A Case Study Of A 66 Year Old Caucasian Female Client

Robin Henderson is a 30-year-old married Caucasian woman with no children who lives in a middle-class urban area with her husband. Robin was referred to a clinical psychologist by her psychiatrist. The psychiatrist has been treating Robin for more than 18 months with primarily anti-depressant medication. During this time, Robin has been hospitalized at least 10 times (one hospitalization lasted 6 months) for treatment of suicidal ideation (and one near lethal attempt) and numerous instances of suicidal gestures, including at least 10 instances of drinking Clorox bleach and self-inflicting multiple cuts and burns. Robin was accompanied by her husband to the first meeting with the clinical psychologist. Her husband stated that

During my psychiatric clinical rotation at Carney Hospital I had the opportunity to help run group therapy’s where I was able to understand some of the patients better. During this time I was also able to learn more about my patient F.S. The patient is a fifty-two-year-old divorced Chinese woman with a lengthy history of bipolar disorder and a persistent associative history of schizophrenia and attempts at suicide. The patient has one daughter that is 24 years old who noticed F.S. was throwing her pills down the toilet and hiding them in her pockets so she didn’t have to take them. . During her admission, the patient displayed increased levels of incredible energy and mood activities, an approach that was thought to have been instigated by the worsening of her health condition.

The client was not diagnosed with any disorder until after the onset of a negative life event. Pat had arrived home from work one day and heard his wedding song playing. As he was walking, he saw his wife’s clothes trailing to the bathroom. Then he sees

The elderly population have challenges that other ages do not have to face. Elderly face some number situations. These issues arise once people reach a certain age and follow them till the day that they pass on. For example, there are certain health issues that come the age. The African American elderly deals with a lot of issues; ranging from health to financial. But the African American elderly have a big influence on their community. But also, it is very important for the health of the elderly. The relationship can keep the elders’ health and mental health in good standing. The elderly can face many issues as their lives and body grow older. The African American elderly population has significant challenges that they must deal with. To begin with, many have health issues. Some that can be very life threatening. As people get older your body just does not want to work the same way it used to when it was younger. Your body goes through changes. As people get older, the body begins to behave differently.

The patient is a 56 year old female who has recently lost her job and has been financially struggling. She has isolated herself from friends and family members. She claims to be close to her older sister but

She constantly tried to harm her brother and showed signs of dominance when she would abuse him and hurt his genitals. Since she was so engrossed on her body and discovering herself, she became stuck in this stage and as a result of not being able to move on she became aggressive, abusive, and wanting to harm others. Since she was so fixated on harming others, it led to this sadistic behavior and she had this conflict between the drives of the Id and the drives of the Ego. She had impulses to harm others as a result of her being harmed as a child. Being as though she wasn 't cared for and nurtured, she didn 't have loving relationships. She didn 't have the ability to trust others nor did she have the ability to be caring, towards anybody. Since she dealt with a lot of traumatic experiences, she’s been having the same recurring nightmares. She said she has this nightmare where “a man is falling on her and hurting her with a part of himself.” This was a familiar story that I 've once done but on Hysteria with a girl by the name of Bertha Pappenheim. She suffered from hysteria her symptoms are often the surface manifestations of deeply repressed conflicts. I later wrote about her in Studies in Hysteria” (1895). Bertha’s symptoms of this surface manifestation were due to her being sexually abused.

Mr. Saunders is a 60 year old male who presented to the ED via LEO under petition by his niece, Rachelle, for allegedly putting a gun into his mouth, him putting a gun in another individuals mouth called "legs", and increasing alcohol consumption. At the time of the assessment Mr. Saunders is calm and cooperative. He denies suicidal ideation, homicidal ideation, and symptoms of psychosis. Mr. Saunders reports he has been depressed for several months and has been binge drinking alcohol. He reports relational issues with his wife has been the primary stressor contributing to his distress. He express feelings of hopelessness, worthlessness, irritability, and isolation. He does admit to informing a friend, William, he see no reason to leave if he can not be with his wife. Patient does not appear to be exhibiting signs of agitation,

T.R. is a 69 year old, Caucasian female with a history of schizophrenia who presented to University Hospital Medical Center Emergency Room under Baker Act for recent suicidal attempt. According to the Baker Act report, she ran out of her retirement facility, trying to be hit by vehicles. She suffered a slight injury to her right ankle, as the slightly slightly hit her in an effort to abruptly stop the vehicle. She verbalized to police officers she wanted to die. She reported that peers in her retirement community learned about her history and had been gossiping about her. She reported increased paranoia due to this. She was hospitalized in the same psychiatric unit two months ago, after she was diagnosed with depression. Patient states the reason she was diagnosed with depression is because her two sons are not willing to talk to her. She states that she is separated and living without her family in an Assisted Living Facility. As per patient and chart review, the patient was born and raised in New Jersey and moved to South Florida. The patient currently lives in a retirement home and had to move several times to the different Assisted Living Facility, due to her paranoia and delusional behavior. She is currently retired and reports that she used to work from home as a home health aide. She has two sons and tries to maintain a good relationship with them, but denies any contact with them. She reports the biggest stressor is basically a relationship with her

