Case Study Separation Anxiety Disorder

2. Client is demonstrating phase of life problems and which is presenting as restlessness, anxiety, and loss of identity (un-fulfillment) due to his child pulling away from him as she enters school full time.

An infant's anxiety and uncertainty are evident, as when the infant becomes very upset at separation from the caregiver and both

The clients involved in this case study is an African-American 12-year-old boy ,30-year-old mother and 33-year-old father. I have been assigned to work with the 12-year-old regarding his issues with attention deficit hyperactivity disorder, anger issues, mood disorder, and oppositional defiance disorder. My agency has created several goals for the client to achieve while receiving services such as mastering three coping skills to improve his ability to effectively deal with losses in his life (i.e. the absence of his biological father); identifying seven ways he can respect authority figures in the home and community; and mastering five

The DSM – IV – TR (APA, 2000) described two subtypes of the disorder which was identified to be caused by pathogenic care as evidenced by persistent disregard of the child’s emotional and physical needs (Corbin, 2007, p. 540). The subtypes are:

This learner completed a psychosocial assessment with the client. This is when he said that he was showing problems with depression and anxiety. He stated that he was loved by his family, but problems happened in his life where he did not know where to turn to for emotional support.

The assessment was conducted on a patient who was forty nine (49) years old bisexual, a white female and single, a Roman Catholic and who didn't have any child. Most importantly, this patient has worked with me for a period of one year from January 2010; therefore I have been seeing her every week for about fifteen minutes. The patient was given to me by one psychiatrist who came across her at event where the housing project was being commissioned to support Veterans. By that time ,the patient was suffering from Anxiety Disorder NOS and Depression NOS.

is 8 year old Caucasian male who has a younger brother. He was taken from his biological parents who was on drugs thus client B. suffers from intense abuse and neglect. He and his brother was left with his father’s mother who had a schizophrenic diagnosis years of neglect and abuse. He had been to five foster homes over a 5 years period and to each he was abused physically, emotionally, mentally and sexually. Client B. has no friends and during the time in the foster homes, his biological mother would only call to say she is trying to getting him back. Client B. is now adopted by a new parents and is now living in a caring environment but he is still struggling with mistrust issues, hurts, and low-self-esteem and anger issues. His adoption parents is very concern and want to see him become less distressed and open to the care and love that they are sharing. Client B. has developed some medical issues which was of concern to the medical provider was called in children services to check in on

158-159). “In reviewing the literature, the focus was on identifying the impact of parental mental health, the associated risks, the difficulties with the interface working, and proposed solutions” (Duffy et al., 2010, p. 159). Some of concerns expressed for the program to be effective were how mental health and child care services work together, communication between the two, role clarity, and the outcome hoped to be achieved by the development of this program was to provide holistic interventions which could not be provided by just one agency, earlier intervention which was more effective, to decrease staff stress, and to obtain a better outcome for the families involved (Duffy et al.,

Have you ever been attached to something? Have you ever thought or felt that your life couldn’t continue without this object? Separation anxiety is very common, statistic show that at least thirty three percent of the population has this disorder. This disorder is the fear of being separated from something or someone. The subject with the disorder views separation as detrimental to their well-being. Caregivers, stuff animals, money, and cell phones are examples of objects people have separation anxiety towards. Separation anxiety is very common in infants and children.

The assessment holistic approach to understanding what has occurred and currently occurring in the clients life as well as understanding what is considered a priority of treatment for them and their guardian. The assessment begins with the presenting issues asking what brought the client in. The section also covers when the problem started, how long it has been going on, what is the level of intensity of the problems, and how frequently do they occur. In the family and social history section examples of questions asked are current household member, how does the client get along with others, client's strengths, and who do they go to when they need help. The next section is the abuse and sexual risk behavior where the client is asked if they feel safe inside and or outside there home and if they have or know of anyone that has been abused or neglected. Developmental history is then taken, which includes history of pregnancy, any disorder or disabilities the client has been diagnosed with, and delays in any motor

The client Suzanne is a seven year old girl placed in a treatment center for emotionally disturbed children. This center helps children ages six through twelve years old. Suzanne has been diagnosed with an attachment disorder and has been placed in a group home for two years. There are two types of attachment disorders, attachment and reactive attachment (Smith, 2014). She has been meeting with a facility caseworker weekly for the last eight months. Her three year old sister, Cindy, is also placed in the facility with her. Parental rights are currently being processed to be terminated. The caseworker is looking into alternative long-term placement for the sisters. Each sister has a

Ricardo’s first words to me were: “I hate this place and I hate my father.” At that instance, I tried to comfort him by expressing that things were going to improve, but Ricardo ignored me and left the office. The next day, I tried to communicate with Ricardo via phone, but he was unresponsive. Two days later, I showed up at Ricardo’s foster home and I was finally able to have a conversation with him. During our conversation, I explained to Ricardo my role as his caseworker and I detailed the services he needed. I expressed to Ricardo that an essential component of his service plan was to refer him to Cognitive Behavior Therapy (CBT) to help him improve his behavior by focusing on his feelings and moods. Ricardo reacted by stating that he did not need to improve his behavior, nor he needed my help. As I noticed that Ricardo was getting aggravated, I decided to conclude our conversation by scheduling our next meeting at the office as I was required to see him twice a

assessed infants before 18 months and with both mothers and fathers and then followed up with

Collateral interview with Ms. Jennifer Small-Felix/Child Advocate and therapist was conducted via phone to discuss child’s behavior and follow up in reference to status of her medication. Child’s advocate was informed of change in child’s behavior reported by the foster mom.

I am currently doing my field practicum at an agency named Quality Care and Advocacy Group (QCAG). QCAG is a therapeutic clinic that provides an assortment of mental health services to clients that need their psychological needs met. Some of the of the services provided at the agency are in-home counseling, behavior aid, family therapy, individual counseling, life skills, and crisis intervention. Our clients’ ages range from children to adults. Many have acute emotional and psychological disorders that they are struggling to overcome in their life. My caseload typically consists of children, elementary to middle school age. My client is an eight-year-old African American male. My client currently resides with his mother and step-father. He has a younger sister that is one-year-old and his mother is presently pregnant with another girl. The client’s natural father was murdered several months ago. The mother reported that the client feels some anxiety over his father’s death and frequently states that he misses him. The client has a strained relationship with his step-father and habitually opposes his rules. The client has been diagnosed with attention deficit hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD). This causes him to misbehave at home and school. The client repeatedly engages in altercations with other students and even staff. The client will attack students and staff with pencils by attempted to stab them. The mother has been called to the