Principles of cognitive behavioral therapy.docx
•Download as DOCX, PDF•
0 likes•2 views
S. is a 48-year-old divorced woman with a history of unstable employment and relationships. She is currently not on good terms with her daughter and hasn't seen her grandchildren in over a year. S. struggles with mood regulation, blaming others for problems, and reacting angrily during conflicts. She has a history of stopping mental health treatment prematurely. Cognitive behavioral therapy could help her identify dysfunctional thought and behavior patterns and develop coping skills. A full assessment is needed to identify any co-morbid conditions like depression or personality disorders. Appropriate referrals to psychiatry, therapy, and support groups could help stabilize her situation.
Report
Share
Report
Share
Recommended
NUR2488 Module 07 Borderline Personality Disorder Case S.docx
NUR2488 Module 07 Borderline Personality Disorder Case Study
S.is a 48-year-old divorced woman with one adult daughter and three grandchildren. She is currently working as an LPN part-time in a nursing home and works at a convenience store one or two days per week. She has had many jobs over the last 22 years, usually changing every one or two years to a new job. S notes that she has been called less often to work in the convenience store and worries that they don’t like her anymore. She reports being written up several times for arguing with customers. She also reports that she liked her supervisor at; first; she says, “Now I hate her; she’s trying to get me fired.” S. reports that she has tried to get full-time jobs five times in the last four years was hired for three but only lasted one or two weeks at each one.
S. reports that she is currently not talking to her daughter because “she is mean to me and she needs to apologize, or I won’t talk to her again.” She is upset that she hasn’t seen her three small grandchildren in about a year. She sends them presents and cards frequently that say “I still love you! Grandma” but hasn’t called them since she stopped talking to her daughter. She is considering reporting to the county that her daughter is keeping her grandchildren from her.
S. is very unhappy that she isn’t in a relationship. She was abused by her ex-husband and had a pattern of meeting and dating men who eventually abused her. She states that her last relationship was very good; the man was not abusive, and “I loved him very much.” The relationship ended for reasons that S. doesn’t understand. However, she does report many arguments that ended in “scenes,” such as her throwing chairs, stomping out of the house, making crank phone calls to his family, and calling the police with false reports. But S. also reports that she “couldn’t have loved him more, and I showed it.” She gives examples of going to her boyfriend’s place of work with flowers, buying him expensive presents, surprising him with tickets to Mexico at the last minute – she was very upset that he wasn’t willing to drop everything and go with her. S. reports asking him why he didn’t love her and what she was doing wrong regularly. When the boyfriend asked to break up, S. reported sitting outside his house for weeks, crying; she called his mother, called his boss, and called and texted him until he filed a restraining order. This occurred about four months ago.
S. admitted herself to the mental health unit when she felt suicidal. She reports that she had stopped her psychotherapy three months ago and stopped going to DBT. She also stopped her anti-depressant at that time, as she felt it wasn’t working, and missed her last two psychiatrist appointments.
image1.png
.
Case Study Treatment PlanIntroductionStellaOscarIntroductionFor yo.docx
Case Study Treatment PlanIntroductionStellaOscarIntroduction
For your course project, you will develop a treatment plan for one case study subject that you select from two possible candidates. These potential clients are ethnically diverse and are struggling with psychological disorders, which may require medication.
During the course of this project you will:Evaluate client information.Review possible assessment techniques.Offer a diagnostic impression.Review various behavioral and pharmacological treatments.Discuss the legal and ethical ramifications of the disorder and proposed treatments.Review the impact of diversity issues on various disorders and their treatments.Develop a suggested treatment plan for the client.
You will select one of the case studies presented on the next page of this presentation as your client for this treatment plan project. Then you will use the Case Study Treatment Plan Template, provided in the Resources to complete your assignments for this project. Each section of the template includes a description of the type of information you will need to include. You should type your paper directly into this template, save it as a Word document with your name, and then submit it to the assignment area.Stella's Case Study
Stella is a 38 year old biracial (African American and Native American) woman who has just been assigned to you as a client. You are currently working as a counselor for your county community mental health agency. You received the following information about her as background and history.
Stella is the only child of a Caucasian couple who are now deceased. She was adopted as an infant in a closed adoption, so that none of her birth parents' records are available. The only informal information that Stella remembers her parents telling her is that her mother was 16 years old at the time of Stella's birth and had been raped while at a high school football game.
Stella currently lives in a small city of 150,000 people where she is employed as a book-keeper for the local meat packing plant. She has worked there for 3 years. Her educational background includes an associate's degree in accounting and continuing education in tax preparation. Before working for this plant, she was employed as a tax preparer for a national company. She enjoys her work, saying that numbers are easier to get along with than people.
She has been married to her husband (Doug) for 18 years and has a 16 year old son (Tyrone), who is currently a junior in high school. Her son plays baseball on the school team and is a solid B student. Her husband is a long distance truck driver. He is often away from home for two weeks at a time. He is then at home for 3 to 4 days before he leaves on another trip. Stella reports that she stays at home and feels "blue" when her husband is on the road. Although there have been some problems in the marriage due to Stella's mental health concerns, the couple seems committed to each other and to staying in t ...
This has the therapist and client conversationCase Conceptuali.docx
This has the therapist and client conversation
Case Conceptualization and Treatment Plan
Develop a clear and thorough understanding of the presented case in the video shown in class.
Write a 2,800- to 3,500-word paper using the Clinical Case Study Guidelines document to prepare your analysis of the video presented in class.
Review your notes taken during the counseling session presented in class. Use the DSM 5 and additional professional sources as you explore the client's situation, potential diagnosis, treatment planning, and legal and ethical concerns.
Select a theoretical orientation to complete the analysis of the client.
Discuss the presenting problem from the theoretical perspective, and include language from the theory throughout the case conceptualization. Include the following:
•Summarize the client's background and present living situation, addressing diversity and the human life cycle.
•Discuss the client's present level of functioning and provide examples from the Unnamed Video to support your assessment.
•Identify the client's key problems and issues. Discuss which problems the client is experiencing and why the client is having these problems.
•Propose a theoretical orientation that would be appropriate to use with this client and discuss the theory and application.
•Provide a logical and rational assessment of the client and a diagnosis that is consistent with the assessment. Support the diagnosis using the DSM 5 and other research.
•Identify appropriate goals and interventions that are consistent with the assessment, diagnosis, and theoretical orientation. Discuss how these might be addressed within the treatment sessions.
•Recommend psychometric tools that would be appropriate for further assessing the client's needs based on background and diagnosis. Justify your recommendations.
•Identify thoughts and behaviors that you would use as criteria to determine readiness for successful client termination.
•Identify important legal and ethical issues and propose resolutions. Support your resolutions with appropriate codes of ethics and legal statutes.
•Use peer-reviewed sources to support your ideas throughout the paper.
Format your paper consistent with APA guidelines.
4 goals – 3 short term and 1 long term each having 3 interventions = 12 interventions. No objectives only goals and interventions.
CLIENT NAME: LIZ
DATE OF BIRTH:
PHONE:
PRIMARY LANGUAGE: English
EDUCATION:
REFERENCE BY: Friend
OCCUPATION: Homemaker
ASSESSMENT DATE: 01/05/2017
EVALUATED BY:
DESCRIPTION OF THE CLIENT The client is a 34-year-old woman Hispanic female, dressed casually and neat, clean clothing. She made normal eye contact, she spoke in expressive voice, and appeared sad manifested by tears. PRESENTING PROBLEM The client reports for the past two months her experiencing hopelessness, depression and anxiety because of negative core beliefs that she is inadequate, worthless and a failure. The client reports “I have a lot on my ...
The Case of LPresenting Problem Client presented in the emerge.docx
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 .
Running Head CLINICAL REPORT .docx
Running Head: CLINICAL REPORT 1
Iman A. Student
Clinical Intake Report
Liberty University
CLINICAL REPORT 2
CLINICAL INTAKE REPORT
1. CLIENT DEMOGRAPHIC INFORMATION
Mrs. M is a 31-year-old, married, white female who lives with her husband of three and a half years.
They currently have no children. Her primary language is English, and her religious affiliation (which
she reports as important to her) is Christianity. As an LPC, Mrs. M reports earning an annual income
of approximately 50K.
2. INITIAL/GENERAL IMPRESSIONS
Mrs. M is approximately 5’3” and moderately overweight. Her general appearance was neat and
professional (dress pants and blouse). She was very friendly and open in her interactions, both
verbally and with her body language. Mrs. M. was actively engaged in the interview process, and
seemed interested and attentive throughout the entire length of the interview. She was well-spoken
and appeared to be intelligent. Mrs. M’s facial expressions, body language and tone of voice
indicated a euthymic and reasonably positive mood throughout the interview. Of particular note,
however, is that Mrs. M. seemed to laugh at inappropriate times (e.g., when describing some of her
current frustrations with her husband, when describing the loss of her older sister, and when
discussing her experiences with sexual abuse as a child).
3. REASON FOR COMING/PRESENTING CONCERNS
Mrs. M has been married for 3.5 years. She reports that the marriage “is not working”, and that she is
“very unhappy in the marriage.” Her dissatisfaction began within the first month of marriage when she
began to feel like she “made a mistake” and “rushed into something that [she] was not ready for.”
When asked how she might be contributing to her current marital unhappiness, she replied, “I said ‘I
do’ before I realized what I was getting into.”
Mrs. M. went on to report that she felt deceived by her husband because he did things while they
were dating that stopped within the first month after they were married. When asked for examples,
Mrs. M said, “going to church together, praying together, going out with friends together, and even
holding a steady job.” Mrs. M reported that when they were dating, her husband presented himself as
“a motivated, well-rounded person with peer support.” Mrs. M said that after they married, Mr. M
dropped all of his friends, and she became his “sole relationship.” She reports feeling pressured to
stay at home with her husband when she would like to be going out with friends. Further, she says
that Mr. M is resentful when she does go out with her friends. She says it feels like her husband
“wants her home—all to himself.” Mrs. M also reports that her husband quit his job soon after they
married, and hasn’t earned a ...
