Cnsl 556 Case Conceptualization Treatment Plan

2600 Words Jul 6th, 2015 11 Pages
Case Conceptualization
Tameka Coleman
CNSL 556: Portfolio II
Jennifer Rousch, PsyD
February 6, 2015

CASE CONCEPTUALIZATION & TREATMENT PLAN

NAME: Liz
ADDRESS: 1444 No Where Lane
DATE OF BIRTH: 12-10-1980
PHONE: 951-777-9311
PRIMARY LANGUAGE: English
EDUCATION: High School
REFERENCE BY: Friend
OCCUPATION: Homemaker
ASSESSMENT DATE: 02/03/2015
EVALUATED BY: Tameka

DESCRIPTION OF THE CLIENT
The client is a 34-year-old woman Hispanic female, dressed casually and neat, clean clothing. She made normal eye contact, she spoke in expressive voice, and appeared sad manifested by tears.

PRESENTING PROBLEM
The client reports for the past two
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Therefore, she is considered a possible danger to self. The client denied any homicidal ideation or ruminations.

SOCIAL HISTORY
The client reported that she is separated, unemployed, and has two children, a nine-year old boy and a seven-year-old girl. She has been married for ten years. She states early in her marriage they would argue and yell. The first year of marriage was fine but her husband started emotionally and physically abusing her. With the help of her close friend she left her husband and has been living with her mother for the last two months. She has not spoken to him since she left. This event has triggered negative core beliefs that she has failed as a parent for not keeping the family together. Her sister supports the decision to leave her husband and wants her to come to Washington for a fresh start. But now, the client states he continuously apologizes by sending gifts and begs for her to come back home. The client also reports that her mother suggest that she return home so the children will not suffer from not having their dad.

The client’s family of origin lives in California and consists of her mom and younger sister. Her father was a truck driver and her mother was a stay at home mom. The client reported her father past away from a heart attack over five years ago, and her mother never remarried. The client states her father was “a drunk and abusive towards my mother”. The client states her mother
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