Coping Disorders: A Case Study

Franks desire to not attend therapy but his physicians desire that he does. Discussing with him the benefits and consequences of seeking psychological assistance could normalize the need for assistance. Talking about where he is at currently, where he would like to see himself, and what would be necessary to get there might make him recognize his own hopes. Encouraging the client to have some control over his own mental health as opposed to his lack of control over his physical pain will hopefully empower him. In response to Mr. Franks request for assistance in increasing his narcotics (question 4), I would remind him that I am not a psychiatrist and am unable to prescribe medication. As for contacting his primary care physician, I intend to inform the client that, “I am not at the point in our relationship where I am comfortable nor informed enough about your physical and mental wellbeing to make such a recommendation at this

R.H. has a large, active family in the area who assist in his care and plan of treatment as much as possible, and provide daily visits. Prior to the most recent hospital admission, the family reports he was an active man who lived alone, and was quite capable of caring for himself and his house. He has a wife who suffers from dementia and is cared for by their children. He meets with his primary care doctor as well as a home health nurse frequently to monitor his condition and review treatment options. Additionally, the patient is a non-practicing Catholic, with a close group of friends and other support systems within the community. Even with the high level of support he has, the patient is still at an increased risk for ineffective coping due to the sudden onset of his symptoms. Due to his continued weakness and confusion related to high levels of pain medications, much of the decision making is left up to his family, particularly his eldest daughter causing stress for the whole family. Because of his self-care deficit, which will likely extend after discharge, he will likely require extensive rehabilitation as well as being required to live either with family members or in a care facility. The patient and family will need to be continually monitored for ineffective coping for the duration of his hospital stay, as well as following discharge.

The client is experiencing depression. Client has complaints of not having any energy to do anything, having thoughts of not wanting to be here. Client reports that she attempted suicide after the death of her son many years ago, but she currently has no interest in attempting to commit suicide. Client presents with problems of hopelessness, inability to sleep, and loss of taste for food. Client is also having feelings of being worthless, ashamed and not wanting to be around anyone. Client has been experiencing these symptoms ever since her husband left. The client is unable to work

Patient presents for a focused assessment on the pulmonary and abdomen systems. He is presently 52 years old, and his date of birth is September 30, 1962. He is a white male, second generation American, who presents alone wearing bilateral hearing aids (receiver in the canal). The patient is in no acute distress, who seems reliable is calm and attentive. Speaking in his native language, English, he is cooperative, eager answer questions and follows commands without difficulty. The patient states that he does a lot of home maintenance and repairs on his single family dwelling and enjoys woodworking as a hobby. He shares that he enjoys bike riding for exercise one to three times per week. He works in a sedentary capacity as a senior information technology services, senior architect for 50 to 60 hours per week and claims to enjoy his current work situation. The patient states that he is a happily married man and father of three young adults: two girls, 19 and 20 years old and one boy 18 years old. The patient’s self-perception is the he is “healthy and happy”. Upon inquiry, he reports his spiritual belief is rooted in Christianity. He bases his choices in his faith but is “not one to go to church or wear it on his sleeve” (Dameron, C., 2005). He denies having or desiring a spiritual advisor at this time. He denies any spiritual needs at this time.

The client is a young, White-American, Christian, male. He most likely come from lower middle class (currently unemployed and used to work in a local furniture store). He is a single man, but his sexual orientation, romantic and sexual relationships are not mentioned in the report. Considering his particular cultural elements, he is in advantageous situation in some part such as, ethnicity, sex, religion and age. Thus, he is not likely to feel “extra” oppression due to his metal health and alcohol use problems. However, his comes from low SES and has a mental disability (therefore, he become eligible to Medicare), these probably negatively influence his mental health progression. For example, he is not able to access his former psychiatrist due to his current insurance. When it comes to his spirituality, even though his father is a religious man, the client does not seem to be interested in spiritual issues. However, his father’s strong spirituality would be beneficial for both. Since, the client’s father, as a main social support source, his mental and physical health is also vital for Tom. In fact, his father plays a critical role in Tom’s life.

