Case Conceptualization of Patient

BACKGROUND: Ms. Copeland is a 58-year-old left handed white female who was referred to the Hillcrest memory Diagnostic Center by the emergency room physician for evaluation of memory problems and difficulties in functioning including suicidal ideations.

G: CM met with client for weekly case management session and to update ISP goals.

Client was given table and 4 chairs, coffee table, 1 side table,2 chairs lamps-inflatable air mattress very uncomfortable; by a friend.

help stabilize her moods has also been on an antidepressant to treat the bipolar. Client has cycles

Mr. Gillespie is a 21 year old male who presented to the ED after an intentional overdose on 20 600mg of Gabapentin. Per documentation from ED staff Mr. Gillespie reported he became angry at his grandmother tonight and tried to "prove a point." Mr. Gillespe reported to staff threatened to overdose on his on pills, however dumped them in the toilet. He expressed after making threats to overdose on his prescribed Celexa did not phase his grandmother, he proceeded to take her Gabapentin. Per documentation Mr. Gillespe has been living with grandmother for 2 weeks and before that was living with his mother in Cary. At the time of the assessment Mr. Gillespie was calm and cooperative. He denies current suicidal ideation, homicidal ideation, and symptoms of psychosis. He appears guarded during the assessment. He reports tonight his grandmother and he got into an argument over him getting a job. He reports his grandmother informed him he has to be out by Friday. Mr. Gillespe denies history of self harm. He

She says she has gotten more depressed and anxious. She is tearful, low mood. Says she does not want to kill herself but does

My clients name is Mallory. She is a nineteen-year-old, Caucasian female attending Indiana State University as a freshman with an undeclared major. My client currently works as a support services specialist at the Indiana Air National Guard in Terre Haute and is a hostess at Chili’s. She currently lives by Ivy Tech with her grandparents, mother, and younger brother. The client has “no connections” with her biological father and appeared apprehensive when mentioning him. Her stepfather is now remarried and Mallory has limited contact with him. She mentioned that his mother, her grandmother, is very close to Mallory.

• Pre-Registration - When the Patient either comes into the office or calls over the phone for the inital appoitment. If they are new Patients you will need all their insurance information prior to appoitment to confirm they infact take that insurance, co-pays, and active insurance. You then will need to know what the patient is being seen for.

She’s shown little interest in daily activities, which she used to engage in, and has had difficulties falling asleep at night. Her mother has overheard her having frequent phone conversations with her a friend, which consist of her negative outlook on life. When her mother tries to get her to open up about what’s bothering her, she pushes her away with an abrupt “everything’s fine”.

Jennifer meets the diagnostic criteria of development of emotional or behavioral symptoms in response to a stressor within 3 months, has marked distress that is out of proportion to the severity of the stress, has significant impairment in social, occupational, and other functioning areas, and symptoms do not represent normal bereavement. Jennifer would not meet the criteria that the

history of mental illness leading to disordered thinking. She would struggle with this illness that

Based on the history Ms. NS provided, it was not clear whether she had been experiencing the symptoms for the same 2-week period. This ambiguous length of her illness makes the longitudinal specification of her diagnosis challenging. Furthermore, the fact that she reported a loss of her grandmother and her friend at the same time around two years ago, it seems possible that her symptoms were prompted by those tragic events that occurred simultaneously, or the symptoms might have been escalated due to those events. If that may indeed the case, this could be considered one long, single episode of major depression. However, it also needs to be considered that her symptomatology may be merely the expression of distress in the context of bereavement.

Case conceptualization explains the nature of a client’s problem and how they develop such problem ( Hersen, & Porzelius, p.3, 2002) In counseling, assessment is viewed as a systematic gathering of information to address a client’s presenting concerns effectively. The assessment practice provides diagnostic formulation and counseling plans, and aids to identify assets that could help the client cope better with concern that they are current. Assessment is present as a guide for treatment and support in the “evaluation process. Although many methods can be employed to promote a thorough assessment, no one method should be used by itself” (Erford, 2010, p.269-270). Eventually, it is the counselor's job to gain adequate

Clinton, T. & Ohlschlager, G. (2002). Competent Christian counseling: Foundations & practice of compassionate soul care. Colorado Springs, CO: WaterBrook Press.

There is no indication she has had a manic or hypomanic episode. Her depression may be complicated by grief due to her father’s death one year ago. Her symptoms seem to get worse after his passing.