Purpose of Evaluation SR is a 45 year old, single, African American male, who lives with his family in an urban area of Columbus, GA. SR is currently unemployed, but is on disability. SR is presenting to see if a higher level of care is needed for his presenting symptoms. A local outpatient community service board referred SR, after a routine appointment with his outpatient therapist because of reported aggressive behaviors, to include homicidal threats, with multiple plans, by his family. While at the appointment his outpatient therapist reports that the client was rambling, having racing thoughts, rapid and frequent mood swings and severe paranoia. SR reports that he is easily agitated and has anger outbursts that accompany his mood swings. He also reports severe bouts of depression that leads to decrease in sleep and appetite, as well as helpless, hopeless, and worthless feelings. Client reported feeling like people were talking about him, and laughing at him, while at home with his family, he also feels that his family are out to get him, and his money, onset, x2 weeks. SR also reported current active homicidal ideations on 10/31/16 with a plan to shoot his friend who stole money from him. Client reports onset for H/I was 10/29/16. SR has no previous homicidal attempts. Per family, SR is very impulsive and spends his money on gambling and drugs. SR also has a 15 year addiction to cocaine, which he feels he can’t kick. SR has tried to stop in the past, but he always
Mr. Davis is a 33 year old male who presented to the ED with homicidal ideation with a plan. Mr. Davis states he has a plan to go out in his yard with a machete and kill someone. Per documentation he states, "I'm going out into the yard with my machete and I am afraid I am going to kill someone. I feel really crazy." He states he has these thoughts towards anyone that does him wrong. At the time of the assessment Mr. Davis is asleep, however becomes awaken and 4x oriented by hearing his name called. He has a history of Bipolar. He denies current suicidal ideation, homicidal ideation, and visual hallucinations. He does endorse auditory hallucination. Mr. Davis reports hearing several people telling him things. He reports his outpatient provider is DayMark and he usually go there twice a month for his Depakote injections, however has not been there since
Donald is a fifty-four-year-old male with a wife, children, and several grandchildren. Donald’s symptoms started approximately thirty years ago and have been increasing in severity. Documenting the critical issues, diagnostic impressions, and treatment recommendations are imperative to successfully helping the client deal with the issues and possibly minimize the risk of future relapse in recovery. Addressing the biological, psychological, social, and spiritual aspects will help to guide the therapist through developing the most accurate treatment model for the patient.
The participant is a 49 year old African American male who began using substances at the age of 13. He was diagnosed with severe alcohol, cocaine, and opioid use. The participant has been incarcerated over the past 32 years. He was recently paroled after completing eight years of a sixteen year sentence in the Illinois Department of Corrections for burglary and theft. The participant is on medications to treat HIV/AIDS and has been diagnosed with Major Depressive Disorder. He was referred to Healthcare Alternative Systems residential program through TASC as a condition of his probation.
The patient is a 34 year old black male. The patient reports he is single with 3 daughter ages 3, 11, and 13. The 3 year old live with him. He reports currently live with his mother and brother. The patient reports he has 14 years of education however has not received his degree. The patient reports being on probation for Injury to a child for the next two years. The patient is scheduled to be complete his probation in September 2016. The patient reports Cannabis is primary substances and his last use July 20, 2015. He stated on that day he smoked about 5 joint. The patient also report that he tried Xanax . The patient denies any issues with HI/SI. Patient also reports he is taking his medication as prescribed. The patient appear to be in the pre-contemplation stage of change. The patient next scheduled individual session with the counselor is on Thursday, July 30, 2015 at
Mr. Goins is a 52 year old male who presented to the ED via LEO following a 4 day binge on alcohol and requesting help with his dependence. Mr. Goins reports he moved to Asheboro recently and found work, however recently lost his job. He reported a history of alcohol use and depression. Dr. Keith requested an assessment on Mr. Goins.At the time of the assessment Mr. Goins denies suicidal ideation, homicidal ideation, and symptoms of psychosis. He reports 5 days ago he became unemployed. Mr. Goins reports his fiance who is his primary support system left town to go to a doctor appointment in their home state of Georgia. He reports binge drinking for the past 4 days attempting to cope with his recent stressor. Mr. Goins reports calling his fiance last night an expressed to her he need help. He states, "I told her I felt at the time no reason to live." Further Mr. Goins stated, "I just had too much in me last night, I had about 14 of them airplane bottles." Mr. Goins denies a history of self harm. He does report a prior hospitalization for depression in Georgia. He also reports a history of attending substance abuse treatment, which was a positive experience for him.
