Bipolar Lesson 4 - case studies.pptx

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bipolar case studies

CARRIE
Carrie was a second year college student
when she first began having problems.
She would go days without sleeping. She
began having trouble concentrating in
school and stopped going to classes. She
started having sexual relationships with 4
different men and she spent all of the
money she had for the school year in
three months. When her parents
discovered the problems, they brought
her in for evaluation. Carrie did not feel
that anything was wrong. She felt that
she had just made several poor
decisions, like anyone her age. Her
parents felt things were not the same.
She had always been a thoughtful,
responsible person prior to the last
several months.
SUSIE
Susie is a 20-year-old sophomore at a small
Midwestern college. For the past five days
she has gone without any sleep whatsoever
and she has spent this time in a heightened
state of activity which she herself describes
as “out of control.” For the most part, her
behavior is characterized by strange and
grandiose ideas that often take on a mystical
or sexual tone. For example, she recently
proclaimed to a group of friends that she did
not menstruate because she was a “of a third
sex, a gender above the human sexes.” When
her friends questioned her on this, she
explained that she is a “superwoman” who
can avoid human sexuality and still give
birth. That is, she is a woman who does not
require sex to fulfill her place on earth.
Carrie exhibits a negative behaviours such as impulsive
decision making, stop attending classes and didn’t
concentrate in classes. However, the only behaviour
that link with bipolar disorder, and exhibited by patient,
is receiving less sleep and hyperactive behaviour, while
other symptoms wasn’t exhibit yet. Doctor insisted that
patient didn’t developed bipolar disorder yet, however
According to patient history, patient exhibits a behaviour of
mania-bipolar disorder, as she contain gladius level of self
esteem and hyperactive behaviour, which made her
received less sleep than usual. However there’s also
possibility of Schizophrenia, however patient didn’t exhibit
any other physical behaviour of Schizophrenia yet. Further

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Assignment 3: Case Study Analysis I The first step in understanding the behaviors that are associated with mental disorders is to be able to differentiate the potential symptoms of a mental disorder from the everyday fluctuations or behaviors that we observe. Read the following brief case histories. Case Study 1: Bob is a very intelligent, 25-year-old member of a religious organization based on Buddhism. Bob’s working for this organization has caused considerable conflict between him and his parents, who are devout Baptists. Recently, Bob has experienced acute spells of nausea and fatigue that have prevented him from working and have forced him to return home to live with his parents. Various medical tests are being conducted, but as yet, no physical causes for his problems have been found. Case Study 2: Mary is a 30-year-old musician who is very dedicated and successful in her work as a teacher in a local high school and as a part-time member of local musical groups. Since her marriage five years ago, which ended in divorce after six months, she has dated very few men. She often worries about her time running out for establishing a good relationship with a man, getting married, and raising a family. Her friends tell her she gets way too anxious around men, and, in general, she needs to relax a little. Case Study 3: Jim was vice-president of the freshmen class at a local college and played on the school’s football team. Later that year, he dropped out of these activities and gradually became more and more withdrawn from friends and family. Neglecting to shave and shower, he began to look dirty and unhealthy. He spent most of his time alone in his room and sometimes complained to his parents that he heard voices in the curtains and in the closet. In his sophomore year, he dropped out of school entirely. With increasing anxiety and agitation, he began to worry that the Nazis were plotting to kill his family and kidnap him. Case Study 4: Larry, a 37-year-old gay man, has lived for three years with his partner, whom he met in graduate school. Larry works as a psychologist in a large hospital. Although competent in his work, he often feels strained by the pressures of his demanding position. An added source of tension on the job is his not being out with his co-workers, and, thus, he is not able to confide in anyone or talk about his private life. Most of his leisure activities are with good friends who are also part of the local gay community. For each case, identify the individual's behaviors that seem to be problematic for the patient. For each case study, explain from the biological, psychological, or socio-cultural perspective your decision-making process for identifying the behaviors that may or may not have been associated with the symptoms of a mental disorder. Based on your course and text readings, provide an explanation why you would consider some of these cases to exhibit behaviors that may be associated with problems that occur in eve.