As the intake worker at a local community mental health access cente.docx
As the intake worker at a local community mental health access center, a thorough assessment needs to be completed for every person that comes in looking for support and services. Because of the variety of illnesses and treatment options, the more accurate your assessment and treatment plan the more help you will provide for the client.
Choose from one of the provided
case studies
to complete the
assessment and treatment plan
using the template provided.
Directions:
Choose a case study.
Fill out the assessment and treatment form.
Write a separate summary at the end of the form explaining the best psychological theory that would best fit understanding this case study. Be sure to include ethical and cultural considerations.
Assignment 1 Grading Criteria
Maximum Points
Assessment form.
20
Description of the disorder and explanation of the symptoms best explain the behavior of the case study.
32
Apply assessment information to treatment planning stage.
36
Choice and justification of a theory that fits best with this particular case.
32
Complete treatment plan form.
20
Summary of case study.
28
Analysis of the most appropriate treatment theory.
36
Explanation of where ethical and cultural considerations may arise and what could be done to provide ethical and culturally sensitive treatment.
32
Organization: Writing, Ideas, Transitions, and Conclusion
16
Usage and Mechanics: Grammar, Spelling, and Sentence structure
16
APA Elements: Attribution, Paraphrasing, and Quotations
24
Style: Audience, and Word Choice
8
Total:
300
*
Case Studies to choose from Just choose The easiest one an there is a Acessment form that needs to be completed all are attached.
Case Study #1
Young-Hwa, a 40-year-old Korean male, had immigrated to the United States 15 years ago without proper documentation. He had a hard life because, despite his training as a chef in Korea, he had difficulty finding a well-paying job without proper documentation. He also had a hard time getting along with others for long periods of time in some of the kitchens that he worked for.
He would do really well for a while talking about how much he enjoyed the job thinking that this was going to be his lucky break, but after several months he would either quit or get fired.
During these times of being out of work he is very depressed and irritable and will sleep for days without coming out of his bedroom.
After many years of various positions including kitchen assistant and assistant cook, he finally landed his dream job of a top chef in a Korean restaurant.
He recently was married to a Caucasian woman who had a daughter from a prior relationship and now they have twin sons.
Their marriage would be described as fairly good with some hard times.
His wife knows his work history and occasionally will threatened that if he messes this one up, she and the children will be leaving him.
However, most of the time she only threatens this when she is angry about not being able to .
To prepare Use a differential diagnosis process and analysis
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 ...
Recommended
NUR2488 Module 07 Borderline Personality Disorder Case S.docx
NUR2488 Module 07 Borderline Personality Disorder Case Study
S.is a 48-year-old divorced woman with one adult daughter and three grandchildren. She is currently working as an LPN part-time in a nursing home and works at a convenience store one or two days per week. She has had many jobs over the last 22 years, usually changing every one or two years to a new job. S notes that she has been called less often to work in the convenience store and worries that they don’t like her anymore. She reports being written up several times for arguing with customers. She also reports that she liked her supervisor at; first; she says, “Now I hate her; she’s trying to get me fired.” S. reports that she has tried to get full-time jobs five times in the last four years was hired for three but only lasted one or two weeks at each one.
S. reports that she is currently not talking to her daughter because “she is mean to me and she needs to apologize, or I won’t talk to her again.” She is upset that she hasn’t seen her three small grandchildren in about a year. She sends them presents and cards frequently that say “I still love you! Grandma” but hasn’t called them since she stopped talking to her daughter. She is considering reporting to the county that her daughter is keeping her grandchildren from her.
S. is very unhappy that she isn’t in a relationship. She was abused by her ex-husband and had a pattern of meeting and dating men who eventually abused her. She states that her last relationship was very good; the man was not abusive, and “I loved him very much.” The relationship ended for reasons that S. doesn’t understand. However, she does report many arguments that ended in “scenes,” such as her throwing chairs, stomping out of the house, making crank phone calls to his family, and calling the police with false reports. But S. also reports that she “couldn’t have loved him more, and I showed it.” She gives examples of going to her boyfriend’s place of work with flowers, buying him expensive presents, surprising him with tickets to Mexico at the last minute – she was very upset that he wasn’t willing to drop everything and go with her. S. reports asking him why he didn’t love her and what she was doing wrong regularly. When the boyfriend asked to break up, S. reported sitting outside his house for weeks, crying; she called his mother, called his boss, and called and texted him until he filed a restraining order. This occurred about four months ago.
S. admitted herself to the mental health unit when she felt suicidal. She reports that she had stopped her psychotherapy three months ago and stopped going to DBT. She also stopped her anti-depressant at that time, as she felt it wasn’t working, and missed her last two psychiatrist appointments.
image1.png
.
Case Study Treatment PlanIntroductionStellaOscarIntroductionFor yo.docx
Case Study Treatment PlanIntroductionStellaOscarIntroduction
For your course project, you will develop a treatment plan for one case study subject that you select from two possible candidates. These potential clients are ethnically diverse and are struggling with psychological disorders, which may require medication.
During the course of this project you will:Evaluate client information.Review possible assessment techniques.Offer a diagnostic impression.Review various behavioral and pharmacological treatments.Discuss the legal and ethical ramifications of the disorder and proposed treatments.Review the impact of diversity issues on various disorders and their treatments.Develop a suggested treatment plan for the client.
You will select one of the case studies presented on the next page of this presentation as your client for this treatment plan project. Then you will use the Case Study Treatment Plan Template, provided in the Resources to complete your assignments for this project. Each section of the template includes a description of the type of information you will need to include. You should type your paper directly into this template, save it as a Word document with your name, and then submit it to the assignment area.Stella's Case Study
Stella is a 38 year old biracial (African American and Native American) woman who has just been assigned to you as a client. You are currently working as a counselor for your county community mental health agency. You received the following information about her as background and history.
Stella is the only child of a Caucasian couple who are now deceased. She was adopted as an infant in a closed adoption, so that none of her birth parents' records are available. The only informal information that Stella remembers her parents telling her is that her mother was 16 years old at the time of Stella's birth and had been raped while at a high school football game.
Stella currently lives in a small city of 150,000 people where she is employed as a book-keeper for the local meat packing plant. She has worked there for 3 years. Her educational background includes an associate's degree in accounting and continuing education in tax preparation. Before working for this plant, she was employed as a tax preparer for a national company. She enjoys her work, saying that numbers are easier to get along with than people.
She has been married to her husband (Doug) for 18 years and has a 16 year old son (Tyrone), who is currently a junior in high school. Her son plays baseball on the school team and is a solid B student. Her husband is a long distance truck driver. He is often away from home for two weeks at a time. He is then at home for 3 to 4 days before he leaves on another trip. Stella reports that she stays at home and feels "blue" when her husband is on the road. Although there have been some problems in the marriage due to Stella's mental health concerns, the couple seems committed to each other and to staying in t ...
This has the therapist and client conversationCase Conceptuali.docx
This has the therapist and client conversation
Case Conceptualization and Treatment Plan
Develop a clear and thorough understanding of the presented case in the video shown in class.
Write a 2,800- to 3,500-word paper using the Clinical Case Study Guidelines document to prepare your analysis of the video presented in class.
Review your notes taken during the counseling session presented in class. Use the DSM 5 and additional professional sources as you explore the client's situation, potential diagnosis, treatment planning, and legal and ethical concerns.
Select a theoretical orientation to complete the analysis of the client.
Discuss the presenting problem from the theoretical perspective, and include language from the theory throughout the case conceptualization. Include the following:
•Summarize the client's background and present living situation, addressing diversity and the human life cycle.
•Discuss the client's present level of functioning and provide examples from the Unnamed Video to support your assessment.
•Identify the client's key problems and issues. Discuss which problems the client is experiencing and why the client is having these problems.
•Propose a theoretical orientation that would be appropriate to use with this client and discuss the theory and application.
•Provide a logical and rational assessment of the client and a diagnosis that is consistent with the assessment. Support the diagnosis using the DSM 5 and other research.
•Identify appropriate goals and interventions that are consistent with the assessment, diagnosis, and theoretical orientation. Discuss how these might be addressed within the treatment sessions.
•Recommend psychometric tools that would be appropriate for further assessing the client's needs based on background and diagnosis. Justify your recommendations.
•Identify thoughts and behaviors that you would use as criteria to determine readiness for successful client termination.
•Identify important legal and ethical issues and propose resolutions. Support your resolutions with appropriate codes of ethics and legal statutes.
•Use peer-reviewed sources to support your ideas throughout the paper.
Format your paper consistent with APA guidelines.
4 goals – 3 short term and 1 long term each having 3 interventions = 12 interventions. No objectives only goals and interventions.
CLIENT NAME: LIZ
DATE OF BIRTH:
PHONE:
PRIMARY LANGUAGE: English
EDUCATION:
REFERENCE BY: Friend
OCCUPATION: Homemaker
ASSESSMENT DATE: 01/05/2017
EVALUATED BY:
DESCRIPTION OF THE CLIENT The client is a 34-year-old woman Hispanic female, dressed casually and neat, clean clothing. She made normal eye contact, she spoke in expressive voice, and appeared sad manifested by tears. PRESENTING PROBLEM The client reports for the past two months her experiencing hopelessness, depression and anxiety because of negative core beliefs that she is inadequate, worthless and a failure. The client reports “I have a lot on my ...
The Case of LPresenting Problem Client presented in the emerge.docx
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 .
Running Head CLINICAL REPORT .docx
Running Head: CLINICAL REPORT 1
Iman A. Student
Clinical Intake Report
Liberty University
CLINICAL REPORT 2
CLINICAL INTAKE REPORT
1. CLIENT DEMOGRAPHIC INFORMATION
Mrs. M is a 31-year-old, married, white female who lives with her husband of three and a half years.
They currently have no children. Her primary language is English, and her religious affiliation (which
she reports as important to her) is Christianity. As an LPC, Mrs. M reports earning an annual income
of approximately 50K.
