6366082__Drunk__on__Too__Much__Life._1.pdf

This is a literal piece explaining the concept on drunk on too much life

1. Coalinga High School
International Finance
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3. 1






Drunk on Too Much Life: Psychological Dysfunction Analysis on Corrina


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Drunk on Too Much Life: Psychological Dysfunction Analysis on Corrina
SECTION I: INTRODUCTION, DIAGNOSIS AND DIFFERENTIAL DIAGNOSIS
Introduction
The documentary "Drunk on Too Much Life" sheds light on the motivations and deeds
of the protagonist, Corrina. This paper aims to comprehensively assess Corrina's mental health
by providing a working diagnosis, evaluating the pertinent literature, and analyzing potential
differential diagnoses. Corrina's experience with trauma and the social worker's training in
treating PTSD will be highlighted.
Behaviors and Main Issues
Corrina, a woman in her middle age, serves as an intriguing illustration of the intricate
dynamics examined in the documentary "Drunk on Too Much Life." The dynamics encompass
addiction, propensities for self-destruction, and fluctuations in emotional states. The person's
existence is characterized by a distressing journey into alcoholism, a struggle that often eclipses
their capacity for rational thought (Blackwell, 2023). Corrina's interpersonal dynamics,
particularly within her familial context, exhibit a tumultuous nature akin to the unpredictable
nature of roller coasters. The individual's alcoholism is directly responsible for her emotional
instability and erratic behaviour inside her familial ties.
Corrina has problems beyond her alcoholism, including unresolved trauma. The
traumatic experiences of the subject's past are revealed in great detail throughout the
documentary. These unresolved injuries contribute to her mental instability and inclination
towards self-destructive behaviours, creating a character of an intricate and diverse character
(Blackwell, 2023). The article "Drunk on Too Much Life" provides a poignant illustration of
addiction's complex and diverse aspects and extensive influence on an individual's personal
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life and interpersonal connections. Moreover, it emphasizes the pressing need to confront the
psychological factors that propel self-destructive conduct.
Provisional Diagnosis
Based on the utilization of the diagnostic criteria outlined in the DSM-5 TR, it is
possible to tentatively ascertain that Corrina may meet the diagnostic criteria for borderline
personality disorder (BPD) as per the ICD-10 code F60.3. BPD is distinguished by unstable
relationships, self-image, affect, impulsivity, and recurring suicidal conduct.
Justification of Diagnosis
The video effectively presents multiple incidents that support Corrina's BPD. BPD is
distinguished by a consistent manifestation of instability in interpersonal interactions, self-
perception, and emotional states, accompanied by notable impulsivity (Blackwell, 2023). In
the film, Corrina's character exhibits these features remarkably conspicuously. The prominent
characteristic of BPD is the individual's notable emotional instability. Corrina has rapid and
pronounced mood oscillations, frequently shifting from extreme happiness to profound sadness
in a brief timeframe. The centrality of this emotional rollercoaster in her life gives rise to stormy
relationships and a deep-seated sense of inner unrest. The individual's lack of emotional
regulation is evident, as they consistently respond impulsively to even little stimuli, resulting
in repeated, intense conflicts and misinterpretations.
Corrina's impulsive behaviours serve to substantiate the diagnosis of BPD further. The
individual in question experiences a significant problem with substance misuse, utilizing it as
a method of self-medication and to alleviate their emotional distress. Using alcohol as a coping
method, specifically in the context of alcohol abuse, further deteriorates her pre-existing
emotionally unstable condition, posing a significant risk (Blackwell, 2023). Furthermore, it is
noteworthy that Corrina exhibits self-inflicted damage, a well-documented characteristic
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commonly associated with BPD. The individual's engagement in self-destructive activity can
be understood as a coping mechanism to regulate intense emotions and reestablish a perceived
level of autonomy even though it ultimately sustains their distress.
The documentary effectively portrays Corrina's deep sense of anxiety around solitude.