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The Case of L Presenting Problem Client presented in the emergency room (ER) having been brought in the previous night by her parents. Following an argument with her parents, L cut her right wrist. L's mother reported that L started screaming rapidly and became physically violent toward her prior to cutting her own wrist. Psychological Data L is a 17-year-old Hispanic female who resides in Pennsylvania with her mother, father, and older sister. She is in 11th grade at the local public school. L appeared to be of average to above-average intelligence, as she was able to respond to numerous questions in an articulate and intelligent manner. She was well versed about world history and current affairs. Her mother confirmed that she has done well in school, maintaining a B+ average and participating in various school activities (e.g., chorus, school paper) until last year. L slowly dropped out of many activities she liked in the past. Her mother noticed about 8 months ago that L had also begun having difficulty doing schoolwork. Erratic behavior arose during episodes when L also became irritable and explosive. During these repeated episodes, she became quite defiant, cut classes, had to be placed in school detention, and had even assaulted the principal. L has numerous friends and believed she can relate to all types of people. She has a boyfriend who adores her, but she said she doesn't feel the same about him. The school counselor confirmed that L is outgoing, popular, and smart; but during these episodes she became another person, one who is very violent and difficult. Medical History A physical examination by a staff doctor revealed superficial cuts on L’s left and right wrist. The cuts appeared to be a few weeks old. There were cigarette burns on her right wrist that looked to be approximately one week old. In questioning L about the cigarette burns, L responded, "I just wanted to see how it felt—now I know." When questioned about old cuts on her left wrist, she responded, "I don't want to talk about it." L weighs 103 pounds and is 5’ 6” tall. L denied any dieting or fasting, but her mother noticed over this past year that her weight has dropped. Substance Abuse History L denied any drug or alcohol use. When she was questioned regarding such, her response was "I could do drugs if I wanted to. I don't want to, because it’s dumb." Family History L’s mother is 42 years old and works as a secretary for a large telephone company. Her father is 49 years old and operates a small landscaping business. Both are U.S. citizens, with a cultural background from Guatemala of which they are proud. Both have 2 a high school education. L’s sister is considerably younger, aged 8. Their relationship is described as unremarkable, although L’s mother noted that the younger sister stays away when L is upset. Marital circumstances are uncertain, although the parents admitted that they are trying to keep the family together for their children, and they are of .

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The first step in understanding the behaviors that are associated with mental disorders is to be able to differentiate the potential symptoms of a mental disorder from the everyday fluctuations or behaviors that we observe. Read the following brief case histories. Case Study 1: Bob is a very intelligent, 25-year-old member of a religious organization based on Buddhism. Bob’s working for this organization has caused considerable conflict between him and his parents, who are devout Baptists. Recently, Bob has experienced acute spells of nausea and fatigue that have prevented him from working and have forced him to return home to live with his parents. Various medical tests are being conducted, but as yet, no physical causes for his problems have been found. Case Study 2: Mary is a 30-year-old musician who is very dedicated and successful in her work as a teacher in a local high school and as a part-time member of local musical groups. Since her marriage five years ago, which ended in divorce after six months, she has dated very few men. She often worries about her time running out for establishing a good relationship with a man, getting married, and raising a family. Her friends tell her she gets way too anxious around men, and, in general, she needs to relax a little. Case Study 3: Jim was vice-president of the freshmen class at a local college and played on the school’s football team. Later that year, he dropped out of these activities and gradually became more and more withdrawn from friends and family. Neglecting to shave and shower, he began to look dirty and unhealthy. He spent most of his time alone in his room and sometimes complained to his parents that he heard voices in the curtains and in the closet. In his sophomore year, he dropped out of school entirely. With increasing anxiety and agitation, he began to worry that the Nazis were plotting to kill his family and kidnap him. Case Study 4: Larry, a 37-year-old gay man, has lived for three years with his partner, whom he met in graduate school. Larry works as a psychologist in a large hospital. Although competent in his work, he often feels strained by the pressures of his demanding position. An added source of tension on the job is his not being out with his co-workers, and, thus, he is not able to confide in anyone or talk about his private life. Most of his leisure activities are with good friends who are also part of the local gay community. For each case, identify the individual's behaviors that seem to be problematic for the patient. For each case study, explain from the biological, psychological, or socio-cultural perspective your decision-making process for identifying the behaviors that may or may not have been associated with the symptoms of a mental disorder. Based on your course and text readings, provide an explanation why you would consider some of these cases to exhibit behaviors that may be associated with problems that occur in everyday life, while others could be as.