2. INITIAL/GENERAL IMPRESSIONS
Mrs. M is approximately 5’3” and moderately overweight. Her general appearance was neat and
professional (dress pants and blouse). She was very friendly and open in her interactions, both
verbally and with her body language. Mrs. M. was actively engaged in the interview process, and
seemed interested and attentive throughout the entire length of the interview. She was well-spoken
and appeared to be intelligent. Mrs. M’s facial expressions, body language and tone of voice
indicated a euthymic and reasonably positive mood throughout the interview. Of particular note,
however, is that Mrs. M. seemed to laugh at inappropriate times (e.g., when describing some of her
current frustrations with her husband, when describing the loss of her older sister, and when
discussing her experiences with sexual abuse as a child).
3. REASON FOR COMING/PRESENTING CONCERNS
Mrs. M has been married for 3.5 years. She reports that the marriage “is not working”, and that she is
“very unhappy in the marriage.” Her dissatisfaction began within the first month of marriage when she
began to feel like she “made a mistake” and “rushed into something that [she] was not ready for.”
When asked how she might be contributing to her current marital unhappiness, she replied, “I said ‘I
do’ before I realized what I was getting into.”
Mrs. M. went on to report that she felt deceived by her husband because he did things while they
were dating that stopped within the first month after they were married. When asked for examples,
Mrs. M said, “going to church together, praying together, going out with friends together, and even
holding a steady job.” Mrs. M reported that when they were dating, her husband presented himself as
“a motivated, well-rounded person with peer support.” Mrs. M said that after they married, Mr. M
dropped all of his friends, and she became his “sole relationship.” She reports feeling pressured to
stay at home with her husband when she would like to be going out with friends. Further, she says
that Mr. M is resentful when she does go out with her friends. She says it feels like her husband
“wants her home—all to himself.” Mrs. M also reports that her husband quit his job soon after they
married, and hasn’t earned a ...
As the intake worker at a local community mental health access cente.docx
As the intake worker at a local community mental health access center, a thorough assessment needs to be completed for every person that comes in looking for support and services. Because of the variety of illnesses and treatment options, the more accurate your assessment and treatment plan the more help you will provide for the client.
Choose from one of the provided
case studies
to complete the
assessment and treatment plan
using the template provided.
Directions:
Choose a case study.
Fill out the assessment and treatment form.
Write a separate summary at the end of the form explaining the best psychological theory that would best fit understanding this case study. Be sure to include ethical and cultural considerations.
Assignment 1 Grading Criteria
Maximum Points
Assessment form.
20
Description of the disorder and explanation of the symptoms best explain the behavior of the case study.
32
Apply assessment information to treatment planning stage.
36
Choice and justification of a theory that fits best with this particular case.
32
Complete treatment plan form.
20
Summary of case study.
28
Analysis of the most appropriate treatment theory.
36
Explanation of where ethical and cultural considerations may arise and what could be done to provide ethical and culturally sensitive treatment.
32
Organization: Writing, Ideas, Transitions, and Conclusion
16
Usage and Mechanics: Grammar, Spelling, and Sentence structure
16
APA Elements: Attribution, Paraphrasing, and Quotations
24
Style: Audience, and Word Choice
8
Total:
300
*
Case Studies to choose from Just choose The easiest one an there is a Acessment form that needs to be completed all are attached.
Case Study #1
Young-Hwa, a 40-year-old Korean male, had immigrated to the United States 15 years ago without proper documentation. He had a hard life because, despite his training as a chef in Korea, he had difficulty finding a well-paying job without proper documentation. He also had a hard time getting along with others for long periods of time in some of the kitchens that he worked for.
He would do really well for a while talking about how much he enjoyed the job thinking that this was going to be his lucky break, but after several months he would either quit or get fired.
During these times of being out of work he is very depressed and irritable and will sleep for days without coming out of his bedroom.
After many years of various positions including kitchen assistant and assistant cook, he finally landed his dream job of a top chef in a Korean restaurant.
He recently was married to a Caucasian woman who had a daughter from a prior relationship and now they have twin sons.
Their marriage would be described as fairly good with some hard times.
His wife knows his work history and occasionally will threatened that if he messes this one up, she and the children will be leaving him.
However, most of the time she only threatens this when she is angry about not being able to .
To prepare Use a differential diagnosis process and analysis
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 ...
The DSM is a classification manual used by professionals in the fiel.docx
The DSM is a classification manual used by professionals in the field of psychology. For this assignment, you will diagnose three clients. The vignettes for each client, "Case Study Vignettes," are located in resources. For each client, indicate:
The diagnosis, discussing each criterion the client fits and does not fit for that diagnosis from the
DSM-5
(which you should cite).
Select one of the clients and in a separate, final section of the paper, complete the following:
Analyze two recommended treatments for the client and explain why they would be recommended (one or both of these treatments should come from a current peer-reviewed journal article).
Support your analysis with a peer-reviewed journal article about the diagnosis you chose for this client.
How well does the article's discussion of the diagnosis compare to the behaviors the client displays?
As a professional in the field of psychology, how would you use the information from the article to inform your professional behavior?
Additional Requirements
For this assignment, you are expected to meet the following requirements:
Title page
: Include your name, course, date, and instructor.
Reference
:
DSM-5
, textbook, two or more peer-reviewed journal articles.
Written communication
: Written communication is free of errors that detract from the overall message.
APA formatting
: Resources and citations are formatted according to APA (sixth edition) style and formatting.
Length of paper
: 5–6 typed, double-spaced pages.
Font and font size
: Times New Roman, 12 point.
Submit
your paper to the assignment area for grading.
Case Study Vignettes
Anxiety, Trauma, Stressor, and Obsessive Compulsive Related Disorders
1. Fred
Fred was raised in Houston. His father and mother were both successful realtors. He is the middle of three brothers, who remain close. He remembers, “We never wanted for anything.” Fred was an A student in high school and college and a top athlete. He completed medical school and now practices as an anesthesiologist at a local hospital.
Fred experienced some emotional distress a number of years ago as he considered
coming out
and letting his family know he is homosexual. His father initially struggled with the news but came to accept it. Fred’s father is quite amiable towards Fred’s partner. Fred’s oldest brother was nonplussed by the news. Fred and his partner are welcomed in his brother’s home. Fred’s mother’s response was “I don’t believe it. Please never mention this again.” The youngest brother’s response was to accuse Fred of
hurting mom
.
Fred has again been experiencing emotional distress this past year as he and his partner discuss the idea of either marrying or having a commitment ceremony. Fred is certain that he wants to do this but struggles with the question of what to tell family members and whether to even invite his mother and youngest brother.
In this context Fred complains of daily panic attacks. These generally occur wh.
Client is a 37 year old male who has presented for counseling due .docx
Client is a 37 year old male who has presented for counseling due to the recent issue of finding out that his wife was unfaithful. Reports he is having difficulty in several domains of his life and wants help figuring out what to do. Client has been working at the same job for the past 16 years. He is an engineer at a local firm. Client reports that he is satisfied with his job. Client has a bachelor's degree in mechanical engineering. Client reports that he is financially secure and is not worried about financial issues at this time in his life. Client reports holding Christian faith. He states that he attends church with his wife at least 2 times per month and that is important to them to raise their daughter and son with these values. Client reports a daughter who is 8 and a son who is 6.
Client states that he has few friends and little time for extra-curricular activities. States that he does enjoy fishing, hunting, and gun collecting but that none of these activities seem very enticing over the past several weeks. Client does report having two very close friends that he has maintained since childhood. He states that these friendships have been helpful for him in the past several weeks after he discovered an email between his wife and a man from her work but both friends are telling him he should get out of the relationship because of what his wife did. Client reports that his drinking has increased over the past couple weeks and that he is utilizing alcohol as a way to cope with the current problem. He states that he is drinking 2 to 3 vodka and tonics nightly and that this amount is unusual but it is one of the ways that he is able to sleep and not have to think about what she did. Before finding out about this incident, client reports drinking one to two drinks a week. Client reports no prior problems with alcohol but he does report binge drinking with fraternity buddies while in college. Reports this stopped soon after he accepted a full-time engineering position. Client reports no current or past drug use. Does report trying marijuana while in college but stating he didn't like it. Client is a non-smoker. Client reports no other general medical concerns.
Client and wife have owned their home for the past 10 years and are satisfied with their living conditions. Reports that his parents live nearby and consist of both his mother and father. States he has not told his parents yet because he knows they will be vary mad at his wife. Also reports that he has a sister who he is close to but she lives in Georgia. States he did tell his sister because she left her husband after he cheated on her. States that his parents are still married and have always appeared to be happy. States that he does not have significant issues with his immediate family from when he was a child.
Client states that two weeks ago while looking through some emails he found an email between 'some guy' and his wife. States that he immediately knew that the emails were i ...
Personality disorders can arise through trauma, and they often carry.docx
Personality disorders can arise through trauma, and they often carry added stigma. In this Discussion, you analyze a case study focused on a personality disorder while also reflecting on how power, privilege, and stigma affect such diagnoses.
To prepare:
Review the case provided by your instructor for this week’s Discussion and consider your differential diagnostic process for them. Be sure to consider any past diagnoses and what influence those might have on their current diagnosis and needs. Finally, return to the Week 1 resources on stigma and reflect on stigma related to personality disorders.
Post
a 300- to 500-word response in which you address the following:
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). Keep in mind a diagnosis covers the most recent 12 months.
Explain the diagnosis by matching the symptoms identified in the case to the specific criteria for the diagnosis.
Support your decision by identifying the symptoms which meet specific criteria for each diagnosis.
Identify any close differentials and why they were eliminated. Concisely support your decisions with the case materials and readings.
Explain how diagnosing a client with a personality disorder may affect their treatment.
Analyze how power and privilege may influence who is labeled with a personality disorder and which types of personality disorders.
Identify how trauma affects the case, either precipitating the diagnosis and/or resulting from related symptoms or treatment of diagnosis.
CASE of SHANICE
Intake Date: January 2021
IDENTIFYING/DEMOGRAPHIC DATA:
Shanice is a 32 year old, single African American female, with no siblings. Shanice reports never being married. She works full time at the library.
CHIEF COMPLAINT/PRESENTING PROBLEM:
Shanice reported having sudden attacks and feeling anxious. She described feelings coming over her so quickly where her heart was pounding, and she couldn’t breathe. Recently when shopping, she wanted to just run out of the store because she suddenly was so dizzy she wanted to vomit. She even stopped going to the library.
