Running Head: ASSESSING CLIENTS 1 ASSESSING CLIENTS 5 Part 1: Comprehensive client assessment Demographic Information LS is 23 year old white male who lives with his parents. His parent moved to the united states from Russia to get a better live for their only son LS. LS had been depressed since the move and feels like he is unable to cope in the new environment . LS struggle with learning English and not doing well at school as a result. Presenting problem Depression and suicide History of present illness LS is stress out with school and has dropped out several times. His parent have found him on several occasions cutting self and trying to overdose on his pills. He says he is depressed 10/10. He was medically clear after overdosing on his medication 4 weeks ago and now presented for treatment and monitoring. Hopelessness suicidal ideations, and loneliness can contributes to depression, which can result in attempts of suicide Hamet & Tremblay (2005). Past Psychiatric History LS denies any past psychiatric History, but his father has been treated for depression before. Medical History No medical History, denies any pain. Substance Use Ls admits the use of marijuana but deines alcohol, or other drug use. Developmental History LS is an immigrant from Russia who is unable to cope in his new environment. Family Psychiatric history Father was diagnosed and treated for depression 12 years ego. His grand father also suffered from depression. Psychosocial History: An only child, no siblings, mostly alone, no close friends or relative apart from parents. History of abuse /trauma LS feels he was traumatized by coming to another country unable to understand the lagage and his parent barely making it. LS parent are uneducated and works as farmers. LS feel worried about his parent struggling to make a living. Review of Systems General: Denies chiles or malaise, no weakness or fatigue. Appears flat, A/O x 4, weight 120, Height 5’4 Skin, Hair, Nails- Intact HEENT: Denies head ache, dizziness, syncope. No tinnitus, no changes in vision. Cardiovascular: No pain on palpation, no heart murmurs on auscultation, pulses palpable. GI: bowel sound present on all four quadrants, no distention, contour symmetrical. GU: continent with regular urinary pattern Musculoskeletal : Normal skeletal structure, no deformities or abnormalities. Hematology : Denies Anemia, no bleeding or bruising . Edocrine: No issues, denies increased thirst or urination. Mental Status Exam LS presents calm and cooperative during this visit. He appears well groomed with poor hygiene, poor eye contact, flat affect. Speech is clear and presured though minimally engauging probably due to him thinking his English is not very good. Able to state reason for visit and and wants to get help. He denies any thought of self harm at this time, not hearing voices and no visual hallucination. LS is distracted but redirectable. He has poor appetite, parents encouraged to bring him food..