Name: Lisa Tremblay
Age: 33 years old
T- 100.0 P- 108 R 20 180/110 Ht 5’6 Wt 146lbs
Background: Lisa is in a Naples, FL detox facility thinking about long term rehab. She is
considering treatment for her Hep C+ but needs to get clean first. She has been abusing opiates,
approximately $100 daily. She admits to cannabis 1–2 times weekly (“I have a medical card”),
and 1/2 gallon of vodka daily. She has past drug paraphernalia possession arrest. Her admission
labs. abnormal for ALT 168 AST 200 ALK 250; bilirubin 2.5, albumin 3.0; her GGT is 59; UDS
positive for opiates, THC. Positive for alcohol or other drugs. BAL .308; other labs within
normal ranges. She reports sexual abuse as child ages 6-9 perpetrator being her father who went
to prison for the abuse and drug charges. She is estranged from him. Mother lives in Maine, hx
of agoraphobia and benzodiazepine abuse. Older brother has not contact with family in last 10
years, hx of opioid use. Sleeps 5-6 hrs., appetite decreased, prefers to get high instead of eating.
Symptom Media. (Producer). (2017). Training title 82 [Video]. https://video-alexanderstreetcom.ezp.waldenulibrary.org/watch/training-title-82
LISA Well I had to be here in this hospital if that answers your question.
OFF CAMERA Yes, thank you. Can I get you a drink of water or something else to drink? Anything?
LISA A drink isn’t going to convince me, right? You’re going to have to convince me.
OFF CAMERA What is you want me to persuade you to do?
LISA Going to rehab.
OFF CAMERA What worries you about going to rehab?
OFF CAMERA Okay. I tell you what let’s go back a little bit and tell me about how you’re feeling today.
OFF CAMERA Can you tell me more about that feeling of being scared?
LISA Well, I don’t want to be. I don’t want to be what people say I am because if I say it and I’m not going to say it because I ain’t going to change. I can’t.
OFF CAMERA What do people say you are?
LISA And I’m not.
OFF CAMERA What don’t you want to be?
LISA An addict.
OFF CAMERA Do you use drugs and alcohol?
LISA Yeah sometimes I have a drink. You know with friends [inaudible] but it doesn’t matter. I’m in control.
OFF CAMERA Do you feel in control now?
LISA Maybe I could just get that drink [inaudible].
OFF CAMERA Sure. Sure. Here you go.
LISA Thank you.
LISA You know what I just think I should leave.
OFF CAMERA You keep saying you should leave. You said that earlier but do you really want to leave?
OFF CAMERA Okay. Tell me why you are here.
LISA Because I’m scared.
OFF CAMERA You said that earlier. You think if you could — then I could figure out together why you’re scared and maybe we can come up to a plan. Up with a plan and if we do that, then maybe your fears will disappear.
LISA No not these fears [inaudible] because it’s over.
OFF CAMERA What’s over?
LISA Everything. The business.
OFF CAMERA What do you mean?
OFF CAMERA Who is Jeremy?
LISA He’s my boyfriend. I saw him naked with Alisa [assumed spelling] with the same fucking name as me. We now have the same fucking boyfriend. In my office, he was screwing that fucking cunk.
OFF CAMERA So you’re the one who caught Jeremy cheating?
LISA Yeah. Cheating? Yeah that’s a clever word shrinks use.
OFF CAMERA So you and Jeremy share an office?
LISA Yeah we do commercials for local businesses, you know, build websites, that kind of stuff. We started a business together. He moved in with me.
OFF CAMERA How long ago was that?
LISA Nine months.
OFF CAMERA Do you have any children?
LISA Not with that fucking asshole.
LISA I have a daughter, Sarah. Gosh, she’s beautiful. She stays with some friends. She’s not related to Jeremy, thank God.
OFF CAMERA And where are you staying?
LISA I’m renting a place far away from here. You know I ran down to the bank to empty both our bank accounts.
