Case Study: Tonnesha Arletten

onnesha Arletten, a 15-year-old African American female, presents to your office with her mom and step-dad.

Mom reports, “Tonnesha here knows better, but she’s been smokin’ and I know it. I found two packs of cigarettes last week in her backpack. At first, she tried to deny they was hers, but I’ve also smelled it on her clothes lately and I finally got her to admit to it.”

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Tonnesha shrugs. “Yeah, I’ve been havin’ Xaneya’s older brother buy them for me. I smoke mainly on the weekend and after school. I’ve been smoking since I was 11. It’s cool. I could stop if I wanted to.”

Mom breaks in, “But I don’t think she will without help. What about some patches or gum?”

In your initial post, address the following:

1-Would Tonnesha meet DSM-5 criteria for nicotine abuse, dependence, or misuse? Why? Use the DSM-5 to support your answer.
2-What treatments are there for nicotine addiction? What option would be most appropriate for Tonnesha, given her age and use?
3-Include your script presenting cigarette smoking education to Tonnesha and her parents in your office. Please include education, treatment, and therapy referrals. ( I NEED TO DO A VIDEO LATER WITH SCRIPT?)
4-To what extent do you think vaping/e-cigarettes will replace smoking, particularly for teens? (If you feel comfortable, you may also address vaping in your video.)

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