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University of Phoenix Material Original work Week Five Programmatic Assessment Scenario Abby is a 20-year-old female college student. For at least the last 3 months, Abby has experienced ongoing anxiety and worry without a specific cause for these feelings. She has been restless and has noticed that her muscles feel tense and that these symptoms are beginning to affect her behavior in a way that is causing her to become distressed and that is preventing her from being able to complete her normal tasks. Abby correctly believed that it was normal to feel a little anxious sometimes; however, as the semester has progressed, she has not begun to feel significantly more comfortable. On the recommendation of a friend, Abby visited the university’s counseling center and talked to Dr. Smith. Dr. Smith was warm and welcoming and, after discussing the limits of confidentiality with Abby and obtaining informed consent, encouraged Abby to describe her concerns. Dr. Smith listened attentively and asked Abby a few questions. They both agreed on an appointment date and time for the next week. Dr. Smith gave Abby a homework assignment to keep a written log of the negative thoughts or assumptions she has during the week and the circumstances under which those thoughts occurred. Abby was asked to bring the log with her to her next appointment. Short-Answer Questions Answer the following questions based on the scenario above. Answers should be short and concise. 1. Which DSM-5 disorder matches the symptoms Abby is reporting? 2. Which theoretical model does the homework assigned by Dr. Smith match? 3. If Dr. Smith recommended medications only, which theoretical model would this match? 4. If Dr. Smith recommended medications in addition to therapy, which theoretical model would this match? 5. If Dr. Smith completed a free association exercise with Abby, which theoretical model would this match? 6. If Dr. Smith used unconditional positive regard in the treatment, which theoretical model would this match? 7. If instead of the symptoms listed in the scenario, Abby reported the following: She had been in a car accident where she feared for her life. She had sleep disturbances including nightmares and became uncomfortable at the thought of driving, to the point that she avoided driving. She now believes she is a horrible driver, although her friends assure her this is not true. If these symptoms have lasted for longer than a month, which DSM-5 disorder label might match her symptoms? 8. If instead of the symptoms listed in the scenario, Abby reported the following: Every day for the past 2 weeks she felt down or sad for most of the day, had noticed an increase in her appetite, had been unable to sleep or concentrate, and felt tired. Additionally, this was interfering with her goals and tasks, and she reported that she had never felt manic or hypomanic. Which DSM-5 disorder label might match her symptoms? 9. If instead of the symptoms l.

