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Case Analysis: Amy Winehouse

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by

Maribel Hernandez

on 14 April 2014

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Transcript of Case Analysis: Amy Winehouse

Full name
: Amy Jade Winehouse
Born
: September 14, 1983 in Enfield, London, England
Died
: July 23, 2011 in Camden, London, England
Description
Substance Use
Alcohol was her first drug of choice
Occasional use of marijuana
Drinking escalated and become a problem after her first album was released and became successful (2004)
Blake Fielder-Civil introduced her to hard drugs, such as Cocaine and Heroin
Winehouse also tried Ecstasy, Ketamine, and Crack
Winehouse would often mix substances
Amy Winehouse
Sociodemographic Characteristics
Jewish English Female
Drug use (alcohol) started at age 19
died at 27
English singer/songwriter/musician
Frank
(2003)
Back to Black
(2006)
Background information:
Parents divorced when she was 9 years old
Met Blake Fielder-Civil in 2005 and they were married in 2007
They divorced in 2009
Character Sample
Substance Use Patterns
Substance Use
Substance-Related Problems and Consequences

Behavioral
: Compulsive drinking, limited activity (had to cancel tour), assaulted her husband and others, erratic behavior, threatened to kill herself
Emotional
: Anger, depression, craving, feelings of same and guilt
Cognitive
: Depressed thought patterns
Interpersonal
: Isolation, interpersonal distress
Physical
: negative impact of alcohol and drug use, weight loss, scars from self-inflicted harm, seizures from drug use
Social
: Was in a destructive relationship for years, did not listen to friends' advice, pushed family away
Legal
:
Arrested for marijuana possession in 2007
Charged for allegedly punching a fan in 2009 (acquitted of charges)
Charged with a public order offense and common assault in 2009 (pleads guilty)
Risk Factors for Addiction
History of bulimia
Social pressure
Media
High stress working environment
Easy access to alcohol and marijuana
Access to a lot of money
Significant other was a drug addict
Refused to attend rehab
Stage fright
Suffered from depression
Protective Factors Against Addiction
Validity of Presentation
Case Formulation: SUD Diagnosis
Case Formulation: Impact of Interventions
Large support group
Many opportunities for treatment
Easy access to doctors
Had a successful career
Her family was extremely involved
Consistent with Scientific Knowledge

Weight loss due to drug use
Withdrawal symptoms from alcohol; they made her restless and unable to work.
Several relapses
Accurate portrayal of risk factors for addiction
Health failure
She had depression, which provoked her substance use
Refused treatment; she always said she was "fine"
Tolerance for alcohol
Took medication (Subutex) to help get her off of Heroin
Self-harm due to drug use and emotional distress
Taking the substance in larger amounts or for longer than the you meant to
Wanting to cut down or stop using the substance but not managing to
Spending a lot of time getting, using, or recovering from use of the substance
Cravings and urges to use the substance
Not managing to do what you should at work, home or school, because of substance use
Continuing to use, even when it causes problems in relationships
Giving up important social, occupational or recreational activities because of substance use
Needing more of the substance to get the effect you want (tolerance)
Development of withdrawal symptoms, which can be relieved by taking more of the substance.
Severity index: Severe, presence of 6 or more symptoms; Winehouse showed 9.
Legal Interventions

Winehouse was never incarcerated, but that might have helped her stop the addiction to drugs sooner
Her husband was incarcerated due to drugs and that made her want to stop. She went and sought out treatment, but that failed.
Her record company forced her to get treatment, however, she found ways to sneak drugs into facilities.

Case Formulation: Impact of Interventions
Treatment
Struggled with rehab in the past.
Attended multiple times
She tried different places
Always left early
Winehouse tried a detox and drug replacement treatment with nurses on hand.
Was on medication to help wean off drugs
She eventually became drug free in late 2008
Never received proper treatment for alcohol use
died of alcohol poisoning
350 mg of alcohol per 100 ml of blood is considered fatal; Amy's toxicology report showed that she had 416 mg of alcohol per 100 ml of blood in her system
DSM-5
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