HISTORY OF PRESENT ILLNESS:
Shanice notes “I like people, but I don’t deal well with them. I never seem to meet a lot of people. I guess I have always been this way. I remember rarely inviting other kids to my birthday parties. “I didn’t think they really wanted to come”.
Shanice described feeling anxiety and panic over the past three weeks when she was assigned a new boss. She believes her work is unsatisfactory and feels very dissatisfied with her job. She doesn’t like the anxiety she is now experiencing. Over the past two years, her other boss would cover up for her mistakes when her concentration was off, and she couldn’t make a decision. She may need to quit her job. She cannot believe that she ge.
Your supervisor asks you to see a client who is new to the agency. H.docx
Your supervisor asks you to see a client who is new to the agency. He is 21 years of age and of Asian descent. His parents had moved to the U.S. when this client was approximately 3 years old to give their only son more opportunities. His parents taught him their native language and educated him about his culture of origin. They were a religious family with a deep sense of devotion to their values of dignity, honor, respect and service. He recently lost his parents in a car accident while he was serving in Iraq 6-7 months ago. He was serving his first deployment that started about 18 months prior. He also witnessed many of his friends being killed by a roadside bomb approximately 3 months into serving there. He is recently married and his wife is 6 months pregnant with their first child. She is starting to show signs of complications with the pregnancy and needs to be off work and on bed rest for the remainder of her term. He was honorably discharged to tend to his wife and child but has not found work to support them. This client currently exhibits severe symptoms of anxiety. He is unable to get any rest due to worry over his wife and child. He is having flashbacks of his friends being killed and any loud noise freaks him out. He reports that he has also not been able to process his parents’ deaths and feels depressed all of the time. He has lost his appetite and states he has started to hear voices. It is your turn to present a case in the outpatient meeting. You bring this description plus your ideas and how to best treat this client to the meeting •What 2-3 characteristics might you consider in treating this client? •Give at least 2 reasons why each characteristic might influence the treatment of this client. •When responding to other postings pick a different position than the person you are engaging in the discussion in order to further the discussion
.
Select one of the cases available in Engage. Using the Steps in.docx
Select one of the cases available in Engage. Using the Steps in Ethical Decision Making on pp. 80-81, discuss how the social worker should handle the situation moving forward.
Your initial discussion board post should be no less than 250 words in length. Be sure to use APA style and format: in-text citations and references. You should also include a descriptive subject line in this initial post.
Vignette #1
A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. The client, Mr. Don Tellanyone, is a 47-year-old man who is seeking services for depression. During the initial phone contact, he asked repeatedly about privacy and wanted assurances that information discussed in session was confidential. The patient repeated this line of questioning during the first face-to-face session. As the session progressed, he revealed that the source of his depression was the death of his mother one year ago. His mother had suffered from a combination of severe respiratory problems and Alzheimer’s. Mr. Tellanyone had been caring for her and his father in his home for 6 years prior to her death. During the last two years, she required total care. He revealed that she had been suffering greatly and, out of compassion for her, he gave her an excess dose of her sleeping and pain pills. Medical personnel never questioned the death as the woman had been quite sick and “It was only a matter of time.” Mr. Tellanyone goes on to explain that he is now caring for his father in similar circumstances, although there is no dementia. His father has declined rapidly since the death of his wife and now requires total care. Mr. Tellanyone reveals that recently he had a conversation with his father in which the father commented how peaceful his wife’s death was and how he hoped for a similar passing. Mr. Tellanyone is feeling quite guilty about his mother. Simultaneously, he strongly believes he made the right decision. He would like help to work through the issues. He is also very concerned about confidentiality and wants assurances from Dr. Solomon. Dr. Solomon, feeling uncomfortable with the situation, contacts you for a consultation about the potential ethical issues for this case.
Vignette #2
A social worker had an intake appointment with a new client. As soon as he looked at the intake form, he realized that she is the ex-wife of his former client. The therapy with the ex-husband was brief, and he focused on how he wanted to leave the marriage. The prospective client was using her maiden name and gave no indication that she had known about her ex-husband’s treatment with the psychologist. When asked about the reason for the referral, she said that her physician had referred her for anxiety. During the session, she stated that he is still in communication with her ex-husband because they share three children.
Vignette #3
Dr. Smith is a social worker who has worked with a young woman for about 9 months. The patient pr.
Husband Wants a Divorce? Here's What to Do Next
Exactly what to do if your husband wants a divorce while you want to save your marriage
The Case of Sam Sam is a 62-year-old, widowed, African American ma.docx
The Case of Sam Sam is a 62-year-old, widowed, African American male. He is unemployed, receives Social Security benefits, and lives on his own in an apartment. Sam has minimal peer relationships, choosing not to socialize with anyone except his daughter, with whom he is very close. Sam raised his daughter as a single father after his wife passed away. Melissa is 28 years old and works as an emergency medical technician (EMT). When Sam was 7 years old, he was placed in foster care and has had very limited contact with his extended family. Prior to September 11, 2001, Sam had a steady employment history in food services and retail. He had no psychiatric history before that time. Sam reported his religious background is Catholic, but he is not affiliated with a congregation or church. Sam became depressed and psychotic sometime after 9/11 and had to be taken to an emergency room. He was hospitalized at that time for several weeks. His mental status exam (MSE) and diagnostic interview showed no history of alcohol or substance abuse issues, and he had no criminal background or current legal issues. Sam was released to outpatient care but was deemed unable to return to work. At that time, he had a diagnosis of major depression with psychotic features; he also has a history of high blood pressure and migraines. After several additional multiple psychiatric hospitalizations, he was gradually stabilized. Sam has been seeing a psychiatrist once a month for over a decade for medication management and is currently prescribed Depakote®, Abilify, and Wellbutrin®. Sam has a positive history of medication and treatment compliance. He was treated by a social worker at an outpatient program for about 2 years after his hospitalizations for his psychosis and depression. He gradually stopped attending sessions with the social worker after his symptoms stabilized, and his termination from the outpatient program was deemed appropriate; he continued to see the psychiatrist monthly for medication management. After about 10 years of seeing only the psychiatrist, Sam scheduled a meeting with this social worker for increased feelings of depression. These feelings were brought on after his daughter moved out of the apartment they had shared for many years to live with her boyfriend. He reported difficulty adjusting to living alone and said he often feels lonely and anxious. He reported during sessions with his social worker that he speaks to his daughter frequently, and although she only lives 10 blocks away, he misses her terribly. Our sessions for the last 3 months have focused on his mixed feelings around his daughter’s new life with her boyfriend. He said he is happy that she is happy but misses her very much. I emphasized his strengths and helped him reframe his situation by focusing on the positive changes in her life as well as his own life. Our goals were to help him reduce his symptoms of anxiety and begin searching for new opportunities for socialization outsi.
The Case of Sam Sam is a 62-year-old, widowed, African Ame.docx
The Case of Sam
Sam is a 62-year-old, widowed, African American male. He is unemployed, receives
Social Security benefits, and lives on his own in an apartment. Sam has minimal peer
relationships, choosing not to socialize with anyone except his daughter, with whom he
is very close. Sam raised his daughter as a single father after his wife passed away.
Melissa is 28 years old and works as an emergency medical technician (EMT). When
Sam was 7 years old, he was placed in foster care and has had very limited contact with
his extended family.
Prior to September 11, 2001, Sam had a steady employment history in food services
and retail. He had no psychiatric history before that time. Sam reported his religious
background is Catholic, but he is not affiliated with a congregation or church.
Sam became depressed and psychotic sometime after 9/11 and had to be taken to an
emergency room. He was hospitalized at that time for several weeks. His mental status
exam (MSE) and diagnostic interview showed no history of alcohol or substance abuse
issues, and he had no criminal background or current legal issues. Sam was released to
outpatient care but was deemed unable to return to work. At that time, he had a
diagnosis of major depression with psychotic features; he also has a history of high
blood pressure and migraines. After several additional multiple psychiatric
hospitalizations, he was gradually stabilized.
Sam has been seeing a psychiatrist once a month for over a decade for medication
management and is currently prescribed Depakote®, Abilify, and Wellbutrin®. Sam has
a positive history of medication and treatment compliance. He was treated by a social
worker at an outpatient program for about 2 years after his hospitalizations for his
psychosis and depression. He gradually stopped attending sessions with the social
worker after his symptoms stabilized, and his termination from the outpatient program
was deemed appropriate; he continued to see the psychiatrist monthly for medication
management.
After about 10 years of seeing only the psychiatrist, Sam scheduled a meeting with this
social worker for increased feelings of depression. These feelings were brought on after
his daughter moved out of the apartment they had shared for many years to live with
her boyfriend. He reported difficulty adjusting to living alone and said he often feels
lonely and anxious. He reported during sessions with his social worker that he speaks to
his daughter frequently, and although she only lives 10 blocks away, he misses her
terribly.
Our sessions for the last 3 months have focused on his mixed feelings around his
daughter’s new life with her boyfriend. He said he is happy that she is happy but misses
her very much. I emphasized his strengths and helped him reframe his situation by
focusing on the positive changes in her life as well as his own life. Our goals were to
help him reduce his symptoms of anxiety and begin searchi.
