Cnsl 556 Case Conceptualization Treatment Plan

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.

FAMILY HISTORY OF MENTAL ILLNESS: The client reports that when he was two months, his father named was Edward. The father got into an accident that he went to his ex-girlfriend house that lead into an argument and the ex-girlfriend end up murdering the father. Meanwhile, the mother was at prison when this happen and the mother never went to claim Antwone Fisher once she was done with

The client is living with her parents, who are retired and live in a small, rural town near Yuma, Arizona. Their relationship has been strained (as reported by the client) ever since she was a teenager. The client has no job due to her inability to get hired because of prior arrests, no transportation due to her license being suspended and car being impounded after her last arrest for Driving Under the Influence (DUI), with a Blood Alcohol Concentration (BAC) of 0.247 and client states that she feels stuck. (Micro).

The client is a 24-year-old white female who states she was raised by her biological mother and father until he was age 12, when her parents divorced. The client

The intervention that was implemented was the invitation for the father to participate in the therapeutic sessions with his son and ex-wife. I explained the client’s recent behavior and the subsequent admittance to my agency. I clarified that the client’s behavior worsens after their divorce which is evidenced by the increased disciplinary infractions he received at school. The client also became more combatant and argumentative with his mother and siblings as reported by them. I proposed the idea of meeting for a family therapy session to uncover the cognitive reasons behind the

Client (AM) is a 20-year-old heterosexual African American female, born in Durham, and currently still resides there. Her primary language is English. She lives with her 13 moth old child (NM) in a one-bedroom apartment. The client is unemployed and currently receives SSI benefits. AM resides in subsidized housing because of her social security income. Client did not finish high school and has no desire to do so.

issues with behavioral as well as not being punctual for her arrival to work. client was diagnosed with

She is observed to be in this stage because she is resistant to change her behaviour. Additionally, she doesn’t have the insight to determine that “people are responsible for their own behaviour and how they react to other people’s behaviour in their environment” (C. Marino, personal communication, 2001). The client stated that she would be fine if her son “stopped causing her grief”. However, when queried about her reaction to the son’s behaviour and actions, she just simply stated that the son could rectify the situation if he “would cooperate with the London people.” The client was visibly upset during the interview and wringing her hands. When she would get to the most sensitive areas of her distress, she would make a joke and laugh at herself. However, the client stressed that she was not responsible for her distress, as it was her son’s responsibility that she was upset.

Living with her mother; however her mother asked her to leave the premises. Case Manager asked client, why her mother asked her to leave. Client stated that they got into an argument. Client stated that they have been arguing on a daily basis. Client stated that she doesn’t want to raise her child in that environment. Client stated that she has being living with her mother all her life.

Mrs. Patterson is a 72 year old female who presented to the ED with complaints of ringing in ear and some sores in her nose. Per documentation Her son, however reported Mrs. Patterson has expressed repeated threats of suicidality and has said she is going to overdose on medication and has overdosed in the past. He reports she also threaten to walk into traffic. At the time of the assessment Mrs. Patterson denies suicidal ideation, homicidal ideation, and symptoms of psychosis. She appeared 3X oriented. Mrs. Patterson memory appears recently impaired. She reports a history of 1 attempted suicide years ago. Mrs. Patterson states when asked suicidal attempt she responded, "Yeah,but I forgot what I done." Her son Jim was contacted for collateral information. Jim reports 6 months ago his mother overdosed and has done so multiple time, however he is unaware if it's intentional with the intent to harm or her memory effecting her actions. He states, "She makes jokes about it (referring to suicidal ideation)." Jim expressed his primary concern with his mother is her not managing medications effectively. Jim reports he has a plan to move his mother into his home and take care of her daily needs and also manage her medications. Additionally, Jim reports her going to Daymark recovery Services. He reports DSS came out to the home today to offer any additional aid to Mrs. Patterson. She reports a history

CM was out on vacation from 5/3/2017 to 6/14/2017. On 6/20/2017, CM met with the client to complete Bi-Weekly ILP Review. Client was dressed in proper attire for the weather. Her affect and mood was appropriate. Client maintains eyes contact appropriately and she was oriented to person, place, time and situation. Client continue to deny suicidal or homicidal ideation

Client reported that she had a very rough weekend because her best friends were at the gunshot incident in Las Vegas this past weekend. She reported that she has been staying with her friends, and taking care of them since they came back. Client reported that she feels like she is her best friends' mom, and that she wants to protect them. Client reported that she feels really sad and painful for her best friends because she understands how much this traumatic incident would impact them. Client reported that she is angry at the shooter. She mentioned that if she does not have kids, then she would most likely also be at the gunshot incident, and it is very hard for her to think about it. Client reported that she is angry at her best friends' parents because they have not come and visit

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.

Family History: Patient lives in her mother’s house with her two children. The patient reports a

In the vignette, it is mentioned that the client Julie, a 34-year-old African American female, is calling about her son 12-year-old son Derik, who seems to be having an adjustment issue relating to her recent marriage to John. Although Julie indicated that she is calling on behalf of her son’s adjustment problem, she spends most of the time talking about her dissatisfaction at work and within her romantic life. When approaching this case through a solution-focused lens, I would stress to her that anyone who is concerned about the problem situation (Derik’s adjustment problem, although it is apparent there are other issues) should attend the sessions. In the initial intake phase, little information is taken, understanding that the client is the expert in what needs to change; as the therapist, my role is to help her access the strengths she already possesses.