The apprehension of abandonment is a fundamental characteristic of BPD, substantially
influencing her interpersonal relationships. The individual's interpersonal connections,
encompassing familial and social ties, are characterized by persistent instability. The individual
demonstrates a profound and ingrained apprehension of abandonment, resulting in highly
intense responses when seeing a potential risk of rejection. This conduct, driven by fear, is
evident through clinginess, jealousy, and desperate attempts to sustain her interpersonal
relationships. The individual's intense efforts to avert actual or perceived desertion further
distance themselves from their loved ones and exacerbate the volatility within their
interpersonal connections.
Differential Diagnosis
Although BPD appears to be the most probable diagnostic explanation for Corrina's
symptoms, mental health providers should exercise caution and explore alternative potential
diagnoses when evaluating her condition. This complete assessment guarantees the accurate
determination of a diagnosis and the implementation of the most suitable treatment strategy. It
is imperative to consider many alternative diagnoses.
Major Depressive Disorder (MDD) is a psychiatric condition distinguished by
extended durations of profound sadness, feelings of hopelessness, and a diminished capacity
to experience interest or pleasure in a wide range of activities (Freeman et al., 2017). However,
certain aspects of Corrina's emotional distress may resemble Major Depressive Disorder
(MDD). Her impulsive behaviour and emotional instability do not align with the characteristics
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typically associated with this diagnosis. Borderline Personality Disorder (BPD) is
distinguished from Major Depressive Disorder (MDD) by its distinct features, including
significant fluctuations in mood, instability in self-perception, and challenges in establishing
and sustaining interpersonal connections.
Post-Traumatic Stress Disorder (PTSD): The presence of traumatic experiences in
Corrina's personal history may indicate the potential diagnosis of PTSD. Nevertheless, the
individual's mental instability and self-destructive activities beyond the customary
manifestations are associated with post-traumatic stress disorder (PTSD) (Kim et al., 2020).
Borderline Personality Disorder (BPD) frequently presents alongside a background of
traumatic events, making it difficult to differentiate between the two. A thorough evaluation is
required in order to distinguish between the two circumstances.
Substance Use Disorder: This issue is exemplified by Corrina's ongoing battle with
alcohol addiction, which poses a substantial concern. However, it is plausible that this addiction
is not a core disorder but a comorbid condition. Substance abuse and BPD co-occurrence are
frequently observed since persons with BPD often resort to substance use to manage their
emotional distress and impulsive tendencies. It is imperative to incorporate interventions that
target substance use and the underlying BPD to develop a holistic treatment approach.
Histrionic Personality Disorder (HPD): It exhibits several characteristics that overlap
with BPD, including heightened emotional reactivity and a strong inclination towards seeking
attention (Lengel, 2020). Nevertheless, Corrina's proclivity for self-destructive behaviours,
tumultuous and unpredictable interpersonal connections, and challenges in establishing a stable
sense of self are more congruent with the diagnostic criteria associated with BPD.
Distinguishing between the two is crucial, as there can be notable disparities in treatment
methodologies and resultant outcomes.
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The diagnostic procedure for mental health illnesses can be intricate, and it is common
for individuals to manifest symptoms that intersect with numerous conditions (Lengel, 2020).
Hence, conducting a comprehensive evaluation that considers these alternate diagnoses is
imperative. Furthermore, it is crucial to consider Corrina's distinct symptom manifestation and
personal history while considering BPD. The determination of Corrina's diagnosis should be
predicated upon a meticulous assessment of her symptoms, actions, and personal background.
Utilizing standardized diagnostic instruments, conducting patient interviews, and obtaining
information from collateral sources such as family members or close acquaintances are
frequently advantageous practices employed by mental health professionals. A correct
diagnosis can only be achieved by implementing a complete approach, enabling Corrina to
obtain the most effective and personalized therapy for her disease.