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Complete your treatment plan template ( I WILL COMPLETE THIS)for Eliza based on LAST WEEKS assignments findings. Additionally, write and submit a 700-1,050-word essay that includes the following: The treatment theory you would use and why. A description of how you would address any mental health, medical, legal, and substance use issues that the client exhibits in the case study through the lens of your counseling theory of choice. Include at least three scholarly sources in your paper. Submit the paper and the treatment plan to your instructor.(I WILL COMPLETE THE ATTACHED TREATMENT PLAN) I JUST WANTED YOU TO HAVE IT FOR REFERENCE, PLUS THE PAPER YOU WROTE LAST WEEK. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful CLASS TEXTBOOK REFERENCE: Schwitzer, A. M., & Rubin, L. C. (2014). Diagnosis and treatment planning skills: A popular culture approach (2nd ed.). Los Angeles, CA: Sage Publications. ISBN-13: 9781483349763 Here is the example BPS for eliza PCN-610 Eliza D Psychosocial Example Name: Eliza Doolittle Date: ********* DOB: ******** Age: 18 Start Time: 1:15p End Time: 2:00p Identifying Information: The client is a Caucasian female with average height and slender build. The client stated that she is currently a freshman in college, majoring in engineering. The client also stated that her family resides in a small town approximately two hours away. Presenting Problem: At the onset of the session, the client stated that she had come to counseling as a result of being caught in a campus dorm with alcohol (it is an alcohol-free campus). Concerning the incident, the client stated “the RAs were called because my friends were being too loud in my dorm. When they arrived, they saw us with alcohol, and we got in trouble.” The client stated that her friends in the dorm were intoxicated but she was not, adding, “I was just buzzed” and adding that she was drinking “because they were” and “it’s just something to do.” Life Stressors: The client identified school as a life stressor, adding “things came easy to me in high school, I just figured it would be the same in college”. The client went on to state that, in addition to the difficulty in increased study requirements, she had struggles in making friends, stating, “a lot of my friends from high school have either gone to college somewhere else or are doing other things,” although the client denied feeling lonely. Substance Use: Yes No The client denied having a drug or alcohol problem, adding that she tried marijuana once in high school but “I didn’t like how it made me feel” and had not taken it since. The client stated that she was introduced to alcohol in HS when “friends asked me to drink it with them.” The client .

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Assgn 2 – WK10 (C) Practicum: Decision Tree Childhood psychosis is extremely rare; however, children that present with psychosis must be carefully assessed and evaluated with appropriate interviewing of parent, child, and use of assessment tools. For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat clients presenting with early onset schizophrenia. The Assignment: Examine Case 3. You will be asked to make three decisions concerning the diagnosis and treatment for this client. Be sure to consider co-morbid physical as well as mental factors that might impact the client’s diagnosis and treatment. (N: B. A CASE STUDY WITH ANSWER SAMPLE IS ATTACHED WITH THIS ASSIGNMENT) At each Decision Point, stop to complete the following: · Decision #1: Differential Diagnosis o Which Decision did you select? o Why did you select this Decision? Support your response with evidence and references to the Learning Resources. o What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources. o Explain any difference between what you expected to achieve with Decision #1 and the results of the Decision. Why were they different? · Decision #2: Treatment Plan for Psychotherapy o Why did you select this Decision? Support your response with evidence and references to the Learning Resources. o What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources. o Explain any difference between what you expected to achieve with Decision #2 and the results of the Decision. Why were they different? · Decision #3: Treatment Plan for Psychopharmacology o Why did you select this Decision? Support your response with evidence and references to the Learning Resources. o What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources. o Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different? . Also include how ethical considerations might impact your treatment plan and communication with clients and their families. Note: Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement. Case #3 A young girl with strange behaviors BACKGROUND Carrie is a 13-year-old Hispanic female who is brought to your office today by her mother and father. They report that they were referred to you by their primary care provider after seeking her advice because Carrie’s behavior has been difficult to manage, and they don’t know ...

