Kemoni Jenkins, a 14 year old male African American, (the client) is a young man suffering from a combination of several bad attributes such as depression, anxiety all related to events such as his parents’ divorce, drug abuse and fighting. He describes himself as a normal young man attempting to live his life in a different manner. He is often found under the influence ....http://essay-my-way.com/buy-term-paper/
2. Evaluation
14 years old
African American Male
• Related to parents divorce
• Drug abuse
• fighting
Suffering from depression, anxiety
Marijuana helps him escape from
•police
•School administration
•Parents
•Also helps calm nerves and relax his body
Mother and Step-father
• Says they use drugs excessively
• Stopped his stepfather from driving or
texting under the influence of marijuana
Describes himself as
•Careful
•Admits to having anger and behavior issues
•Wild and angry when provoked
•Identifies with his abusive father
4. Legal Relationship
Divorced
Dating
Neglected /
Abandoned
Man
Woman
Deceased
Drug Addict
Confused
Social Issues
Religious
Mental Illness*
Obesity
Status Conscious
Relationships Personal
or
or
or
or
or
Cool and Calm
Anger
Confused
Strong Communication
Pregnant
Liar
Todd
Marcus
34 Years old
Robert
Montgomery
48 years old
Tammy Jenkins
30 years old
Stacy
Williams
46 years old
Kamoron
Parker
8 years
Kemani
Jenkins
14 years
Tiffanny
Keith Parker
5 years
Terry
James
Parker
29 years
Tina
Gerald
30 years
Larry
Shelton
06/08/1950
Terrence
31 years
5. Legal Relationship
Divorced
Dating
Distrust
Cutoff
Emotional connection
Distant
Conflict
Love and
understanding
Man
Woman
Deceased
Drug Addict
Confused
Social Issues
Religious
Mental Illness*
Obesity
Status Conscious
Relationships Personal
or
or
or
or
or
Cool and Calm
Anger
Confused
Strong Communication
Pregnant
Liar
Marcus
34 Years old
Robert
Montgomery
48 years old
Tammy Jenkins
30 years old
Stacy
Williams
46 years old
Kamoron
Parker
8 years
Kemani
Jenkins
14 years
Tiffanny
Keith Parker
5 years
Terry
James
Parker
29 years
Tina
Gerald
30 years
Larry
Shelton
06/08/1950
Terrence
31 years
Todd
6. Key Problems
Defiance
• Common with individuals his age
• Most adolescents are bound to be aggressive
• This behavior must be checked so that it doesn’t continue to adulthood
Depressed
• Uses marijuana as an escape
• Fallen out with his father
• Constantly fighting, theft, lying and defying authority
Anger management
• Violent outbursts
• Behavior management
Low concentration
• Fidgets a lot and even stands up during exam
7. Diagnosis DSM-IV System
• Sees that everything should work his way if not
then depression sets in
• Probably caused by divorce proceedings
between parents, poverty and his conflicts with
his father
Axis 1-Depression and
anxiety disorder
• force everything into their own terms and
conditions.
Axis 2 – Obsessive-
Compulsive Disorder
Axis 3 – none
• bad relationship with his parents, teachers and
peers
• Only close to his grandmother probably
strengthened by receipt of money every week
Axis 4 – Relationship
Issues
• He is a normal human being
• This behavior is a form of adaptive mechanism to
cushion himself from those around him
Axis 5 – Functional
8. Goals, Objectives and Theoretical Plan
•Behavioral approach to the understanding and
diagnosis of Jenkins condition is the most appropriate
method to acquire information (Robert et al 2009).
•The psychiatrist integrated a
combined cognitive and behavioral
approach to his study. This
combination brought about a
cognitive behavioral approach
(Richard 2010)
•Studies both the mental patterns as
well as the behavior of the individual
at certain intervals
•The client is able to understand how his
brain affects his behavior and his relations
with other members of the society.
•Ultimate goal is to understand
and solve the psychological issues
facing this young man and avoid
recurrence
•Short-term goals are to apply
reality therapy to help him
become more responsible for his
actions
9. Treatment Plan
mandatory test to determine the extent of the diagnosis
to confirm or deny the results that were acquired
Mandatory Wednesday evening group therapy session
Mandatory Saturday individual session
Combination of reality therapy and group therapy
Retest done after twelve weeks
Editor's Notes
Kemoni Jenkins is a depressed young man. He presently uses marijuana on a daily basis just like his mother and stepfather. He has fallen out with his father having ending their relationship in a fight. He left his father’s house two years ago to come live with his mother. The decision to undergo counseling was the mother’s as she sought to prevent the son from going down her road. His mother identified this need amid the constant fights, quarrels, constant lying, theft and defying authority. This is also fuelled by the serious conflict that he has with the parents, his peers and teachers often leading to losses and property destruction. His mother feels the need to attend counseling sessions primarily to help him handle some of his problems including his anger issues, constant loud and violent outbursts, behavior management and depression.
