Jose is a Latino client who presents with occupational diffi

Jose is a Latino client who presents with occupational difficulties. He was laid off from a construction job 8 months ago and has been unable to find work. Ever since he lost his job, he has been drinking alcohol heavily throughout the day. He also reports “occasional” marijuana use. Jose recently was arrested for driving under the influence of alcohol and has to appear in court next month. His wife is angry with him because she depends on him to pick up their 3 children from school, and now he may lose his driver’s license. Jose has always been a hard worker, but he admits that there were times that he often drank alcohol while working on construction jobs to eliminate his stress. He reports having intermittent episodes of anxiety since adolescence. Jose reports “occasional” cannabis use. What diagnosis might be given?

A. F12.10 Cannabis Use Disorder, Mild

B. F12.20 Cannabis Use Disorder, Moderate

C. F18.129 Inhalant Intoxication, with Mild Use Disorder

D. F14.23 Cocaine Withdrawal

Solution

Answer: Jose would be diagnosed with \"F12.10 Cannabis Use Disorder, Mild\"

Explanation:

Symptoms of Jose:

1.Occupational Difficulties: \"He was laid off from a construction job 8 months ago and has been unable to find work\".

2. Alcohol use disorder: \"he has been drinking alcohol heavily throughout the day\"

3. Higher priority to intoxication than responsibilities and obligations: \"His wife ... depends on him to pick up their 3 children from school, and now he may lose his driver’s license\"

4. Stress and Anxiety: \"He reports having intermittent episodes of anxiety since adolescence\"

5. Occasional marijuana or Cannabis sativa: \"Jose reports “occasional” cannabis use.\"

All these symptoms point towards the \"Cannabis Use Disorder\" in Jose. As per ICD-10-CM Diagnosis Codes, Cannabis-related disorders are placed under F12. F12.10 is for Cannabis abuse (non-dependence, mild), while F12.20 is for Cannabis abuse (dependence, moderate to severe).

Jose case would be diagnosed as \"F12.10 Cannabis Use Disorder, Mild\"