During my second year of College I had to move in my father that got released from the army because of an injury. I lived in New Jersey and he lived in Florida. I had to move to Florida and transfer to another college and watch over my father because he was suffering from PTSD. It was extremely stressful because I saw my father at his low point which affected me mentally. I had hard time concentrating in class and my grades were getting affected by it. I normally do quite well, so this was a sign of a big problem.
Cognitive-behavioral therapy (CBT) is a short-term, empirically valid amalgamation of facets from cognitive and behavior therapies. Cognitive-behaviorists believe that psychological problems stem from maladaptivity in both thought and behavior patterns, whether self-taught or learned from others. Therefore, changes have to take place in both thoughts and actions. Cognitive-behavioral therapy is
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.
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
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
Presenting Problem 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
Focused History and Physical of Pulmonary and Abdominal Systems Performed on November 15, 2014 Informant/Biographic Data 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.
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
For the past few years, the patient has felt unusually 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
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.
Behavior: Hitting, kicking, say he wants to die, and profanity. Consequence: A verbal reprimand is provided and he is redirected with other preferred objects. Function: The function of this behavior is Access to Tangibles. Replacement Behaviors: 1. Dylan will utilize Functional communication to indicate wants and needs. 2. Dylan will be able to comply with instructions provided. 3. Dylan will use one or more of five coping strategies to calm down. B. Behavior: Automatic/Self-Stimulatory Antecedent: A highly preferred stimuli or activity is presented. Behavior: He paces, rocks, and covers ears if 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).
Abstract This research provides an analysis of current social disorder, reviews critical data and connects the relationship of illegal drug/immigration between the Mexican border and the United States (U.S.), domestic terrorism and social unrest which impacts our judicial system of law and order and public policy. Subsequently, this relationship directly affects the deployment and effectiveness of local law enforcement (LLEA) personnel, which accounts for the escalated rise in crimes against an unprotected public by lone wolf individual or a collective bound public demonstrating by protesting against social injustice. The increased public demonstrations, coupled by at least 81 terrorist attempts in the U. S. since 9/11, the introduction by
Reason for Referral: Client is 35 male, status divorced from wife of 12 years; no children. He was referred to us through family. He has an “empty feeling inside all the time”. He does not believe he is good enough (for girls), and takes criticism harshly. Tried to attempt suicide
After the implementation of the (Brad H) stipulation, mandates regarding how treatment was administered evolved to effectively provide mental health treatment to the criminal justice population. Class members’ charts must outline appropriate treatment recommendations, level of functioning, mental health status, and diagnosis. The stipulation also meticulously outlines how aftercare services are monitored and measured. Consistent oversight by two court appointed monitors was implemented so that compliance to mandates are routinely tracked and observed. Class members diagnosed with a severe mental health disorder (SMI) receives a distinguished level of treatment reflective of their treatment needs. Class members who are not diagnosed with a SMI status receives a lower level of aftercare services and/or treatment needs.
The worker provided a psychiatric history including being diagnosed and prescribed medication for chronic adjustment disorder with depressed and anxious mood while at school. The report details a history of the more recent events in the workplace with Ms Donna Mooney and the subsequent events regarding the allegations against the