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Ella is a 15-year old high-school freshman. She lives in a small suburban town with her younger brother, Brody, and her parents, Minka and Bruce. In the past, Ella was always a straight-A student. She loved school and had many close friends. She was actively involved in cheerleading and drama club. Ella\'s parents report that over the last 6 months, Ella\'s grades have dropped significantly. She decided that cheerleading is \"not cool\" and she does not want to be in the drama club any more. She lost about 15 pounds and is often arguing with her brother and her family. She does not like to socialize with her friends anymore and is always on the computer but will not share what she is doing. Ella\'s parents recently reconciled after a 4-month separation. Bruce was just discharged from a substance-use inpatient center where he was receiving treatment for alcohol dependence. Her mother carries a diagnosis for anorexia nervosa but has not displayed any symptoms for 5 years. Both of her parents have been actively engaged in family counseling and individual therapy as well. Based on this scenario, answer the following: What additional information would be helpful for you to effectively form a diagnosis? What theory of adolescent development would you use to gain an understanding of what is happening with Ella? Remember, it is often necessary to consider and even apply more than one theory when working with an adolescent. How would you compare and contrast the development of Ella\'s issues from a cognitive, social, and psychodynamic perspective? Which theory best supports the behaviors that we are currently seeing with Ella? Solution The additional information that is required is whethere ella has gone for depression checkups or has been detected with depression and if she has received therapies. The theory is the ecological theory which tells about the interaction between indisvisual and the environment.This is given by URIE BRONFENBRENNER.This theory tells about yow the adolescents are influenced by family, peers, religion, schools, the media, community, and world events. Ella\'s case is the case of depression causes due to social anxiety as she doesnt want to meet people and her family was seprated for 4 months. She is going through phases but it doesnt include cognitive anxiety. The theory of social cognitive learning is very important for her to understand the relations and society..

Ella is a 15-year old high-school freshman. She lives in a small sub.pdf

Ella is a 15-year old high-school freshman. She lives in a small sub.pdf

Ella is a 15-year old high-school freshman. She lives in a small sub.pdf

Discussion 1: Family Assessment The first step in helping a client is conducting a thorough assessment. The clinical social worker must explore multiple perspectives in order to develop a complete understanding of the situation. From this understanding, the social worker is able to recognize the client’s strengths and develop effective strategies for change. For this Discussion, review the “Cortez Family” case history. · Post your description of how micro-, mezzo-, or macro-levels of practice aid social workers in assessing families. Assess Paula Cortez’s situation using all three of these levels of practice, and identify two strengths and/or solutions in each of these levels. · Describe the value in strength-based solutions. References (use 3 or more) Holosko, M. J., Dulmus, C. N., & Sowers, K. M. (2013). Social work practice with individuals and families: Evidence-informed assessments and interventions . Hoboken, NJ: John Wiley & Sons, Inc. · Chapter 9, “Assessment of Families” (pp. 237–264) Plummer, S.-B., Makris, S., & Brocksen, S. (Eds.). (2013). Sessions case histories . Baltimore, MD: Laureate International Universities Publishing. · “The Cortez Family” (pp. 23–25) Smokowski, P. R., Rose, R., & Bacallao, M. L. (2008). Acculturation and Latino family processes: How cultural involvement, biculturalism, and acculturation gaps influence family dynamics. Family Relations, 57 (3), 295–308. Discussion 2: Circumplex Model Understanding the level of cohesion of a family system is important in order to determine an effective treatment plan. Olson (2000) developed the Circumplex Model, which has been used in the areas of marital therapy and with families dealing with terminal illness. For this Discussion, you again draw on the “Cortez Family” case history. · Post your description of the Circumplex Model of Marital and Family Systems and how it serves as a framework to assess family systems. · Apply this framework in assessing the Cortez family. Use the three dimensions (cohesion, flexibility, and communication) of this model to assess and analyze. Describe how assessing these dimensions assists the social worker in treatment planning. References (use 3 or more) Holosko, M. J., Dulmus, C. N., & Sowers, K. M. (2013). Social work practice with individuals and families: Evidence-informed assessments and interventions . Hoboken, NJ: John Wiley & Sons, Inc. · Chapter 9, “Assessment of Families” (pp. 237–264) Plummer, S.-B., Makris, S., & Brocksen, S. (Eds.). (2013). Sessions case histories . Baltimore, MD: Laureate International Universities Publishing. · “The Cortez Family” (pp. 23–25) Smokowski, P. R., Rose, R., & Bacallao, M. L. (2008). Acculturation and Latino family processes: How cultural involvement, biculturalism, and acculturation gaps influence family dynamics. Family Relations, 57 (3), 295–308. Olson, D. H. (2000). Circumplex Model of Marital and Family Systems. Journal of Family Therapy, 22 (2), 144–167. ...

