agree that the importance of vitamin B6 in managing symptoms of anxiety and depression

Joy, a 19-year old white woman, was brought to your program by her mother and stepfather for treatment for her drug and alcohol use disorder. She is insightful, verbal, and personable, but flunked out of her first year of college. Joy admits to regular, heavy use of alcohol, marijuana and occasional cocaine use since middle school. She had a history of serious emotional problems and instability, including a suicide attempt in high school. Following her suicide attempt, Joy felt betrayed and judged by her mother and many close friends. She was especially hurt by her mother’s reaction to her suicide attempt, which she felt conveyed frustration and anger, rather than love and compassion. Joy gravitated to peers who used drugs, especially one male named Nick, who she says, “shows me the love and attention I’m not getting at home.” Joy is aware that Nick frequently uses heroin and sometimes speedballs. She has used cocaine with Nick and is thinking about doing a speedball with him as “it…

You are assigned to care for Mr. Cruise, 85, who has Alzheimer's disease. He often wanders from room to room and tries to open the outside doors. He frequently becomes agitated and restless, especially in the evening. Most of the time, Mr. Cruise is unable to feed himself and is often incontinent. He keeps on repeating, “Help me! Help Me!” all day long. Why would it be ineffective to o remind him of the date and time of your shift? Why is he more agitated in the evenings? What part of Mr. Cruise’s behavior would be most difficult to tolerate?

Which of the following is NOT among the criteria for a substance use disorder according to the DSM-5 definition?     failing to fulfill major responsibilities     taking the same amount of the substance for a long period of time     spending a great deal of time to get the substance     developing a tolerance to the substance