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Biopsychosocial-Spiritual Assessment and Treatment Plan


There are many supportive cohorts of human life that interact in acohesive manner to enable one to be termed as normal. The biologicalgroup is the one responsible for life, and it is the source of lifeon the molecular components of the body, the cells (Hunter &ampGoodie, 2010). The biological aspect cannot stand on its own. Itrequires the presence of the psychological and social cohorts thatenables an individual to be alive (Marciaet al., 2012). Any interference with the biologicalsystems is manifested physically, psychologically or socially thusdepicting the necessity of the cohesion of these aspects (Meneses,2016).

Identifying Assessment/Information

This discussion focuses on Mr. Munchen who is a prominent drugaddict. He has a wife to whom he had been married for the past sixyears, a union that brought forth a bouncing baby girl. Theirdaughter died out of food choking. A few months later he lost alottery be where he had staked the whole of his salary. He has becomea bother to the society where he hailed from and was brought to thehealth center by his wife, Lois with the help of other Elders in thecommunity. His pattern of drinking turned his family into a laughingstock, and that’s why the wife took the initiative of bringing himover to the health center to help fight his addiction.

His wife was frustrated by the way the life of her husband had takena swift turn and led him to the state of demeaned personality. Sheapproached the council of elders in the community after contactingthe hospital and inquiring about how he could be helped to fight theaddiction towards the use of drugs. After listening to an advertabout how people living with an addiction to drugs can be helped overthe radio, His wife made a phone call on the toll-free landline asshe presented the case of her husband who had become irresponsibleand a slave to drugs.

Problem assessment

The life of Mr. Munchen took a turn when he once used the whole ofhis salary on a lottery that took away the money. Left with nothingto tell his family, he started drinking and smoking on a massivescale that led to an addiction to the drugs. The wife requested thather husband is checked for any effect of the drugs on his system andmajor glands that suffer when one is addicted to drugs. The problemsMr. Munchen is currently encountering are entirely behavioral, andthey have established an effect on his biological system. Drinkingand smoking have had an effect on his lungs and results from the labshowed that there is a development of ulcers because he did not eatmost of the time. He not only decided to become alcoholic because oflosing a lottery bet but also got the strong hatred towards lie whenhis daughter died at a tender age. His wife left him to drink becauseshe knew he would stop and that it was a temporary thing as menalways relieved their problems and issues either at a barbershop orin a bar. An analysis of his family tree revealed that hisgrandfather was a man who alcohol was part of his order of the daysuggesting that he could have received the genes which might havebeen recessive in his father but became dominant in him and neededonly a trigger to get activated. His pattern of drinking, even thoughit was instigated by the problems he had encountered in life, wassimilar to that of his grandfather and great-grandfather who wereprominent addicts of alcohol.

Presenting difficulties and factors of Causation

Mr. Munchen’s drinking and smoking habit were accelerated when hemet friends at an ordinary bar within his town for convenience. Thefriends were veteran members of the bar and had experienced worsethan that of Munchen. His wife realized that his drinking and smokingbehavior was getting out of hands when he started failing to reachhome on some days and abusing people in the neighborhood. Mr. Munchenhad never tasted alcohol all through his life as he grew up and it isthese tragedies that pulled him to a pool of regret that has slowlyestablished itself and is ready to completely and immensely changehis life. His acclimatization to alcohol is attributed to hisassociation with the new allies he formed while at the bar for thepast eight months. The loss of his daughter had a great impact onhim, and he began to feel like life was worthless, he loved thedaughter with everything he had but her life was shortened when shechoked. Diagnosis done by a psychiatrist reveal that his life becamecomplicated when he lost both his salary and savings and his daughterplunging him into a world of loneliness. Another problem noted by thepsychiatrist is the fact that he found solace in alcohol and a groupof veteran alcoholic individuals (Dimeff, 2013).

At some point, he seemed to be stopping to drink and becomenormalized for a while, but it did not las long because he had becomeaddicted to drinking and the fact that he cursed the demise of hisbeloved daughter, said his wife. Alcohol had become part of his life,and he stopped listening and paying attention to his wife.

Significance of presenting the difficulties

It is at this moment of that a new factor came in. At earlier stagesof their life, when they were establishing their relationship andmarriage, their dream as a couple was to give birth to only one child(Stewart, 2014). And after they had a daughter Mr. Munchen went andsecured a vasectomy without the consent of his wife. It is at thispoint that all the parties involved in the liberation of the issuesaffecting him give his story a perspective view from a differentangle.

