A Clinical Case of Opioid Use Disorder in a Young Adult Male

Abstract

This case examines the complicated clinical picture of Mr. TS, a 21-year-old man diagnosed with Opioid Use Disorder (OUD), coded under ICD-10-CM code F11.20. His use of substances started during adolescence and escalated to severe dependency on several substances, such as heroin and alcohol. Contributing factors are emotional instability, dysfunctional family relationships, and a history of aggressive and self-injurious behavior, especially during withdrawal and stress. Notwithstanding several attempts at rehabilitation, Mr. TS still persists with relapse, indicating the necessity for a holistic, tailor-made treatment regimen. The recommended treatment program merges evidence-based pharmacotherapy in the form of methadone or buprenorphine with psychological therapy such as Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), and psychodynamic therapy. Family therapy and psychoeducation have been included in order to handle relational difficulties as well as enhance sustainable recovery. Research highlights the need for long-term pharmacological treatment, decreased stigma, and enhanced access to care. Although his prognosis is guarded, supportive family and finances provide protective factors. This case highlights the imperative need for a comprehensive, stigma-free, and interdisciplinary treatment model to treat the biological, psychological, and social aspects of OUD.