How about working on your MRS. degree?!” stated her Father. Ignorant to her passion of cardiology, his suggestion only contained relying on a husband for an income. Determined to earn her medical degree, my mom denied the negative beliefs as she continued working towards her goal and enrolled in Ross Medical School (Dominica, West Indies). Still devastated from a lack of support, Lori became overwhelmed rapidly. Anxiety, skepticism, and “a fear of failure” took over her positive lifestyle as she began traveling to Dominica. The gaping age different from her peers (10 years) constantly discouraged her. Meanwhile, as her studies advanced, her sense of homesickness did as well. Due to the expense of calling the United States, communicating with her parents took place on a week, for only minutes! Additionally, being devoted to her studies, Lori constantly utilized her time within the library, to prepare for exams. However, when returning home at 11PM, she would frequently get mugged due to the perilous areas contained in Dominica. Although, my mother persisted through this surplus of challenges, in order to obtain her highly valued

In addition, for patients who are being treated for mental health problems or for those patients who I may suspect as being suicidal, I can work on gradually leading the patient to talk about their suicidality in order to get them to open up and gain their trust (Bryan & Rudd, 2006). For patients who have show suicidal thoughts or ideation in the past, I will work on treating the suicide as the behavior to change instead of focusing just on any comorbid mental health disorders (M. Class 4/10). I will focus on getting to know my patients better and the factors that have lead them to where they are in life. In order to help them the most, I will need to know their drivers and in order to do that, I will need to build rapport with them, so that they share with me. We will also work to build their coping skills, because I know how hard it can be to figure out coping mechanisms on your own especially when you are dealing with a crisis (M. Class

Posttraumatic Stress Disorder according to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) is an anxiety disorder that can develop after a person is exposed to one or more traumatic events, such as major stress, sexual assault, warfare, or other threats on a person’s life. There are many factors surrounding posttraumatic stress disorder suicide that we will attempt to further summarize. We will clarify the epidemiology of posttraumatic stress disorder and that the classical conditioning theory best explains posttraumatic stress disorder’s formation.

Lanesha is a 12 year old girl that has been having trouble with her temper and her anger in almost every aspect of her daily life. Her medicine and compliance to her treatment plan are no different. As a teenager, she does not want to continually be hassled and bothered. So to avoid this she constantly is telling the providers lies, or in her mind, “what they want to hear.” (http://support.mchtraining.net/national_ccce/case1/Flash/activity1.html). Lanesha has a sense of neglect from her grandmother because she states that she want to act like everything is fine as to appease her Grandmothers temperament. Marietta, also shares in frustration but also has a great deal of added stress as she also cares for her 10 year old grandchild and also her older ailing mother. Marietta exudes many of the qualities spoken by Dr. Horky in her presentation; her own age is taking a toll on her ability to care for Lanesha, she is worried about Lanesha. Due to Lanesha’s age and behavior however, Marietta is experiencing depression and grief. Almost portrays a sense that she has given up, like she has done all that she can. (Horky, n.d.). Other socioeconomic issues are in Marietta’s forefront.

This assessment was performed on a widowed 67 year old Caucasian male who lives alone. The patients name is Sean, and he has a diagnosis of above-knee amputation to his left limb, which was secondary to diabetes mellitus. Sean also suffers from a stage II sacral decubitus ulcer. Eleven weeks ago he had an above-knee amputation to L LE due to lack of self-care.

As we read through the case of Robin Henderson, we can easily understand that this woman had a rough childhood where both parents were abusive against her, both mentally and physically. Various methods of abuse from her family members led Robin’s psychical health to a few disorders, like dependency on alcohol and bulimia nervosa. Together with these disorders she had a suicidal mind and urge for hurting herself. Numerous instances of suicidal gestures and self-inflicting multiple cuts and burns made Robin’s consider her being “too dangerous” to public and herself. Hopefully, her family and husband were supportive and wanted Robin to get well as soon as possible, so Robin’s husband accompanied her to her first meeting

In the case study of the 75 year old woman these are some of the questions that could be added in the assessment process. The relation to the fatigue I would ask more question to get a better understanding in clarifying the direction. Like how long does it lasts when it occurs? Can you rate the level of your fatigue on a scale of 0-10 ten being the worst? Is it accompanied with a type of activity? Have you had any lifestyle changes? It is a gradual or sudden onset? Do you have any sleep disorders i.e. dyspnea? Do you sleep flat or reclined? This helps pinpoint the fatigue from different types. The types of fatigue are tiredness, exercise, depression, stress, medically like anemia, heart disease, emphysema. (Wilson & Giddens 2009)