The Case of Mike

Mike is a 20-year-old male who has just recently been released from jail. Mike is technically on probation for car theft, though he has been involved in crime to a much greater extent. Mike has been identified as a cocaine user and has been suspected, though not convicted, for dealing cocaine. Mike has been tested for drugs by his probation department and was found positive for cocaine. The county has mandated that Mike receive drug counseling but the drug counselor has referred Mike to your office because the drug counselor suspects that Mike has issues beyond simple drug addiction. In fact, the drug counselor's notes suggest that Mike has Narcissistic personality disorder. Mike seems to have little regard for the feelings of others. Coupled with this is his complete sensitivity to the comments of others. In fact, his prior fiancé has broken off her relationship with him due to what she calls his "constant need for admiration and attention. He is completely self-centered." After talking with Mike, you quickly find that he has no close friends. As he talks about people who have been close to him, he discounts them for one imperfection or another. These imperfections are all considered severe enough to warrant dismissing the person entirely.Mike makes a point of noting how many have betrayed their loyalty to him or have otherwise failed to give him the credit that he deserves. When asked about getting caught in the auto theft, he remarks that "well my dumb partner got me out of a hot situation by driving me out in a stolen get-a-way car." (Word on the street has it that Mike was involved in a sour drug deal and was unlikely to have made it out alive if not for his partner.) Mike adds, "you know, I plan everything out perfectly, but you just cannot rely on anybody . . . if you want it done right, do it yourself." Mike recently has been involved with another woman (unknown to his prior fiancé) who has become pregnant. When she told Mike he said "tough, you can go get an abortionor something, it isn't like we were in love or something." Then he laughed at her and toldher to go find some other guy who would shack up with her. Incidentally, Mike is a very attractive man and he likes to point that out on occasion. "Yeah, I was going to be a male model in L. A.,but my agent did not know what he was doing . . . could never get things settled out right . . . so I had to fire him." Mike is very popular with women and has had a constant string of failed relationships due to what he calls "their inability to keep things exciting." As Mike puts it "hey, I am too smart for this stuff. These people around me, they don't deserve the good dummies. But me, well I know how to run things and get over on people. And I am not about to let these dummies get in my way. I got it all figured out . . . see?"

Prepare a 10- to 15-slide Microsoft PowerPoint presentation analyzing the following pertaining to your selected client:

• Case history

• Risk reassessment

• Client goals

• Case manager goals

• Continued maintenance and monitoring

• Evaluate and address prevention for future problems.