Discussion 1 Family AssessmentThe first step in helping a c.docx

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case study-heier

case study-heier

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FOR DR WITZ ONLY Dicussion question 1 For this discussion, refer to the information in the “Introduction to the Miller Family document .” Lucy Miller is a 20-year-old college student who has recently been diagnosed with bipolar disorder. Sarah Miller, her mother, recalls that as a teen, Lucy would get very talkative at night and couldn’t go to sleep. Sarah also recalled that Lucy was kicked off the cheerleading squad when her GPA fell below 3.0, and that during this time, Lucy’s friends were being mean to her. When this occurred, Lucy was “really down” for a couple of months. She didn’t want to talk to a counselor and she told her mother Sarah that she would be fine. Lucy blamed the entire situation on the issues with the girls in her class. However, coping with the mood swings became increasingly difficult for her. Lucy began experimenting casually with illegal drugs and found that they helped. Unfortunately, she kept getting them from friends at school and has now become addicted to them. Examine the potential biological basis for Lucy’s psychological disorder. What, if anything, in her family history might point to this issue being hereditary? Be sure to apply basic medical terminology where appropriate. Consider the biases that are often held regarding mental illness. How much volition is involved in mental illness? How much is related to environment and genetics? Do we think about mental illness differently when we know the person well versus if the person is a stranger (e.g., a homeless individual or a panhandler on the street)? Analyze the impact that our stage of lifespan development has on how we think of our own mental health and the mental health of others. What impact does it have on our associated behaviors and the long-term outcomes associated with the disorder? Discussion question 2 Refer to the information in the “Introduction to the Miller Family” document. For this discussion, choose one of the following family members currently experiencing issues with substance abuse and complete the discussion according to the instructions below. Option 1: Lucy Miller – As we learned in Discussion 1 this week, this 20-year-old college student has recently been diagnosed with bipolar disorder. As a coping mechanism for her wild mood changes, Lucy began experimenting with illegal drugs while still in high school and has now become addicted to them. Option 2: Lucy’s younger brother, Josh, was recently discovered using marijuana. His response to his parents when confronted was, “It’s just an herb! Grandma Ella says as long as it is natural, it is good.” In truth, Grandma Ella hasn’t said anything about marijuana and does not know that Josh has been using it. Option 3: Sam Miller, Lucy and Josh’s uncle, is an alcoholic. He is 50 years old, divorced, and estranged from both his ex-wife and their only son. He’s had no contact with either of them for many years. Sam has a long history of work and legal problems related to d.

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FOR DR WITZ ONLYDicussion question 1For this discussion, refer.docx

FOR DR WITZ ONLYDicussion question 1For this discussion, refer.docx

To prepare: Use a differential diagnosis process and analysis of the Mental Status Exam in "The Case of L" to determine if the case meets the criteria for a clinical diagnosis. Questions: Provide the full DSM-5 diagnosis. Remember, a full diagnosis should include the name of the disorder, ICD-10-CM code, specifiers, severity, and the Z codes (other conditions that may need clinical attention). Explain the full diagnosis, matching the symptoms of the case to the criteria for any diagnoses used. Identify 2-3 of the close differentials that you considered for the case and have ruled out. Concisely explain why these conditions were considered but eliminated. Identify the assessments you recommend to validate treatment. Explain the rationale behind choosing the assessment instruments to support, clarify, or track treatment progress for the diagnosis. Explain your recommendations for initial resources and treatment. Use scholarly resources to support your evidence-based treatment recommendations. Explain how you took cultural factors and diversity into account when making the assessment and recommending interventions. Identify client strengths, and explain how you would utilize strengths throughout treatment. Identify specific knowledge or skills you would need to obtain to effectively treat this client, and provide a plan on how you will do so. These questions are based on the following case: The Case of L Presenting Problem Client presented in the emergency room (ER) having been brought in the previous night by her parents. Following an argument with her parents, L cut her right wrist. L's mother reported that L started screaming rapidly and became physically violent toward her prior to cutting her own wrist. Psychological Data L is a 17-year-old Hispanic female who resides in Pennsylvania with her mother, father, and older sister. She is in 11th grade at the local public school. L appeared to be of average to above-average intelligence, as she was able to respond to numerous questions in an articulate and intelligent manner. She was well versed about world history and current affairs. Her mother confirmed that she has done well in school, maintaining a B+ average and participating in various school activities (e.g., chorus, school paper) until last year. L slowly dropped out of many activities she liked in the past. Her mother noticed about 8 months ago that L had also begun having difficulty doing schoolwork. Erratic behavior arose during episodes when L also became irritable and explosive. During these repeated episodes, she became quite defiant, cut classes, had to be placed in school detention, and had even assaulted the principal. L has numerous friends and believed she can relate to all types of people. She has a boyfriend who adores her, but she said she doesn't feel the same about him. The school counselor confirmed that L is outgoing, popular, and smart; but during these episodes she became another person, one who is very ...

