Aida_Labrada_Assignment 2_ Psychosocial Assessment Part I

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1 Assignment #2: Psychosocial Assessment Part I By Aida Labrada SOWK 523 Foundations of Integrative Social Work Practice I University of Southern California Professor Peggy Stewart

2 Assignment #2: Psychosocial Assessment Part I Client’s Name: Tony Johnson Presentation: Little interest or pleasure in doing things. Feeling down, depressed, or hopeless. Recurrent behavioral outbursts, aggressiveness expressed is very out of proportion, and recurrent aggressive outbursts are not premeditated. Feeling bad about himself (failure to have let his wife down), thoughts he would be better off dead, or hurting himself. Precipitant: Tony’s wife, Lisa, passed away a year ago due to cancer. He feels lost and hopeless without his wife, he has little to no interest in doing things he once enjoyed and is constantly rude and means to others as a way of not caring for life anymore. Admits he currently threw a brick at the back of a vehicle because the driver did not stop properly at a pedestrian cross walk. Predisposition: - Biological: Paternal history of dementia - Psychological: Wishes he would have died instead of his wife. Has decided a manner of revenge against the world is to be mean and not care about anyone or himself. - Social: Tony’s best friend is also Lisa’s younger brother, Matt. Tony and Max work together for a newspaper. Coworkers: Lenny, Sandy, and Kath. Father’s nurse: Emma. Anne – a widow, whom he met at the graveyard, and discusses his feelings of grief, guilt, and failure. Daphne/Roxy – sex worker that he befriends through drug dealer. Cultural:

3 British white, male. He identifies as an atheist, heterosexual. Preferred pronounces he/him/his. College education. His socioeconomic status is of upper-middle class. Perpetuants: Small support group. Recently has become friends with a widow, who shares advice and knowledge with him. Tony has also befriended a local drug user in order to obtain drugs (narcotics) in hopes of numbing the pain. Through the drug user, Tony befriends a sex worker named, Roxy. Patterns: Tony keeps everyone at a distance to not show his vulnerable side. Protective factors and strengths: Compassionate, empathetic, caring, funny, and creative. Loyal to his family and friends, loves his dog, Brandy, and does not want to leave her alone. Tony has access to various resources and seems to be in the pre-contemplation stage of treatment. Plan (treatment): Motivational Interviewing to help Tony resolve his ambivalent feelings and insecurities. Will provide the client with supportive and strength-based counseling. Once rapport and trust is built, would like to introduce CBT therapy to the client to assist with identifying the relationship between thoughts, emotions, and behaviors. Also examining options and alternatives available to Tony to use, instead of previous patterns. Prognosis: Good, Tony has many strengths, and his small support group truly cares and encourages Tony to get better. Given Tony is very self-aware of his feelings and the reasoning behind those feelings, CBT should be effective to help Tony further make decisions to help him with his grief and depression. Case conceptualization statement:

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