Monica has struggled during her first two weeks in treatment in Florida with physical discomfort due to post-acute withdrawal, emotional distress, and medication management for her anxiety disorder. She admits that throughout her life she has struggled with what she now knows as anxiety. She describes feeling uncomfortable in large groups of people, and short of breath frequently throughout her life. It is common that many addicts self-medicate with drugs and alcohol due to an undiagnosed disorder, such as depression, ADHD, or anxiety. Monica is relieved that she is being treated with non-narcotic medication to control these feelings. Monica has opened up a great deal this week during individual sessions, and has been forthcoming with her feelings about the sudden death of a close friend. She explains that she was present with her friend when they were in a tragic car accident that left her barely bruised, but that her friend was unable to survive. It has been several years since the accident, but Monica shares with her counselor how she felt as if it just happened. It is very important for Monica to work on coping mechanisms and begin to deal in a healthy way with the loss of her friend. It was not until this week that Monica began feeling more comfortable with the idea of her parents being involved in her treatment process. She and her therapist had a very positive conference call this afternoon, which helped Monica realize that she has a very supportive family that is willing to do whatever is in their power to help her in her recovery process. Monica and her family have expressed interest in extending treatment beyond thirty days, which we will assess as she moves further along in treatment.  Monica and her therapist will be working closely together this week on her treatment goals which include; grief and loss, confidence, relapse prevention, and coping mechanisms for the future.

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