Questions for Further Clarification
Additional data collection is required for diagnosis verification. Questions may
encompass the following:
a). Have you ever encountered pronounced, swift fluctuations in mood or episodes
characterized by heightened anger and irritability?"
b). How would you describe your emotional state and the state of your relationships when
they are unstable?
c). Is there evidence of a history of impulsive actions on your part, such as speeding,
substance misuse, or self-injury?
d). Have you ever felt a profound lack of self-worth and a warped sense of who you are?


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SECTION II: LITERATURE REVIEW
Historical Knowledge of Borderline Personality Disorder (BPD)
BPD has an interesting and complicated past that stems from difficulties defining
mental classification. The word "borderline" captures the initial ambiguity around the illness
because of its close approach to multiple diagnostic boundaries (New & Triebwasser, 2018).
Its historical history illustrates how our understanding of BPD and our changing perspectives
on mental health have evolved. When BPD was first identified in the early 20th century, it was
commonly misdiagnosed and misinterpreted. It was initially conceived using psychoanalytic
lenses (New & Triebwasser, 2018). Early conceptualizations of the condition were greatly
inspired by Sigmund Freud's beliefs and viewed it as a sort of neurosis or a reaction to early
childhood trauma. However, this early understanding of BPD was inadequate because it
ignored the complexity and breadth of the disorder's symptoms.
Psychiatric understandings of BPD have developed throughout time, and it has become
apparent that the condition defies easy classification using current diagnostic frameworks.
Researchers and clinicians began recognizing significant aspects of BPD, including emotional
instability, impulsive conduct, unstable relationships, and identity issues, around the middle of
the twentieth century, marking the beginning of the transition toward present diagnostic criteria
(Gunderson et al., 2018). The contemporary understanding of the illness better reflected these
features. Several updates to the DSM, a widely used classification system for mental health
problems, have improved its ability to reflect BPD's essence. The move from DSM-III to DSM-
III-R in 1980 was significant in establishing BPD as a separate diagnostic category. The
diagnostic criteria have been modified and streamlined in subsequent iterations, such as DSM-
IV and DSM-5, emphasizing the hallmarks of the condition.
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Modern psychiatry has developed more precise and identifiable criteria for borderline
personality disorder (BPD). This development from early psychoanalytic ideas to the current
diagnostic criteria for BPD exemplifies how our understanding of personality disorders and
mental health has progressed over time and reflects the gradual unravelling of the complexities
underlying BPD (Gunderson et al., 2018). Furthermore, advancements in diagnosing and
treating people with BPD are highlighted.
State-of-the Science on BPD
In recent years, there has been notable progress in advancing our comprehension of
BPD through ongoing research efforts. The current understanding of this intricate and
frequently misconstrued psychological disorder involves a broader framework that considers
the intricate interplay between neurobiological components, genetic predispositions, and
environmental effects (Rossi & Ridolfi, 2021). Adopting a multidimensional approach has
emerged as a significant factor in illuminating our understanding of the condition and is
demonstrating its crucial role in advancing efficacious treatment methods.
Recent neurobiological studies have provided evidence indicating that persons
diagnosed with BPD display irregularities in specific brain regions associated with regulating
emotions, control of impulses, and interpersonal interactions (Rossi & Ridolfi, 2021).
Examining the role of neurotransmitters, such as serotonin and dopamine, in the modulation of
mood and behaviour has been a topic of significant scholarly interest. The neurological
foundations of BPD symptoms, including mood swings, impulsive conduct, and increased
emotional sensitivity, are now well-understood thanks to this research (Rossi & Ridolfi, 2021).
Furthermore, genetic research has revealed the presence of a hereditary component linked to
BPD. A family history linked to the condition has been shown to increase the risk of developing
BPD, highlighting the importance of genetic elements in its etiology. Gaining genetic
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knowledge is essential for locating potential biomarkers and improving early detection. It is
commonly known that environmental factors, like early childhood trauma, neglect, or adverse
experiences, play a significant role in the etiology of BPD. Recent studies have brought
attention to the significant influence of environmental factors in shaping the progression of the
illness. Developing an understanding of the relationship between early life experiences and the
emergence of BPD is crucial for tailoring treatment plans.