The Parker Family Sara is a 72-year-old widowed Caucasian fema.docx
The Parker Family
Sara is a 72-year-old widowed Caucasian female who lives in a two-bedroom apartment with her 48-year-old daughter, Stephanie, and six cats. Sara and her daughter have lived together for the past 10 years, since Stephanie returned home after a failed relationship and was unable to live independently. Stephanie has a diagnosis of bipolar disorder, and her overall physical health is good. Stephanie has no history of treatment for alcohol or substance abuse; during her teens she drank and smoked marijuana but no longer uses these substances. When she was 16 years old, Stephanie was hospitalized after her first bipolar episode. She had attempted suicide by swallowing a handful of Tylenol® and drinking half a bottle of vodka after her first boyfriend broke up with her. She has been hospitalized three times in the past 4 years when she stopped taking her medications and experienced suicidal ideation. Stephanie’s current medications are Lithium, Paxil®, Abilify®, and Klonopin®. Stephanie recently had a brief hospitalization as a result of depressive symptoms. She attends a mental health drop-in center twice a week to socialize with friends and receives outpatient psychiatric treatment at a local mental health clinic for medication management and weekly therapy. She is maintaining a part-time job at a local supermarket where she bags groceries and is currently being trained to become a cashier. Stephanie currently has active Medicare and receives Social Security Disability (SSD). Sara has recently been hospitalized for depression and has some physical issues. She has documented high blood pressure and hyperthyroidism, she is slightly underweight, and she is displaying signs of dementia. Sara has no history of alcohol or substance abuse. Her current medications are Lexapro® and Zyprexa®. Sara has Medicare and receives Social Security benefits and a small pension. She attends a day treatment program for seniors that is affiliated with a local hospital in her neighborhood. Sara attends the program 3 days a week from 9:00 a.m. to 2:00 p.m., and van service is provided free of charge. A telephone call was made to Adult Protective Services (APS) by the senior day treatment social worker when Sara presented with increased confusion, poor attention to daily living skills, and statements made about Stephanie’s behavior. Sara told the social worker at the senior day treatment program that, “My daughter is very argumentative and is throwing all of my things out.” She reported, “We are fighting like cats and dogs; I’m afraid of her and of losing all my stuff.” During the home visit, the APS worker observed that the living room was very cluttered, but that the kitchen was fairly clean, with food in the refrigerator and cabinets. Despite the clutter, all of the doorways, including the front door, had clear egress. The family lives on the first floor of the apartment building and could exit the building without difficulty in case of emergency. Th.
· Referral information Client reported that she has been struggli.docx
· Referral information: Client reported that she has been struggling with her mental health and symptoms have been worsening since last year. Being recommended by CMH to agency. Client said she wants to "Getting to what I used to be, being able to get to a functioning level, take care of my child and work". Specifically need therapy, case management.
· History of presenting problem(s):
· She reported that she sleeps all day, has difficulties getting out of bed, has low energy, low motivation and has been unable to attend work, has been hopelessness, worthlessness, isolating and not able to tend to her activities of daily living. Stated that she has been endorsing symptoms of depression for "quite a while" and the past several months things have been worsening.
· She reported that she currently doesn't have any thoughts of hurting self however has a history of suicidal thoughts including attempts. Stated that she has had suicidality all throughout the Fall of 2019. She also has history of suicide attempts prior to the most recent attempt stating that in the past she "has many overdoses mostly on pills that were prescribed and Tylenol". She reported a history of self-harming thoughts and behaviors. Stated that in the summer and fall of 2019 she has cut self and prior to that she hasn't cut herself since her early 20s.
· Client works at a Senior day program in Ypsilanti and has housing at this time however is at risk of losing employment and housing due to her worsening symptoms and inability to care for herself.
· Bio-psycho-social-spiritual history:
· Biological domain: Client is a 35years old female-single with two children. White. She reported that she was previously on the following: Paxil, Celexa, Lexapro however all have been discontinued and uncertain why.
· Psychological domain: Denied any auditory of visual hallucinations or paranoia. She reported that she currently doesn't have any thoughts of hurting self however has a history of suicidal thoughts including attempts. Stated that she has had suicidality all throughout the Fall of 2019 with an attempt in august.
· Social domain: Born and raised in Dexter by both parents. Her parents are still together and alive. She has three siblings (two brothers and a sister) and client is the middle child. She stated that her siblings and her "get along but aren't super close". She reported a history of sexual assault.
She shares custody of her 4years old son with her ex. Her son has been staying mostly with his father due to her worsening depression. She stated that she hopes to get better soon so he can return to her home. She stated that when she spends time with her 4 years old son she feels "drained" after her son leaves. She worked at the senior center after earned a Bachelors in Social Work at EMU. Is at risk of losing her employ.
· Referral information Client reported that she has been struggli.docx
· Referral information: Client reported that she has been struggling with her mental health and symptoms have been worsening since last year. Being recommended by CMH to agency. Client said she wants to "Getting to what I used to be, being able to get to a functioning level, take care of my child and work". Specifically need therapy, case management.
· History of presenting problem(s):
· She reported that she sleeps all day, has difficulties getting out of bed, has low energy, low motivation and has been unable to attend work, has been hopelessness, worthlessness, isolating and not able to tend to her activities of daily living. Stated that she has been endorsing symptoms of depression for "quite a while" and the past several months things have been worsening.
· She reported that she currently doesn't have any thoughts of hurting self however has a history of suicidal thoughts including attempts. Stated that she has had suicidality all throughout the Fall of 2019. She also has history of suicide attempts prior to the most recent attempt stating that in the past she "has many overdoses mostly on pills that were prescribed and Tylenol". She reported a history of self-harming thoughts and behaviors. Stated that in the summer and fall of 2019 she has cut self and prior to that she hasn't cut herself since her early 20s.
· Client works at a Senior day program in Ypsilanti and has housing at this time however is at risk of losing employment and housing due to her worsening symptoms and inability to care for herself.
· Bio-psycho-social-spiritual history:
· Biological domain: Client is a 35years old female-single with two children. White. She reported that she was previously on the following: Paxil, Celexa, Lexapro however all have been discontinued and uncertain why.
· Psychological domain: Denied any auditory of visual hallucinations or paranoia. She reported that she currently doesn't have any thoughts of hurting self however has a history of suicidal thoughts including attempts. Stated that she has had suicidality all throughout the Fall of 2019 with an attempt in august.
· Social domain: Born and raised in Dexter by both parents. Her parents are still together and alive. She has three siblings (two brothers and a sister) and client is the middle child. She stated that her siblings and her "get along but aren't super close". She reported a history of sexual assault.
She shares custody of her 4years old son with her ex. Her son has been staying mostly with his father due to her worsening depression. She stated that she hopes to get better soon so he can return to her home. She stated that when she spends time with her 4 years old son she feels "drained" after her son leaves. She worked at the senior center after earned a Bachelors in Social Work at EMU. Is at risk of losing her employ ...
More Related Content
Similar to Principles of cognitive behavioral therapy.docx
The DSM is a classification manual used by professionals in the fiel.docx
The DSM is a classification manual used by professionals in the field of psychology. For this assignment, you will diagnose three clients. The vignettes for each client, "Case Study Vignettes," are located in resources. For each client, indicate:
The diagnosis, discussing each criterion the client fits and does not fit for that diagnosis from the
DSM-5
(which you should cite).
Select one of the clients and in a separate, final section of the paper, complete the following:
Analyze two recommended treatments for the client and explain why they would be recommended (one or both of these treatments should come from a current peer-reviewed journal article).
Support your analysis with a peer-reviewed journal article about the diagnosis you chose for this client.
How well does the article's discussion of the diagnosis compare to the behaviors the client displays?
As a professional in the field of psychology, how would you use the information from the article to inform your professional behavior?
Additional Requirements
For this assignment, you are expected to meet the following requirements:
Title page
: Include your name, course, date, and instructor.
Reference
:
DSM-5
, textbook, two or more peer-reviewed journal articles.
Written communication
: Written communication is free of errors that detract from the overall message.
APA formatting
: Resources and citations are formatted according to APA (sixth edition) style and formatting.
Length of paper
: 5–6 typed, double-spaced pages.
Font and font size
: Times New Roman, 12 point.
Submit
your paper to the assignment area for grading.
Case Study Vignettes
Anxiety, Trauma, Stressor, and Obsessive Compulsive Related Disorders
1. Fred
Fred was raised in Houston. His father and mother were both successful realtors. He is the middle of three brothers, who remain close. He remembers, “We never wanted for anything.” Fred was an A student in high school and college and a top athlete. He completed medical school and now practices as an anesthesiologist at a local hospital.
Fred experienced some emotional distress a number of years ago as he considered
coming out
and letting his family know he is homosexual. His father initially struggled with the news but came to accept it. Fred’s father is quite amiable towards Fred’s partner. Fred’s oldest brother was nonplussed by the news. Fred and his partner are welcomed in his brother’s home. Fred’s mother’s response was “I don’t believe it. Please never mention this again.” The youngest brother’s response was to accuse Fred of
hurting mom
.
Fred has again been experiencing emotional distress this past year as he and his partner discuss the idea of either marrying or having a commitment ceremony. Fred is certain that he wants to do this but struggles with the question of what to tell family members and whether to even invite his mother and youngest brother.
In this context Fred complains of daily panic attacks. These generally occur wh.
Client is a 37 year old male who has presented for counseling due .docx
Client is a 37 year old male who has presented for counseling due to the recent issue of finding out that his wife was unfaithful. Reports he is having difficulty in several domains of his life and wants help figuring out what to do. Client has been working at the same job for the past 16 years. He is an engineer at a local firm. Client reports that he is satisfied with his job. Client has a bachelor's degree in mechanical engineering. Client reports that he is financially secure and is not worried about financial issues at this time in his life. Client reports holding Christian faith. He states that he attends church with his wife at least 2 times per month and that is important to them to raise their daughter and son with these values. Client reports a daughter who is 8 and a son who is 6.
Client states that he has few friends and little time for extra-curricular activities. States that he does enjoy fishing, hunting, and gun collecting but that none of these activities seem very enticing over the past several weeks. Client does report having two very close friends that he has maintained since childhood. He states that these friendships have been helpful for him in the past several weeks after he discovered an email between his wife and a man from her work but both friends are telling him he should get out of the relationship because of what his wife did. Client reports that his drinking has increased over the past couple weeks and that he is utilizing alcohol as a way to cope with the current problem. He states that he is drinking 2 to 3 vodka and tonics nightly and that this amount is unusual but it is one of the ways that he is able to sleep and not have to think about what she did. Before finding out about this incident, client reports drinking one to two drinks a week. Client reports no prior problems with alcohol but he does report binge drinking with fraternity buddies while in college. Reports this stopped soon after he accepted a full-time engineering position. Client reports no current or past drug use. Does report trying marijuana while in college but stating he didn't like it. Client is a non-smoker. Client reports no other general medical concerns.