The young man presents a problem to the psychiatrist at first resulting from his uncooperativeness. He chooses not to answer the psychiatrist during question time to assess the immediate need of the client. He has a slight body odor and tattered clothing depicting heavy influence of drugs. He can barely concentrate during the psychiatric exam and keeps fidgeting all the time. He goes to an extent of standing up and moving around touching anything in his path. He also has strange injury marks on his arms and legs that may have resulted from the constant fighting and conflict.
The fact that the client is completely unwilling to listen and even interact with the psychiatrist gives him away as having a personality disorder. He is keen on correcting his stepfather on mistakes that he commits himself every now and then. He is compulsive requiring that his peers bow before him. In addition to this, the client’s behavior shows signs of being an obsessive personality problem. This is due to his constant desire to be organized and correct others around him. Obsessive-compulsive disorder is inherent in the individual depicted from the way he wants things done his way.
Diagnosis as Per the DSM-IV System
Axis 1 – Anxiety Disorder
Depression
This axis depicts the mental conditions of the patient as per clinical tests. The client suffers from both an anxiety problem and later depression. His anxiety disorder comes with the need to see everything working his way. Depression soon follows with things not working the way he would wish to have them work. The divorce proceedings between the mother and the father, poverty and his constant quarrel with his father could be the reason for his depression.
Axis 2 – Obsessive-Compulsive Disorder
This axis relates in a way to the first. Obsessive-compulsive disorder is a serious medical condition where individuals force everything into their own terms and conditions. This axis relates to personality disorders almost similar to the axis one.
Axis 3 – none
Axis 4 – Relationship Issues
This axis assesses the behavioral attitudes of the client. The client has a bad relationship with his parents, teachers and peer. He only maintains one good relationship with his grandmother who gives him twenty dollars every weekend. These present the psychological issues that may have forced the client to behave in that manner.
Axis 5 - Functional
This is an assessment used by counselors to rate individuals. Despite the bad behavior that the client displays to the world, he is a normal human being. He displays such behavior as a form of behavioral adaptation mechanism. He uses it to cushion from the constant attacks from family, teachers and other young students.
A behavioral approach to the understanding and diagnosis of Jenkins condition is the most appropriate method to acquire information (Robert et al 2009). Since this method is not entirely conclusive, the psychiatrist integrated a combined cognitive and behavioral approach to his study. This combination brought about a cognitive behavioral approach (Richard 2010) that studies both the mental patterns as well as the behavior of the individual at certain intervals. This is a wholesome method where the client is able to understand how his brain affects his behavior and in turn affecting his relations with other members of the society.
The ultimate goal of this study is to find out exactly what psychological issues face this young man, how to solve them and how to teach him to avoid a recurrence of such events. The short-term goals in this case will be for the client to apply reality therapy involving a series of daily activities. These activities will be meant to help the client be responsible for his actions as well as his reactions towards other people.
First, the client will be issued with a mandatory test that determines to a greater extent the diagnosis done. This will be a test to either confirm or deny the results acquired from the previous diagnosis.
The client will have a scheduled Wednesday evening group therapy session in which he is to attend without fail. He is also going to be scheduled to attend a Saturday morning individual counseling session. The different sessions enable the client to learn different things. The Wednesday session for instance give the client an opportunity to interact with people who have successfully gone through the program. The Saturday session gives the client an opportunity to talk on a one-on-one basis with the counselor to identify areas of weaknesses and successes achieved through the week.
A combination of both reality therapy and group therapy will be used in these sessions meant to last a total of twelve weeks. This is important since it allows the clients to interact with different kinds of people and develop a positive attitude towards them. This can then be replicated in their daily activities be it in school or at home. Of major interest in the sessions is the education on the effects of drug and substance abuse and how one can desist from using them and changing his life for the better.
Finally, a retest is done at the end of the twelve weeks to assess how much the behavior of the client has changed over that period. This test will seek to identify among other things behavior change, knowledge acquired and attitude change. This is meant to give a positive result failure to which the sessions would have been fruitless and unsuccessful.