OFF CAMERA Business accounts?
LISA Yeah. And do you know that asshole has been draining them for 4 months? I swear.
OFF CAMERA Taking money out of your account without your knowledge.
LISA Yeah. For his buys.
OFF CAMERA Buys?
LISA Yeah, to payoff his debts with my money.
OFF CAMERA Or crack cocaine?
LISA Yeah for crack.
OFF CAMERA How long have you know he’s been smoking crack?
LISA Ever since I saw him with that — every since I saw with her naked. The both of them naked.
OFF CAMERA What was that like seeing Jeremy and Alisa naked and smoking crack?
LISA Well have you ever seen someone you love naked smoking crack?
OFF CAMERA No.
LISA Yeah no I didn’t think so.
OFF CAMERA So what has that been like for you knowing Jeremy’s smoking crack?
LISA Well, I’ve never seen him do drugs before. You know he drinks a lot, smokes weed, but crack cocaine. I mean God have mercy.
OFF CAMERA What are you thinking about?
LISA Everyone’s going to know.
OFF CAMERA Know what?
LISA That I was getting high to stay in this hospital and get cleaned up.
OFF CAMERA You mean rather than go to rehab.
LISA Rehab, man they’re fucking dirty places and I’m sick and tired of dirty places.
OFF CAMERA No, no, no this rehab place is very clean. I’ve seen it. There are a lot of nice people there. People who feel like they get much better help than here in the hospital. In fact, I can call someone for you and let you talk with them.
LISA No, no, no, no, no, no, no, no, don’t do that.
OFF CAMERA You’re really fearful of going to rehab.
LISA Well if everyone finds out that I’ve been to rehab, I won’t get a job. I won’t be hired anyway.
OFF CAMERA Plus if people are fearful of the stigma and fearful of what people will think of them.
LISA Yeah, but he says that I’m not addicted. It’s just — you know something wrong with my personality.
OFF CAMERA Who says there’s something wrong with your personality?
OFF CAMERA When did he tell you that?
LISA Lots of times.
OFF CAMERA I thought you said you and Jeremy split up after you caught him cheating.
LISA I —
OFF CAMERA It’s okay. Take your time.
LISA Well yeah he moved back in.
OFF CAMERA Into your new home?
LISA Yeah. What changed that you two decided to get back together?
OFF CAMERA Well he said he was sorry and he begged me. He’s done it before so I took him back.
LISA And how has that been being back with Jeremy?
OFF CAMERA Well I love Jeremy. I do and don’t want to go out and find another boyfriend. I mean we lost 80,000 dollars on that business. And he promised me that he would make it all back.
LISA So is that why you took him back? Has Jeremy continued smoking crack?
OFF CAMERA Yeah a little but he’s not addicted. He says that it calms him down. Me too.
LISA You too?
OFF CAMERA So do you smoke crack with Jeremy?
LISA Yeah we — he made me try it.
[ Crying ]
LISA And then he tried just once. We did it together. [Inaudible] I could.
[ Crying ]
LISA Hit me like a bullet. And it felt so good. I felt so good. And real fast.
LISA Have you ever felt like you were dancing with butterflies?
OFF CAMERA Dancing with butterflies? No I have not.
LISA But he says it’s not addictive, Jeremy.
OFF CAMERA What do you think?
LISA Well I know I can’t get enough.
[ Crying ]
LISA And I know I don’t want to go back to feeling horrible again because when I don’t smoke it I get worse. And when I have it, I feel good. And then it’s gone. And then I know that I’m going to be needing another hit.
OFF CAMERA That sounds a lot like addiction.
LISA Yeah but I know I don’t want it to be.
OFF CAMERA It sounds like you are very scared of getting help and yet at the same very time, it sounds like you know you need that help.
LISA I know I don’t need help. I don’t need anything. Jeremy promised me that everything is going to be okay. And when you love someone like I do, you got to believe him. Right?