Client and wife have owned their home for the past 10 years and are satisfied with their living conditions. Reports that his parents live nearby and consist of both his mother and father. States he has not told his parents yet because he knows they will be vary mad at his wife. Also reports that he has a sister who he is close to but she lives in Georgia. States he did tell his sister because she left her husband after he cheated on her. States that his parents are still married and have always appeared to be happy. States that he does not have significant issues with his immediate family from when he was a child.
Client states that two weeks ago while looking through some emails he found an email between 'some guy' and his wife. States that he immediately knew that the emails were i ...
Personality disorders can arise through trauma, and they often carry.docx
Personality disorders can arise through trauma, and they often carry added stigma. In this Discussion, you analyze a case study focused on a personality disorder while also reflecting on how power, privilege, and stigma affect such diagnoses.
To prepare:
Review the case provided by your instructor for this week’s Discussion and consider your differential diagnostic process for them. Be sure to consider any past diagnoses and what influence those might have on their current diagnosis and needs. Finally, return to the Week 1 resources on stigma and reflect on stigma related to personality disorders.
Post
a 300- to 500-word response in which you address the following:
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). Keep in mind a diagnosis covers the most recent 12 months.
Explain the diagnosis by matching the symptoms identified in the case to the specific criteria for the diagnosis.
Support your decision by identifying the symptoms which meet specific criteria for each diagnosis.
Identify any close differentials and why they were eliminated. Concisely support your decisions with the case materials and readings.
Explain how diagnosing a client with a personality disorder may affect their treatment.
Analyze how power and privilege may influence who is labeled with a personality disorder and which types of personality disorders.
Identify how trauma affects the case, either precipitating the diagnosis and/or resulting from related symptoms or treatment of diagnosis.
CASE of SHANICE
Intake Date: January 2021
IDENTIFYING/DEMOGRAPHIC DATA:
Shanice is a 32 year old, single African American female, with no siblings. Shanice reports never being married. She works full time at the library.
CHIEF COMPLAINT/PRESENTING PROBLEM:
Shanice reported having sudden attacks and feeling anxious. She described feelings coming over her so quickly where her heart was pounding, and she couldn’t breathe. Recently when shopping, she wanted to just run out of the store because she suddenly was so dizzy she wanted to vomit. She even stopped going to the library.
HISTORY OF PRESENT ILLNESS:
Shanice notes “I like people, but I don’t deal well with them. I never seem to meet a lot of people. I guess I have always been this way. I remember rarely inviting other kids to my birthday parties. “I didn’t think they really wanted to come”.
Shanice described feeling anxiety and panic over the past three weeks when she was assigned a new boss. She believes her work is unsatisfactory and feels very dissatisfied with her job. She doesn’t like the anxiety she is now experiencing. Over the past two years, her other boss would cover up for her mistakes when her concentration was off, and she couldn’t make a decision. She may need to quit her job. She cannot believe that she ge.
Your supervisor asks you to see a client who is new to the agency. H.docx
Your supervisor asks you to see a client who is new to the agency. He is 21 years of age and of Asian descent. His parents had moved to the U.S. when this client was approximately 3 years old to give their only son more opportunities. His parents taught him their native language and educated him about his culture of origin. They were a religious family with a deep sense of devotion to their values of dignity, honor, respect and service. He recently lost his parents in a car accident while he was serving in Iraq 6-7 months ago. He was serving his first deployment that started about 18 months prior. He also witnessed many of his friends being killed by a roadside bomb approximately 3 months into serving there. He is recently married and his wife is 6 months pregnant with their first child. She is starting to show signs of complications with the pregnancy and needs to be off work and on bed rest for the remainder of her term. He was honorably discharged to tend to his wife and child but has not found work to support them. This client currently exhibits severe symptoms of anxiety. He is unable to get any rest due to worry over his wife and child. He is having flashbacks of his friends being killed and any loud noise freaks him out. He reports that he has also not been able to process his parents’ deaths and feels depressed all of the time. He has lost his appetite and states he has started to hear voices. It is your turn to present a case in the outpatient meeting. You bring this description plus your ideas and how to best treat this client to the meeting •What 2-3 characteristics might you consider in treating this client? •Give at least 2 reasons why each characteristic might influence the treatment of this client. •When responding to other postings pick a different position than the person you are engaging in the discussion in order to further the discussion
.
Select one of the cases available in Engage. Using the Steps in.docx
Select one of the cases available in Engage. Using the Steps in Ethical Decision Making on pp. 80-81, discuss how the social worker should handle the situation moving forward.
Your initial discussion board post should be no less than 250 words in length. Be sure to use APA style and format: in-text citations and references. You should also include a descriptive subject line in this initial post.
Vignette #1
A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. The client, Mr. Don Tellanyone, is a 47-year-old man who is seeking services for depression. During the initial phone contact, he asked repeatedly about privacy and wanted assurances that information discussed in session was confidential. The patient repeated this line of questioning during the first face-to-face session. As the session progressed, he revealed that the source of his depression was the death of his mother one year ago. His mother had suffered from a combination of severe respiratory problems and Alzheimer’s. Mr. Tellanyone had been caring for her and his father in his home for 6 years prior to her death. During the last two years, she required total care. He revealed that she had been suffering greatly and, out of compassion for her, he gave her an excess dose of her sleeping and pain pills. Medical personnel never questioned the death as the woman had been quite sick and “It was only a matter of time.” Mr. Tellanyone goes on to explain that he is now caring for his father in similar circumstances, although there is no dementia. His father has declined rapidly since the death of his wife and now requires total care. Mr. Tellanyone reveals that recently he had a conversation with his father in which the father commented how peaceful his wife’s death was and how he hoped for a similar passing. Mr. Tellanyone is feeling quite guilty about his mother. Simultaneously, he strongly believes he made the right decision. He would like help to work through the issues. He is also very concerned about confidentiality and wants assurances from Dr. Solomon. Dr. Solomon, feeling uncomfortable with the situation, contacts you for a consultation about the potential ethical issues for this case.
Vignette #2
A social worker had an intake appointment with a new client. As soon as he looked at the intake form, he realized that she is the ex-wife of his former client. The therapy with the ex-husband was brief, and he focused on how he wanted to leave the marriage. The prospective client was using her maiden name and gave no indication that she had known about her ex-husband’s treatment with the psychologist. When asked about the reason for the referral, she said that her physician had referred her for anxiety. During the session, she stated that he is still in communication with her ex-husband because they share three children.
Vignette #3
Dr. Smith is a social worker who has worked with a young woman for about 9 months. The patient pr.
Husband Wants a Divorce? Here's What to Do Next
Exactly what to do if your husband wants a divorce while you want to save your marriage
The Case of Sam Sam is a 62-year-old, widowed, African American ma.docx
The Case of Sam Sam is a 62-year-old, widowed, African American male. He is unemployed, receives Social Security benefits, and lives on his own in an apartment. Sam has minimal peer relationships, choosing not to socialize with anyone except his daughter, with whom he is very close. Sam raised his daughter as a single father after his wife passed away. Melissa is 28 years old and works as an emergency medical technician (EMT). When Sam was 7 years old, he was placed in foster care and has had very limited contact with his extended family. Prior to September 11, 2001, Sam had a steady employment history in food services and retail. He had no psychiatric history before that time. Sam reported his religious background is Catholic, but he is not affiliated with a congregation or church. Sam became depressed and psychotic sometime after 9/11 and had to be taken to an emergency room. He was hospitalized at that time for several weeks. His mental status exam (MSE) and diagnostic interview showed no history of alcohol or substance abuse issues, and he had no criminal background or current legal issues. Sam was released to outpatient care but was deemed unable to return to work. At that time, he had a diagnosis of major depression with psychotic features; he also has a history of high blood pressure and migraines. After several additional multiple psychiatric hospitalizations, he was gradually stabilized. Sam has been seeing a psychiatrist once a month for over a decade for medication management and is currently prescribed Depakote®, Abilify, and Wellbutrin®. Sam has a positive history of medication and treatment compliance. He was treated by a social worker at an outpatient program for about 2 years after his hospitalizations for his psychosis and depression. He gradually stopped attending sessions with the social worker after his symptoms stabilized, and his termination from the outpatient program was deemed appropriate; he continued to see the psychiatrist monthly for medication management. After about 10 years of seeing only the psychiatrist, Sam scheduled a meeting with this social worker for increased feelings of depression. These feelings were brought on after his daughter moved out of the apartment they had shared for many years to live with her boyfriend. He reported difficulty adjusting to living alone and said he often feels lonely and anxious. He reported during sessions with his social worker that he speaks to his daughter frequently, and although she only lives 10 blocks away, he misses her terribly. Our sessions for the last 3 months have focused on his mixed feelings around his daughter’s new life with her boyfriend. He said he is happy that she is happy but misses her very much. I emphasized his strengths and helped him reframe his situation by focusing on the positive changes in her life as well as his own life. Our goals were to help him reduce his symptoms of anxiety and begin searching for new opportunities for socialization outsi.
The Case of Sam Sam is a 62-year-old, widowed, African Ame.docx
The Case of Sam
Sam is a 62-year-old, widowed, African American male. He is unemployed, receives
Social Security benefits, and lives on his own in an apartment. Sam has minimal peer
relationships, choosing not to socialize with anyone except his daughter, with whom he
is very close. Sam raised his daughter as a single father after his wife passed away.
Melissa is 28 years old and works as an emergency medical technician (EMT). When
Sam was 7 years old, he was placed in foster care and has had very limited contact with
his extended family.
Prior to September 11, 2001, Sam had a steady employment history in food services
and retail. He had no psychiatric history before that time. Sam reported his religious
background is Catholic, but he is not affiliated with a congregation or church.
Sam became depressed and psychotic sometime after 9/11 and had to be taken to an
emergency room. He was hospitalized at that time for several weeks. His mental status
exam (MSE) and diagnostic interview showed no history of alcohol or substance abuse
issues, and he had no criminal background or current legal issues. Sam was released to
outpatient care but was deemed unable to return to work. At that time, he had a
diagnosis of major depression with psychotic features; he also has a history of high
blood pressure and migraines. After several additional multiple psychiatric
hospitalizations, he was gradually stabilized.