Efforts to cope with the difficulty

His wife tried to explain to him the necessity of letting the past goand living his life focused on a better future that was still aheadof him, but he gave her a silent ear. The wife left him to keep onwith his drinking habit because she knew it would stop soon, shewould wait for him long in the night and sometimes he even failed toreturn home. He did not let his wife into his life much as he used todo before they lost their daughter and their relationship in theirhouse had taken a different turn. With fingers now pointed to the newdevelopment that he had secured a vasectomy grants the wife a widerpicture of the poor relationship in their house and Mr. Munchen’slack of interest in trying to have another baby. He kept this asecret from her and did not want her to know, and that is why whentheir daughter passes away, he felt like his world had ended when itcame to giving birth to another child. When the wife learned aboutthe fact that he had undergone a vasectomy, she felt like she hadbeen left out and that it was more of a trap to her. In her mind, shethought that her husband did that to check if she was sleeping withother men because the nature of his job did not grant him more timewith his wife. He was always on business trips before his companygave him an off to get his life in order and get back to duty. Theefforts of a psychiatrist to solve the issue got elevated with thewife being on the offensive side, and she is the one who brought herhusband to get treatment Pinto (Pereira &amp Brito Santos, 2016).

Relationship between the social worker and the client

After establishing the problems in the situation of the alcoholichusband, the contracted social worker doubled up as a lawyer for thetwo partners who had to attend several sessions of counseling on howto put their differences apart and start their life over again from anew beginning.

Psychosocial description

Mr. Munchen becomes an alcohol addict on two grounds, in fact onthree grounds. It was something that ran through their blood asdepicted by the drinking prowess of his ancestors. Secondly, he wasdrinking because he wanted to get some sense of belonging byassociating with alcohol since he had lost his daughter that hecherished most. And he also took alcohol because, in the bar, hefound an enabling environment where he formed new allies thatlistened to him as they shared their problems and did totally nothingabout them. Their role in the bar was to meet up and pull out abottle of one or two, and it ends there without efforts of trying tomake the life of one another better.

What His personality before tragedy befell him was that of a totallyextroverted person, but he decided to become an introvert suddenly.He was raised up in a family where he was the only child and hisparents died in a grisly road accident while he was still a collegestudent. Having no specific denomination, he did not frequent goingto church thus bringing out the lack of spiritual mentorship andguidance in his life. He grew up as a man who had a strong attachmentto his personal beliefs and would do anything within his power tofind whatever he wanted and that is why after marrying, he promisedthat he wanted only one child, something that even his wife was happyabout, but he never informed her about undertaking the surgery todiscontinue the process of making his wife pregnant. When confrontedby the wife about that, he alluded it to the nature of his job thathad always kept him far from her and the fact that their daughter wasalready born and they had only planned for one child. His liferevolved around his family and his job because he did not have theparents and neither did he have siblings having been born as the onlychild. His life took a great turn when the daughter died and made himplunge all his savings and salary into a lottery bet with the aim ofgetting much money to give her the best farewell. It was within thatshort period that his life would totally change, he resorted todrinking alcohol because he did not like the fact that one day hiswife would tell him that they should forget about their lost childand try to find another one. In his mind, he felt like the world wascrashing in on him and that he had nowhere to go. He lacked much onthe relationship with his family where he was brought up as hepointed out on the loneliness that the death of his parents anddaughter had plunged him into. He was an outgoing person who knew howto associate with people and minded about the welfare of othersbefore trouble decided to strike path transforming him into a totallydifferent person. Even though he changed, the fact that he was ableto establish relationships with people never changed, the death andloss of money made him become a frustrated man who resorted to beingoffensive and lashing out abuses at people.

After his wife confronts him about the vasectomy that he underwentwithout her consent, he gets silent and agrees to whatever she sayswith the aim of ending the discussion because he did not like beingscolded. Growing up as the only child in the house of his parents, henever lacked anything, and there was too much care, and attentiongranted to him and did not experience many problems as life hadpresented before him the moment the parents died.

He confesses that he became suicidal in his thoughts for some momentand felt like life had no meaning without the presence of hisparents, and he gives thanks to God because at that moment he hadalready met the lady who later became his wife and offered him thegreat attention and care he needed then. The life he lived at hisparents’ home where he was the only child and was at the center oftheir discussion inspired him to the need and fixed mind on givingbirth to one child whom he was to subject to the kind of treatmentthat was accorded to him while he was a kid. He ends his talk betweenthe wife and the psychiatrist by saying that he knew very well thathis wife was not going to welcome the thought of him havingundertaken the vasectomy and he feared she would leave him yet she isthe only one and the only thing that he had left in the world. He didnot know what else to do and joked that he decided to bond with hisancestors who were kingpins at drinking alcohol. His relationshipwith other people was stable, and he gave people the respect theydeserved, and that’s why even his managers at work gave him a longduration to get his life in order before going back to the jobbecause to them he was an irreplaceable employee.


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