To prepare Use a differential diagnosis process and analysis

To prepare Use a differential diagnosis process and analysis

To prepare Use a differential diagnosis process and analysis

maryettamckinnel

Reference Counseling Across Cultures 7 th Edition by Paul Pedersen SAGE Publications Each case response must be 1 page in length, with an APA Cover and Reference page. Case Study of Donna Little - Chapter 5 Donna Little is a 39-year-old Indian woman who has a history of substance misuse and has struggled with reunification with her adolescent children over the last 6 years. She was in residential school from the age of 6 to 16 years old. She has a history of domestic violence in her previous relationships. Donna was the youngest of four children in her family. Her parents, siblings, and herself were raised in the same small northern reservation. Both her parents had gone to residential school in the early 1950s, as did her grandfathers and grandmothers on both sides of her family system in the late 1910s. Donna was raised in an environment of violence and mayhem in her early childhood, which she has talked about quite extensively in counseling. Although her parents abused alcohol, she emphasizes repeatedly that her family was quite ceremonial and participated in the big drum feast and singing within the community. When Donna was 6, an Indian agent wearing a red, white, and black checkered jacket gave her candy and took her to the residential school. She never had the opportunity to say good-bye to her mom and dad, who died of tuberculosis while she was in the residential school. Donna reflects on her residential school experience with a despondent look. While in the residential school, she had only one friend she could count on. Her siblings, who were also at the school, were older and thus not allowed to play with her or sleep near her at the residence dorms. This created an incredible loneliness that Donna did not know how to fill, and often she would use alcohol to help numb that pain. She did not like to drink, but it helped her to stop her thinking badly about the past. Donna was a victim of sexual abuse in the residential school, primarily by the Roman Catholic priest who was in charge. The first time she was assaulted she was 7; the last assault occurred right before she ran away at age 16. When Donna had attempted to tell the head nun in charge of her dorm what was happening to her, she was beaten severely, to the point of unconsciousness. Donna recalls it was her friend, Sue, who nursed her back to health. Donna describes her life as difficult. She went home to her community, only to find a partner who turned out to be as violent toward her as her father was to her mother. She loves her children and cares for them deeply. She breast-fed her three children and still today can feel that connection to them. When her children were taken from her home after the last time her husband beat her, she spiraled out of control. Donna has had long periods of abstinence, has a home in her community that is well cared for, and now has a partner who loves her deeply. Donna is on welfare but hunts and fishes to help with sustenance. Donna and her ...