Sam has been seeing a psychiatrist once a month for over a decade for medication
management and is currently prescribed Depakote®, Abilify, and Wellbutrin®. Sam has
a positive history of medication and treatment compliance. He was treated by a social
worker at an outpatient program for about 2 years after his hospitalizations for his
psychosis and depression. He gradually stopped attending sessions with the social
worker after his symptoms stabilized, and his termination from the outpatient program
was deemed appropriate; he continued to see the psychiatrist monthly for medication
management.
After about 10 years of seeing only the psychiatrist, Sam scheduled a meeting with this
social worker for increased feelings of depression. These feelings were brought on after
his daughter moved out of the apartment they had shared for many years to live with
her boyfriend. He reported difficulty adjusting to living alone and said he often feels
lonely and anxious. He reported during sessions with his social worker that he speaks to
his daughter frequently, and although she only lives 10 blocks away, he misses her
terribly.
Our sessions for the last 3 months have focused on his mixed feelings around his
daughter’s new life with her boyfriend. He said he is happy that she is happy but misses
her very much. I emphasized his strengths and helped him reframe his situation by
focusing on the positive changes in her life as well as his own life. Our goals were to
help him reduce his symptoms of anxiety and begin searchi.
The Parker Family Sara is a 72-year-old widowed Caucasian fema.docx
The Parker Family
Sara is a 72-year-old widowed Caucasian female who lives in a two-bedroom apartment with her 48-year-old daughter, Stephanie, and six cats. Sara and her daughter have lived together for the past 10 years, since Stephanie returned home after a failed relationship and was unable to live independently. Stephanie has a diagnosis of bipolar disorder, and her overall physical health is good. Stephanie has no history of treatment for alcohol or substance abuse; during her teens she drank and smoked marijuana but no longer uses these substances. When she was 16 years old, Stephanie was hospitalized after her first bipolar episode. She had attempted suicide by swallowing a handful of Tylenol® and drinking half a bottle of vodka after her first boyfriend broke up with her. She has been hospitalized three times in the past 4 years when she stopped taking her medications and experienced suicidal ideation. Stephanie’s current medications are Lithium, Paxil®, Abilify®, and Klonopin®. Stephanie recently had a brief hospitalization as a result of depressive symptoms. She attends a mental health drop-in center twice a week to socialize with friends and receives outpatient psychiatric treatment at a local mental health clinic for medication management and weekly therapy. She is maintaining a part-time job at a local supermarket where she bags groceries and is currently being trained to become a cashier. Stephanie currently has active Medicare and receives Social Security Disability (SSD). Sara has recently been hospitalized for depression and has some physical issues. She has documented high blood pressure and hyperthyroidism, she is slightly underweight, and she is displaying signs of dementia. Sara has no history of alcohol or substance abuse. Her current medications are Lexapro® and Zyprexa®. Sara has Medicare and receives Social Security benefits and a small pension. She attends a day treatment program for seniors that is affiliated with a local hospital in her neighborhood. Sara attends the program 3 days a week from 9:00 a.m. to 2:00 p.m., and van service is provided free of charge. A telephone call was made to Adult Protective Services (APS) by the senior day treatment social worker when Sara presented with increased confusion, poor attention to daily living skills, and statements made about Stephanie’s behavior. Sara told the social worker at the senior day treatment program that, “My daughter is very argumentative and is throwing all of my things out.” She reported, “We are fighting like cats and dogs; I’m afraid of her and of losing all my stuff.” During the home visit, the APS worker observed that the living room was very cluttered, but that the kitchen was fairly clean, with food in the refrigerator and cabinets. Despite the clutter, all of the doorways, including the front door, had clear egress. The family lives on the first floor of the apartment building and could exit the building without difficulty in case of emergency. Th.
· Referral information Client reported that she has been struggli.docx
· Referral information: Client reported that she has been struggling with her mental health and symptoms have been worsening since last year. Being recommended by CMH to agency. Client said she wants to "Getting to what I used to be, being able to get to a functioning level, take care of my child and work". Specifically need therapy, case management.
· History of presenting problem(s):
· She reported that she sleeps all day, has difficulties getting out of bed, has low energy, low motivation and has been unable to attend work, has been hopelessness, worthlessness, isolating and not able to tend to her activities of daily living. Stated that she has been endorsing symptoms of depression for "quite a while" and the past several months things have been worsening.
· She reported that she currently doesn't have any thoughts of hurting self however has a history of suicidal thoughts including attempts. Stated that she has had suicidality all throughout the Fall of 2019. She also has history of suicide attempts prior to the most recent attempt stating that in the past she "has many overdoses mostly on pills that were prescribed and Tylenol". She reported a history of self-harming thoughts and behaviors. Stated that in the summer and fall of 2019 she has cut self and prior to that she hasn't cut herself since her early 20s.
· Client works at a Senior day program in Ypsilanti and has housing at this time however is at risk of losing employment and housing due to her worsening symptoms and inability to care for herself.
· Bio-psycho-social-spiritual history:
· Biological domain: Client is a 35years old female-single with two children. White. She reported that she was previously on the following: Paxil, Celexa, Lexapro however all have been discontinued and uncertain why.
· Psychological domain: Denied any auditory of visual hallucinations or paranoia. She reported that she currently doesn't have any thoughts of hurting self however has a history of suicidal thoughts including attempts. Stated that she has had suicidality all throughout the Fall of 2019 with an attempt in august.
· Social domain: Born and raised in Dexter by both parents. Her parents are still together and alive. She has three siblings (two brothers and a sister) and client is the middle child. She stated that her siblings and her "get along but aren't super close". She reported a history of sexual assault.
She shares custody of her 4years old son with her ex. Her son has been staying mostly with his father due to her worsening depression. She stated that she hopes to get better soon so he can return to her home. She stated that when she spends time with her 4 years old son she feels "drained" after her son leaves. She worked at the senior center after earned a Bachelors in Social Work at EMU. Is at risk of losing her employ.
· Referral information Client reported that she has been struggli.docx
· Referral information: Client reported that she has been struggling with her mental health and symptoms have been worsening since last year. Being recommended by CMH to agency. Client said she wants to "Getting to what I used to be, being able to get to a functioning level, take care of my child and work". Specifically need therapy, case management.
· History of presenting problem(s):
· She reported that she sleeps all day, has difficulties getting out of bed, has low energy, low motivation and has been unable to attend work, has been hopelessness, worthlessness, isolating and not able to tend to her activities of daily living. Stated that she has been endorsing symptoms of depression for "quite a while" and the past several months things have been worsening.
· She reported that she currently doesn't have any thoughts of hurting self however has a history of suicidal thoughts including attempts. Stated that she has had suicidality all throughout the Fall of 2019. She also has history of suicide attempts prior to the most recent attempt stating that in the past she "has many overdoses mostly on pills that were prescribed and Tylenol". She reported a history of self-harming thoughts and behaviors. Stated that in the summer and fall of 2019 she has cut self and prior to that she hasn't cut herself since her early 20s.
· Client works at a Senior day program in Ypsilanti and has housing at this time however is at risk of losing employment and housing due to her worsening symptoms and inability to care for herself.
· Bio-psycho-social-spiritual history:
· Biological domain: Client is a 35years old female-single with two children. White. She reported that she was previously on the following: Paxil, Celexa, Lexapro however all have been discontinued and uncertain why.
· Psychological domain: Denied any auditory of visual hallucinations or paranoia. She reported that she currently doesn't have any thoughts of hurting self however has a history of suicidal thoughts including attempts. Stated that she has had suicidality all throughout the Fall of 2019 with an attempt in august.
· Social domain: Born and raised in Dexter by both parents. Her parents are still together and alive. She has three siblings (two brothers and a sister) and client is the middle child. She stated that her siblings and her "get along but aren't super close". She reported a history of sexual assault.
She shares custody of her 4years old son with her ex. Her son has been staying mostly with his father due to her worsening depression. She stated that she hopes to get better soon so he can return to her home. She stated that when she spends time with her 4 years old son she feels "drained" after her son leaves. She worked at the senior center after earned a Bachelors in Social Work at EMU. Is at risk of losing her employ ...
Similar to Principles of cognitive behavioral therapy.docx (20)
The DSM is a classification manual used by professionals in the fiel.docx
The DSM is a classification manual used by professionals in the fiel.docx
Client is a 37 year old male who has presented for counseling due .docx
Client is a 37 year old male who has presented for counseling due .docx
Assignment LASA Assessment and Treatment Plan.docx
Assignment LASA Assessment and Treatment Plan.docx
Personality disorders can arise through trauma, and they often carry.docx
Personality disorders can arise through trauma, and they often carry.docx
Your supervisor asks you to see a client who is new to the agency. H.docx
Your supervisor asks you to see a client who is new to the agency. H.docx
Dissociative disorders case histories prof. fareed minhas
Dissociative disorders case histories prof. fareed minhas
Select one of the cases available in Engage. Using the Steps in.docx
Select one of the cases available in Engage. Using the Steps in.docx
The Case of Sam Sam is a 62-year-old, widowed, African American ma.docx
The Case of Sam Sam is a 62-year-old, widowed, African American ma.docx
The Case of Sam Sam is a 62-year-old, widowed, African Ame.docx
The Case of Sam Sam is a 62-year-old, widowed, African Ame.docx
The Parker Family Sara is a 72-year-old widowed Caucasian fema.docx
The Parker Family Sara is a 72-year-old widowed Caucasian fema.docx
· Referral information Client reported that she has been struggli.docx
· Referral information Client reported that she has been struggli.docx
· Referral information Client reported that she has been struggli.docx
· Referral information Client reported that she has been struggli.docx
More from bkbk37
More from bkbk37 (20)
Rail Project A goal of the Obama administration.docx
Rail Project A goal of the Obama administration.docx
QuickBooks uses windows API to follow orders to get updates.docx
QuickBooks uses windows API to follow orders to get updates.docx
Questions that must be answered in your plus other.docx
Questions that must be answered in your plus other.docx
Question Libya recently announced that it is claiming a.docx
Question Libya recently announced that it is claiming a.docx
Question Use the Internet or the IGlobal Resource.docx
Question Use the Internet or the IGlobal Resource.docx
Question Please define motivation and discuss why it is.docx
Question Please define motivation and discuss why it is.docx
Question share your perspective on personal data as a.docx
Question share your perspective on personal data as a.docx
Recently uploaded
TESDA TM1 REVIEWER FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...