The patient lack strong support system. He live with wife who is currently disabled with uncontrolled type 2 diabetes. Their three grown-up children live in a different area. He lacks community socialization due to majority of the population living at the poverty level and barely have emotional or social support since there are no relatives living in their city.

When a client seeks treatment, they have a reason. Among those reasons are self-deprecating beliefs and maladaptive life views.

Client is an 48y/o African American male. He was recently divorced, and has been admitted DTS for psychosis and suicidal ideation. He is oriented x3-4. Displays good insight and sound judgment. Very non-confrontational attitude and behavior. He was admitted after a suicide attempt by his daughter. He has been in this facility for three days after being transferred from the ER after He tried to overdose with pills. When prompted to speak about his family, client became very withdrawn and secretive. When prompted to speak of his experiences, he gladly shares stories. He loves animals especially cats, and to occupy his time he enjoys reading books (the bible) and watching movies. Claims to have no prior history of smoking or substance abuse.

If aggression is the result of trying to escape a demand, then follow through with the demand using the 3-step guided compliance (tell, show, do).

I am currently interning at an outpatient dialysis clinic in Manhattan. For confidentiality purposes I will address my patient as Mr. E. Mr. E is an African-American male in his late 40s who is married and a member of the LGBT community. He has several illnesses besides kidney failure that is substantially impacting his health, some of which includes Hepatitis C, HIV, liver failure, and heart disease. During our initial session Mr. E was assessed high on the CES-D 10 depression scale and reports having many stressors in his life including his health issues, relationship problems and not having time to do self-care activities. He claims to have a down mood most days but also reports having hope for better health in the future. Mr. E. has

If the patient does have a religious background, provide a list of churches in the local area and online resources. From a cultural standpoint, it is imperative to assess the client’s cultural heritage, as this may provide other important beliefs besides religion that provide strength and inspiration. Emotionally, the patient is struggling internally over past issues, so the patient would greatly benefit from continuously talking with a counselor and working through some of the issues that may be present. Physically, the patient is functioning at an appropriate level, but may benefit from joining a gym or becoming more active. This could help the patient become more physically fit and at the same time take her mind off of some of the issues that are constantly running through her

Police officer’s ability to effectively cope with stress is critical to the safety of society as well as the psychological well-being of the officers. Coping refers to the ability to identify specific sources of stress and the capacity to develop a plan of action to resolve the issue. Despite numerous stressors, the psychological wellbeing of officers is often overlooked or minimised by administrators, supervisors, the public and often times the officers (Collin &Gibbs, 2003; Karaffa &Tuchkov, 2013). Avoidance style coping is characterized by the desire to escape, withdraw, or deny the existence of a stressor. Numerous research in the United States and the United Kingdom (Miller,.L, 2015; Warner,T., 2015; Lieberman,A., Best, S.,Metzler,T.,

As of 2015, around 16.1 million adults suffer from Major Depressive Disorder in America and one in five teenagers will experience it (Adaa) (Everett). Depression is a temporary disease that is treatable with an assortment of medications and services (Everett). The American Psychiatric Association defines Depression and/or major depressive disorder as a “common and serious medical illness that negatively affects how you feel, the way you think and how you act.”(Psychiatry). Yet there are many forms of treatment, from medication to therapy treatments. For example, Selective serotonin reuptake inhibitors, shortened to SSRIs, are a form of antidepressants that work by “increasing levels of serotonin in the brain” (Mayo Clinic. (2018). Selective).

The patient, a thirty-three year old female singer, is having difficulty sleeping, simple activities like getting groceries tire the patient easy, complains of neck pain, and cannot concentrate. The patient experiences worry and anxiety. However, when asked about what specifically, many things were brought up but none were more important than the other.

Working in the field of mental health, I have come to realize that mental and behavioral illness is common and almost everyone is affected in the United States. Caregivers offer service to people who are not capable of performing or going through their daily routines or activities because of their physical disabilities or an illness (Gouin, Estrela, Desmarais, & Barker, 2016). A coping system for dealing with mentally ill patients vary from one family to another for different of reasons.