Dialectical Behavior Therapy (DBT) has become a viable treatment option for
borderline personality disorder. The therapeutic approach was developed by Dr Marsha
Linehan and combined acceptance and mindfulness practices with cognitive-behavioural
techniques. Dialectical Behavior Therapy (DBT) has proven effective in helping individuals
with BPD regulate their emotions, reduce self-destructive behaviours, and improve their
interpersonal relationships (Linehan, 2020). The success of this endeavour highlights the
significance of employing a comprehensive and empirically supported methodology in
therapeutic interventions.
Treatment Options for Corrina
The video accurately highlights Corrina's process of addressing her emotional
instability through participation in group therapy sessions and medication use. The observation
above illuminates the individual's unwavering commitment and perseverance in actively
pursuing assistance; nonetheless, it becomes apparent that the individual's therapeutic
intervention remains unfinished. In order to adopt a comprehensive perspective, it is imperative
to integrate dialectical behaviour therapy (DBT) into her treatment plan. A well-known and
scientifically validated method that has shown promise in treating emotional dysregulation and
self-destructive behaviours is dialectical behaviour therapy (DBT) (Linehan, 2020). By
developing her abilities to control her emotions, tolerance for distress, and social effectiveness,
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Corrina will be better equipped to handle the constant emotional upheavals in her life. Utilizing
medicine, particularly antidepressants may potentially contribute to managing her symptoms.
However, it is imperative to exercise prudence when considering this method and ensure that
a trained mental health practitioner gives it. Medication administration in isolation may not
effectively target the fundamental factors contributing to her emotional instability.
In addition, including family therapy is a crucial element in her treatment regimen. The
intricate familial dynamics experienced by Corrina are a noteworthy catalyst for stress and
emotional stimuli. Including the client's family in therapeutic interventions can facilitate
identifying and resolving latent issues, enhance interpersonal communication, and establish a
nurturing milieu conducive to the client's recovery process.
Suggested Intervention Strategy
In order to formulate a thorough intervention approach, the following is recommended:
Dialectical Behavior Therapy (DBT) is a well-structured therapeutic approach
focusing on developing skills to manage emotions effectively and enhance interpersonal
relationships (Lungu & Linehan, 2017). The proposed intervention involves a series of weekly
individual and group sessions spanning 6 to 12 months.
Pharmaceutical Management- It is worth considering the administration of selective
serotonin reuptake inhibitors (SSRIs) to regulate mood and mitigate impulsivity. To be
implemented under the guidance and oversight of psychiatric professionals.
Family Therapy- Involve the family members of Corrina in therapeutic interventions
aimed at addressing the interpersonal issues that contribute to the exacerbation of her disease.
The sessions were conducted regularly over several months.

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SECTION III: DISCUSSION
Conflicting Diagnoses
Frequently, conflicting diagnoses emerge as a result of the presence of overlapping
symptoms. The discrepancies in Corrina's case arise from the complex nature of her
psychological challenges. The person's behaviours, including her uncontrolled self-harm, align
with BPD. Nevertheless, given her depressive symptoms, a second diagnosis of Major
Depressive Disorder (MDD) may be warranted (Alvarez-Mon et al., 2021). In order to resolve
these disparities, a thorough assessment and discussion of comorbidity must be carried out.
Film's Portrayal of Mental Health Treatment
By focusing on the experiences that Corrina, the main character, has had firsthand, the
documentary "Drunk on Too Much Life" paints a picture of the area of mental health therapy
(Brown et al., 2019). This demonstrates the challenges associated with gaining access to the
mental health system and depicts the ups and downs of the process. The movie deftly examines
the prevalent social narratives and myths around mental health, highlighting the need to end
stigma and make sure that treatment choices are readily available to a wide range of people.