Reference Counseling Across Cultures 7th Edition by Paul Pederse.docx

Reference Counseling Across Cultures 7th Edition by Paul Pederse.docx

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PSYCHOLOGICAL EVALUATION CONFIDENTIAL Please note: The information in this report has been disclosed to you from records which are privileged Confidentiality is protected by Georgia State Law. No further disclosure of this information should be made without the written permission of the person or parents/guardian of the person to whom it pertains. Identifying Data: SS: xxx-xx-xxxx Date of Birth: 08/12/1986 Age: 23 Sex: Female Race; Caucasian Marital Status: Single Education: Twelfth grade in regular classes Date of Evaluation: 02/13/09 Assessment Techniques: Mental Status, WAIS-3, WRAT-3, MCMI-3. Information Reviewed: File from previous evaluation on 12/11/07. Issue: Diagnostic update and approval to work. Transportation: Brought to the evaluation by her great aunt but was unaccompanied. Medications: Lola did not bring her medications but said that she is prescribed medication to regulate her menstrual cycle. Psychologist: James Taylor, Ph.D. Psychometrist: Kate Markowitz, LMSW Vocational Rehabilitation Counselor: Jack Johnson BACKGROUNDINFORMATION: Lola was seen in this office on 12/11/07 for a psychological evaluation. She had a history of having been a slow learner in school. Testing with the WAIS-3 suggested low average intelligence with stronger word recognition skills than computational skills. She also was noted to be a rather anxious individual who sometimes had difficulty getting along with others. As was previously noted, Lola was born in Huntsville, AL to Cindy and John Copacabana. She has a brother. Her father did roofing work and her mother was a daycare worker. She said that her father was often away and her mother worked. Her parents were separated and Lola mostly stayed with her grandparents. Lola has not married nor does she report children. Psychiatric hospitalization is denied. Lola said that she went to mental health on one occasion but has never been treated on a regular basis. She has never abused alcohol or drugs. She has never been in trouble with the law. She said that she was injured while riding a four-wheeler but she feels as though she has recovered. She reports that she has no medical concerns. In regards to employment history, Lola last worked at Second Baptist church taking care of children. She was employed for a couple of months but lost her job in January. She said that she was told that she was no longer needed. Prior to that, she had worked for a couple weeks at two different daycare centers. At one of them she was told that she needed more experience with children to be effective in their program. Kroger's Grocery Store employed her for about four months in 2007. She was a C.N.A. for four or five months at a nursing home around 2005. Lola depends on her mother for support. Lola lives with her mother and 12-year-old brother in a two-bedroom apartment. She usually gets up by around 10:00. She makes her bed and does a few chores around the house. She may wash dishes or take ...

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1. CARRIE Carrie was a second year college student when she first began having problems. She would go days without sleeping. She began having trouble concentrating in school and stopped going to classes. She started having sexual relationships with 4 different men and she spent all of the money she had for the school year in three months. When her parents discovered the problems, they brought her in for evaluation. Carrie did not feel that anything was wrong. She felt that she had just made several poor decisions, like anyone her age. Her parents felt things were not the same. She had always been a thoughtful, responsible person prior to the last several months. SUSIE Susie is a 20-year-old sophomore at a small Midwestern college. For the past five days she has gone without any sleep whatsoever and she has spent this time in a heightened state of activity which she herself describes as “out of control.” For the most part, her behavior is characterized by strange and grandiose ideas that often take on a mystical or sexual tone. For example, she recently proclaimed to a group of friends that she did not menstruate because she was a “of a third sex, a gender above the human sexes.” When her friends questioned her on this, she explained that she is a “superwoman” who can avoid human sexuality and still give birth. That is, she is a woman who does not require sex to fulfill her place on earth. Carrie exhibits a negative behaviours such as impulsive decision making, stop attending classes and didn’t concentrate in classes. However, the only behaviour that link with bipolar disorder, and exhibited by patient, is receiving less sleep and hyperactive behaviour, while other symptoms wasn’t exhibit yet. Doctor insisted that patient didn’t developed bipolar disorder yet, however According to patient history, patient exhibits a behaviour of mania-bipolar disorder, as she contain gladius level of self esteem and hyperactive behaviour, which made her received less sleep than usual. However there’s also possibility of Schizophrenia, however patient didn’t exhibit any other physical behaviour of Schizophrenia yet. Further