Peter is a twenty-year-old Caucasian college student referredfor counseling by the dean of academic affairs. Peter has beensuspended from school for drinking and fighting on two occasionsover the past six weeks. He has a history of recurrent detentionsand classroom dismissals for similar, though less severe, behaviorsince high school. Peter was suspended for having a pint of vodkaand a small quantity of marijuana in his locker. Peter has recentlystarted experiencing mood swings and is feeling depressed andagitated. Earlier, having felt that the stress of home life was theroot cause of his depression, Peter thought that leaving home andliving on-campus would resolve his mood swings. He has beenpracticing self-medication with marijuana and alcohol. He disclosedthat he had been prescribed medication for depression when he wasin high school but has since then stopped all medication andfollow-up on mental health counseling. Presently, he has no desireto enter or seek treatment voluntarily. He has come in for therapyonly to avoid being expelled from the college. He denies having anyproblem with either alcohol or drugs and feels marijuana should belegalized. In addition, he compares his alcohol and drug use toothers' and does not think his intake of substances is a problem.He feels that everyone is just picking on him; he works hard andshould be allowed to do. He takes alcohol or marijuana because hejust wants to relax after a tough day's work.
QUESTIONS:
how might the interventions within IDDT be structured? That is,what type of psychological intervention might work best? What typeof educational and social interventions might be best?