Impact of Trauma and Socioeconomic Factors
Corrina's tragic event has a major influence on her psychological problems. Unresolved
trauma from her background contributes to her emotional instability and impulsive behavior
(O'Hara et al., 2020). In addition, the person's financial situation, lack of strong family support,
and cultural background all have a substantial influence on how she copes and how quickly she
recovers.


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Social Worker's Role in Working with BPD
When it comes to assisting customers who need assistance, such as Corrina, the job of
a social worker is of the utmost significance. There are a variety of settings, such as outpatient
mental health clinics, drug treatment centres, and community support groups, in which one
may have the opportunity to interact with clients of this nature. The social worker takes on the
role of an advocate, assisting in navigating the mental health system, providing emotional
support, and establishing the connection between Corrina and appropriate therapeutic
interventions (Barr et al., 2020). Conducting psychological assessments, facilitating group
therapy sessions, and assisting clients in gaining access to social services are some of the
specific activities that fall under this function's purview.
In conclusion, the book "Drunk on Too Much Life" offers a profound perspective on
Corrina's psychological challenges, mainly characterized by a borderline personality disorder
diagnosis. The documentary highlights the necessity of implementing comprehensive
intervention strategies and critiques the societal representation of the mental health care system.
Corrina's narrative underscores the significant influence of traumatic experiences and
sociocultural determinants on psychological well-being, underscoring the indispensable
contribution of professionals such as social workers in facilitating her recuperation process.






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References
Alvarez-Mon, M. A., Ortega, M. A., García-Montero, C., Fraile-Martinez, O., Monserrat, J.,
Lahera, G., ... & Alvarez-Mon, M. (2021). Exploring the role of nutraceuticals in major
depressive disorder (MDD): Rationale, state of the art and prospects.
Pharmaceuticals, 14(8), 821.
Barr, K. R., Townsend, M. L., & Grenyer, B. F. (2020). Using peer workers with lived
experience to support the treatment of borderline personality disorder: a qualitative study
of consumer, carer and clinician perspectives. Borderline Personality Disorder and
Emotion Dysregulation, 7(1), 1–14.
Blackwell.S. (2023, February 1). Drunk on too much life W. Michelle Melles & Pedro Orrego
| bipolar awakenings podcast #12 . YouTube.
https://www.youtube.com/watch?v=IltxsTnLSds&t=27s
Brown, C., Stoffel, V. C., & Munoz, J. (2019). Occupational therapy in mental health: A vision
for participation. FA Davis.
Freeman, D., Reeve, S., Robinson, A., Ehlers, A., Clark, D., Spanlang, B., & Slater, M. (2017).
Virtual reality in assessing, understanding, and treating mental health disorders.
Psychological medicine, 47(14), 2393-2400.
Gunderson, J. G., Herpertz, S. C., Skodol, A. E., Torgersen, S., & Zanarini, M. C. (2018).
Borderline personality disorder. Nature Reviews Disease Primers, 4(1), 1-20.
Kim, T. D., Lee, S., & Yoon, S. (2020). Inflammation in post-traumatic stress disorder (PTSD):
a review of potential correlates of PTSD with a neurological
perspective. Antioxidants, 9(2), 107.
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Lengel, G. J. (2020). Histrionic Personality Disorder. The Wiley Encyclopedia of Personality
and Individual Differences: Clinical, Applied, and Cross‐Cultural Research, 187-191.
Lungu, A., & Linehan, M. M. (2017). Dialectical behaviour therapy: overview, characteristics,
and future directions. The Science of Cognitive Behavioral Therapy, 429-459.
New, A. S., & Triebwasser, J. (2018). A history of borderline personality disorder. Borderline
personality disorder, 1-16.
O’Hara, N. N., Isaac, M., Slobogean, G. P., & Klazinga, N. S. (2020). The socioeconomic
impact of orthopedic trauma: A systematic review and meta-analysis. PloS one, 15(1),
e0227907.
Rossi, R., & Ridolfi, M. E. (2021). Borderline personality disorder in young people: state of
the art and plans in Italy. Current Opinion in Psychology, 37, 61-65.
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