Counselor Name: dhbiggs Clients Name: Jack Smith A. SUBSTANCE ABUSE HISTORY A diagnostic summary was completed on 10/6/96; Jack Smith is a 41-year-old white male currently living in a small community in southern Ohio. Jack came into the agency involuntarily; his involvement with the agency is a requisite of probation for assault and domestic violence. He was arrested for assaulting his wife during an alcoholic blackout; he was placed on probation for one year on the …showed first 75 words of 365 total…

…showed last 75 words of 365 total…on weekend, consuming the standard 12-pack of beer in addition to half of a fifth of whiskey mixed with soft drinks. 5) Physiological Symptomology - Jack was diagnosed with bleeding ulcers shortly after he began drinking at age 15; when he entered his second treatment program in 1985, he was diagnosed with alcoholic hepatitis; currently, his flushed/tannish-looking skin and bloated appearance (edema) are indicative of further liver dysfunctions which can be attributed to his continued alcohol consumption.