patient. During the evaluation by Jackson, Smith demonstrated the recurrent use of alcohol from a tender age all through to adulthood. However, the use of crystal meth is only mentioned once, and details are not as detailed as when compared to the use of alcohol. Smith offers information about how alcohol was a go-to substance during many of her problems such as family and relationship issues.

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