Susan is a 33-year-old Caucasian woman. She lives with her husband of fifteen years, Dick, and two children, Emma (3) and Junior (9). The client holds a bachelor’s degree in English and did freelance writing from home until after her daughter was born. She now works about twenty hours a week as a secretary in a law office, a job she has had about three years. Her husband is a bank CEO who works over 60 hours a week. The client does not like the amount of hours worked and feels he should spend more time with her and their children. She also feels that his absence and apathy towards his family could be affecting Junior. The client reports her husband often making and breaking promises to their son but not being around for the emotional …show more content…
She also reports there was no drinking in the household. The client grew up with her brother, Matthew (younger by two years). She described him as a protector from a very young age, even though he was highly energetic and often caused trouble. He is now a police officer. The client reports not having many friends growing up, because she was shy and preferred to stay at home and read. She has neither past psychiatric problems nor a history of hospitalization or outpatient treatment. The client has sought medical help regarding the sleep problems. She was told there was no medical diagnosis, and she should seek psychological assistance. The only medical history the client reported was when she broke her arm as a child. She reported no history of physical, sexual, or emotional abuse or trauma at any stage. The client was somewhat reluctant to discuss the alcohol use in any detail, claiming it was not important, until she was made aware of the incongruence with her nonverbal cues. She was then more open and cooperative but appeared anxious. She reports her first use of alcohol was when she was 19 at a frat party where she met her husband. She was reportedly surprised at the interaction, because she saw Dick as a “ladies’ man” who was flirtatious and outgoing, the antithesis of her own
Client has a lack of social support network. No information regarding Alex's childhood, adolescence has been provided. Client mentioned that her father died of a heart attack to Dan but indicated that he was alive but later on we find out that he actually did die of a heart attack. She never discusses her family she was more into her lover’s family. There is no information regarding family history of mental illness, or substance abuse disorder.
Claire: 33 year old female lives with sister and second cousin. client was terminated from last job for
Substance Abuse Update Client she drinks on occasion but for the past weeks she being sober.
The point at which the client’s symptoms were most extreme was towards the end of her alcoholism, which was in her early thirties. She used humor, felt incomplete and fragile, oversensitive to other’s reactions of her, felt the need to hide from people whether it was through work or through drinking, and was aware of her drinking problem. She also presented with anxiety, excessive exercising and healthy eating, and denial of drinking in excess.
After assessing the presented problem, she mentioned that she uses drinking to escape from escaping from her problem. She is very accepting about her problem, but stated that she is having a hard time remaining sober due to the environment and friends she has. When she arrived to the clinic she was dressed very sloppy with an unpleasant order. She appeared to be under the influence of alcohol at this present time. Miss. Braxton sat slouched down in her seat and her speech was very sluggish. Although it was very hard for her to function, she answered each question towards the best
The client’s mother suggested Molly come in because she has become more and more dependent on her parents for a many aspects of her life. Molly reports that she is in jeopardy of losing her job because she is constantly falling behind and has difficulty completing necessary tasks on her own. She reports she does not enjoy making decisions for herself and it causes much distress in her daily life.
She was diagnosed in December of 1997. Overall, she is reported to be in stable health and has no known allergies to food or medications. Paula does not have a history of seizures. She is being monitored for high cholesterol, however her mother indicates Paula is not taking the medication and instead is exercising regularly and monitoring food intake as a means to reduce cholesterol levels to a normal range. Paula does not take prescribed medication and taking a variety of natural supplements. She has a history of sleep insomnia and will stay up late perseverating on past events, when this occurs, her mother will administer 12mg melatonin to help her sleep. Paula was recently diagnosed with sleep apnea following a sleep study completed by (______) on (___). Results indicated she stopped breathing 10 times per hour during her study and it was recommended she use a continuous positive airway pressure (CPAP) device when sleeping or taking a nap. She is on a regular diet and requires supervision to monitor food intake. Paula has a preference for eat, take food, and if able to will consume in excess. Mother reports that Paula is monitored by physicians and dentist on a regular basis and receives medical coverage through
She met with the on-site psychiatrist on 10/28/2015 and psychiatric evaluation was completed. Client was diagnosed with Axis 1: Learning Disability & F81.9 (Primary), Alcohol use Disorder, moderate, in early remission, dependence – F10.21, Major Depression, single episode, in complete remission; F 32.5 rule out vs. complicated grief in remission and Dysomnia; G47.9. CM tries to refer client to mental counseling and substance abuse program. Client declines referral.
She reported no exposure to mental health professional, she denies any family history of mental health or substance problems in biologically related family
Frank states that the client’s parents got divorced, the father was an alcoholic that also suffered
The client that I have decided to observe and write about is Michelle Draeger. Ms. Draeger has short spiky hair, light colored eyes, and wears glasses. Also, she is forty-three years old, has siblings such as an older brother, and while growing up was part of Band in high school.
As I carefully analyze Susan’s case study, I have diagnosed her for having major depression. This is because as I’m reading her case study her sister indicates that Susan is wasting her life by staying locked up in her poorly lit house, isolating herself from the world while experiencing extreme sadness. Susan attended a mental health clinic in South Florida where she is interviewed on how she is feeling. In order for you to have major depression you must betray a depressive mood or loss of interest in nearly all activities. Likewise, the individual should experience at least 4 additional symptoms. In her case study I have found at least 9 symptoms present that help back up why I’m diagnosing her for major depression. While visiting the mental
Most of the consumption of alcohol may well have occurred at home. The client and family members
However his partner is said to be “really understanding and supportive” during this time. Concerning the client's other personal relationships, it is unknown if he has criminal friends or associates. Regarding the client's education he has no specific numeracy literacy or language learning difficulties, however informs it is hard for him to concentrate for long periods of time and did not like being in a classroom. Looking at employment, the client does not have negative attitudes towards employment stating he has had many jobs and is currently
This client for the first eight months or so of life had no consistency. He had parents