TESDA TM1 REVIEWER FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH ANSWERS.
BÀI TẬP BỔ TRỢ TIẾNG ANH GLOBAL SUCCESS LỚP 3 - CẢ NĂM (CÓ FILE NGHE VÀ ĐÁP Á...
BÀI TẬP BỔ TRỢ TIẾNG ANH GLOBAL SUCCESS LỚP 3 - CẢ NĂM (CÓ FILE NGHE VÀ ĐÁP Á...Nguyen Thanh Tu Collection
https://app.box.com/s/hqnndn05v4q5a4k4jd597rkdbda0fniiNormal Labour/ Stages of Labour/ Mechanism of Labour
Normal labor is also termed spontaneous labor, defined as the natural physiological process through which the fetus, placenta, and membranes are expelled from the uterus through the birth canal at term (37 to 42 weeks
special B.ed 2nd year old paper_20240531.pdf
Instagram:-
https://instagram.com/special_education_needs_01?igshid=YmMyMTA2M2Y=
WhatsApp:-
https://chat.whatsapp.com/JVakNIYlSV94x7bwunO3Dc
YouTube:-
https://youtube.com/@special_education_needs
Teligram :- https://t.me/special_education_needs
Slide Shere :-
https://www.slideshare.net/shabnambano20?utm_campaign=profiletracking&utm_medium=sssite&utm_source=ssslideview
Francesca Gottschalk - How can education support child empowerment.pptx
Francesca Gottschalk from the OECD’s Centre for Educational Research and Innovation presents at the Ask an Expert Webinar: How can education support child empowerment?
A Strategic Approach: GenAI in Education
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
Unit 8 - Information and Communication Technology (Paper I).pdf
This slides describes the basic concepts of ICT, basics of Email, Emerging Technology and Digital Initiatives in Education. This presentations aligns with the UGC Paper I syllabus.
Mule 4.6 & Java 17 Upgrade | MuleSoft Mysore Meetup #46
Mule 4.6 & Java 17 Upgrade | MuleSoft Mysore Meetup #46
Event Link:-
https://meetups.mulesoft.com/events/details/mulesoft-mysore-presents-exploring-gemini-ai-and-integration-with-mulesoft/
Agenda
● Java 17 Upgrade Overview
● Why and by when do customers need to upgrade to Java 17?
● Is there any immediate impact to upgrading to Mule Runtime 4.6 and beyond?
● Which MuleSoft products are in scope?
For Upcoming Meetups Join Mysore Meetup Group - https://meetups.mulesoft.com/mysore/
YouTube:- youtube.com/@mulesoftmysore
Mysore WhatsApp group:- https://chat.whatsapp.com/EhqtHtCC75vCAX7gaO842N
Speaker:-
Shubham Chaurasia - https://www.linkedin.com/in/shubhamchaurasia1/
Priya Shaw - https://www.linkedin.com/in/priya-shaw
Organizers:-
Shubham Chaurasia - https://www.linkedin.com/in/shubhamchaurasia1/
Giridhar Meka - https://www.linkedin.com/in/giridharmeka
Priya Shaw - https://www.linkedin.com/in/priya-shaw
Shyam Raj Prasad-
https://www.linkedin.com/in/shyam-raj-prasad/
The approach at University of Liverpool.pptx
How libraries can support authors with open access requirements for UKRI funded books
Wednesday 22 May 2024, 14:00-15:00.
Chapter 3 - Islamic Banking Products and Services.pptx
Chapter 3 - Islamic Banking Products and Services.pptxMohd Adib Abd Muin, Senior Lecturer at Universiti Utara Malaysia
This slide is prepared for master's students (MIFB & MIBS) UUM. May it be useful to all.Biological Screening of Herbal Drugs in detailed.
Biological screening of herbal drugs: Introduction and Need for
Phyto-Pharmacological Screening, New Strategies for evaluating
Natural Products, In vitro evaluation techniques for Antioxidants, Antimicrobial and Anticancer drugs. In vivo evaluation techniques
for Anti-inflammatory, Antiulcer, Anticancer, Wound healing, Antidiabetic, Hepatoprotective, Cardio protective, Diuretics and
Antifertility, Toxicity studies as per OECD guidelines
"Protectable subject matters, Protection in biotechnology, Protection of othe...
Protectable subject matters, Protection in biotechnology, Protection of other biological materials, Ownership and period of protection
Best Digital Marketing Institute In NOIDA
Safalta Digital marketing institute in Noida, provide complete applications that encompass a huge range of virtual advertising and marketing additives, which includes search engine optimization, virtual communication advertising, pay-per-click on marketing, content material advertising, internet analytics, and greater. These university courses are designed for students who possess a comprehensive understanding of virtual marketing strategies and attributes.Safalta Digital Marketing Institute in Noida is a first choice for young individuals or students who are looking to start their careers in the field of digital advertising. The institute gives specialized courses designed and certification.
for beginners, providing thorough training in areas such as SEO, digital communication marketing, and PPC training in Noida. After finishing the program, students receive the certifications recognised by top different universitie, setting a strong foundation for a successful career in digital marketing.
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdf
In this webinar you will learn how your organization can access TechSoup's wide variety of product discount and donation programs. From hardware to software, we'll give you a tour of the tools available to help your nonprofit with productivity, collaboration, financial management, donor tracking, security, and more.
Home assignment II on Spectroscopy 2024 Answers.pdf
Answers to Home assignment on UV-Visible spectroscopy: Calculation of wavelength of UV-Visible absorption
1.4 modern child centered education - mahatma gandhi-2.pptx
Child centred education is an educational approach that priorities the interest, needs and abilities of the child in the learning process.
Recently uploaded (20)
TESDA TM1 REVIEWER FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...
TESDA TM1 REVIEWER FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...
BÀI TẬP BỔ TRỢ TIẾNG ANH GLOBAL SUCCESS LỚP 3 - CẢ NĂM (CÓ FILE NGHE VÀ ĐÁP Á...
BÀI TẬP BỔ TRỢ TIẾNG ANH GLOBAL SUCCESS LỚP 3 - CẢ NĂM (CÓ FILE NGHE VÀ ĐÁP Á...
Normal Labour/ Stages of Labour/ Mechanism of Labour
Normal Labour/ Stages of Labour/ Mechanism of Labour
Francesca Gottschalk - How can education support child empowerment.pptx
Francesca Gottschalk - How can education support child empowerment.pptx
Group Presentation 2 Economics.Ariana Buscigliopptx
Group Presentation 2 Economics.Ariana Buscigliopptx
Unit 8 - Information and Communication Technology (Paper I).pdf
Unit 8 - Information and Communication Technology (Paper I).pdf
Mule 4.6 & Java 17 Upgrade | MuleSoft Mysore Meetup #46
Mule 4.6 & Java 17 Upgrade | MuleSoft Mysore Meetup #46
Chapter 3 - Islamic Banking Products and Services.pptx
Chapter 3 - Islamic Banking Products and Services.pptx
"Protectable subject matters, Protection in biotechnology, Protection of othe...
"Protectable subject matters, Protection in biotechnology, Protection of othe...
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdf
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdf
Home assignment II on Spectroscopy 2024 Answers.pdf
Home assignment II on Spectroscopy 2024 Answers.pdf
1.4 modern child centered education - mahatma gandhi-2.pptx
1.4 modern child centered education - mahatma gandhi-2.pptx
Principles of cognitive behavioral therapy.docx
- 1. Principles of cognitive behavioral therapy CASE STUDYS.is a 48-year-old divorced woman with one adult daughter and three grandchildren. She is currently working as an LPN part time in a nursing home and also works at a convenience store one or two days per week. She has had many jobs over the last 22 years, usually changing every one or two years. S notes that she has been called less often to work in the convenience store and worries that they don’t like her anymore. She reports being written up several times for arguing with customers. She also reports that her supervisor at the nursing home “is a bitch”; although she really liked her supervisor at first, she says “Now I hate her; she’s trying to get me fired.” S. reports that she has tried to get fulltime jobs five times in the last four years, was hired for three, but only lasted one or two weeks at each one.S. reports that she is currently not talking to her daughter because “she is horribly mean to me and she needs to apologize or I won’t talk to her again”. She is upset that she hasn’t seen her three small grandchildren in about a year. She sends them presents and cards frequently that say “I still love you! Grandma”, but hasn’t called them since she stopped talking to her daughter. She is considering reporting to the county that her daughter is keeping her grandchildren from her.S. is very unhappy that she isn’t in a relationship. She was abused by her ex-husband, and has a pattern of meeting and dating men who eventually abuse her. She states that her last relationship was very good, however; the man was not abusive and “I loved him very much”. The relationship ended for reasons that S. doesn’t understand, although she does report many arguments that ended in “scenes” such as her throwing chairs, stomping out of the house, making crank phone calls to his family, and calling the police with false reports. But S. also reports that she “couldn’t have loved him more and I showed it”. She gives examples of going to her boyfriend’s place of work with flowers, buying him expensive presents, surprising him with tickets to Mexico at the last minute – she was very upset that he wasn’t willing to drop everything and go with her. S. reports asking him why he didn’t love her and what she was doing wrong on a regular basis. When the boyfriend asked to break up, S. reports sitting outside his house for weeks, crying; she called his mother, called his boss, and called and texted him until he filed a restraining order. This occurred about 4 months ago.S. admitted herself to the mental health unit when she felt suicidal. She reports that she had stopped her individual psychotherapy 3 months ago and stopped going to DBT. She also stopped her anti- depressant at that time, as she felt it wasn’t working, and missed her last two psychiatrist appointments.Required:· How would you use therapeutic communication and principles of cognitive behavioral therapy with the client?· Describe your assessment process. What are
- 2. some likely co-morbid conditions? List one nursing diagnosis and an appropriate nursing intervention.· What interdisciplinary referrals might be appropriate?