Presenting for treatment is a 39 year old single, Caucasian female born in Montreal, Canada. The client identifies as heterosexual with no children and no current intimate relationship. The client was recently released from a psychiatric residential treatment in the U.S. and referred for ongoing outpatient treatment by her doctor at the hospital. The client has a history of suicidal ideation, with her last attempt leading to her hospitalization. The client reported that both her parents died in a car accident when she was an infant. The client stated that she has a twin brother whom she did not meet until much later in life. The client reported being raised in a hyper-religious school in Quebec and it was there, the client stated,
The patient has mental issues that lead to physical harm and violence to others. The therapist is obligated to report Don’s threats and have him checked into a facility to prevent any crimes being committed.
D.D. is a 50-year-old, African American male presenting with a number of anxiety and depressive symptoms. The client reports that he came to counseling for “extra support and someone to talk to.” D.D. has been struggling with mental health issues since he was young. Since the age of 15 he has been hospitalized on and off for “hearing voices.” In the early 1980’s he was diagnosed with schizophrenia and prescribed Risperdal to treat the symptoms. Since then, D.D. has been in a variety of mental health settings, including hospitals, day programs, and outpatient treatment. The client has an extensive alcohol and drug use history that he believes impacted his Schizophrenia. In the early 1980’s the client would use alcohol every day “to avoid the voices,” drinking “anything he could get his hands on.” He was also heavily involved with drugs at that time and regularly used marijuana, PCP, cocaine, and heroine. In 2000, the client was sentenced to eight years in jail for four bank robberies. While in jail, D.D. received mental health treatment and alcohol and drug treatment, which was greatly beneficial. When the client was released from jail in 2008, he was drug and alcohol free and was taken off of Risperdal.
History of Present Illness: The patient has been seen in this clinic since 2016. She is diagnosed to have ADHD, Bipolar II disorder, Generalized Anxiety disorder, Alcohol and Cannabis use dependence. The patient has struggled with separation from an abusive ex-husband, who is currently
Client appears to have displayed behavior consistent with Intermittent Explosive Disorder, with several incidents in the past consisting of fits of rage, aggressive behavior and physical altercations. Behaviors are often a result of ruminating on the moment when client found his wife and another man in the shower. Client experiences delusions and hallucinations such as hearing “My Cherie Amour” when it is not playing or thinking that his wife and other teachers at the high school are plotting against him. Additionally, client seems to be on automatic pilot and unable to control thoughts and impulses.
Mr. Lee is a twenty-six year old African American male who was referred for Mental Health Skill Building Services by his outpatient therapist due to him exhibiting the following psychiatric problems: depressed mood (daily); feelings of worthlessness (3-6x weekly); recurrent thoughts of death (2-3x monthly); (1) suicide attempt; diminished ability to concentrate and indecisiveness (daily); and markedly diminished interest in activities that once provided him with excitement (daily). Mr. Lee reported having a history of being diagnosed with Major Depressive Disorder with Psychotic features. When asked to share some of his delusions and hallucinations they appeared to consist with typical depressive themes to include guilt, death, and voice telling
Patient stated that he was on detox unit in October of 2016. Patient stated that after his discharge and went to Salvation Army in Jersey City. Patient stated that he AMA'd from Salvation Army in February of this year. Patient stated that he felt that it was time to go get his own place, start working, and get his life together. Patient started working in construction Stated workin. got house care and within two to three months started using. Patient stated that he was stressed from life and physically tired from work as the reason for his relapse. Patient stated that he was fired two week ago. Patient will attend groups to identify coping skills for maintaining sobriety from drugs. Patient will increase socialization by interacting
My client name is Ivan Slovsky he Is a 74-year-old Russian Immigrant. He is a 6’3 male with tan looking skin, dark brown hair. He dropped out of high school when he was in the 11th grade. Ivan has suffered from lack of education in his younger years, which conflicted with him getting a good job in his early career. He doesn’t have any income being that he is not working and no longer receives his monthly disability check. Ivan never went back to complete his high school education. Ivan was a brilliant engineer, but had problems keeping a job because of his erratic behaviors. His wife was his primary caretaker who took care of him and made sure he got all his medication on a daily base and a set time. Upon recent record it had been discovered that Ivan also suffers from Schizophrenia from a history of Ever since Ivan wife passed away he has been found doing unusual things. He was recently found in local a pet store claiming
Bill is a 30-year-old male in Lincoln Nebraska, diagnosed with schizoaffective disorder. Bill has been detained in the Regional Center multiple times over the last 15 years due to fear of being a danger to himself and others. Bill is on many medications as well as psychotherapy. Bill has attempted suicide three times, because he believed the devil was speaking to him telling him to do these things. He now lives in his own home, across the street from his mother; his mother takes care of his money, and government benefits, as he is not fit to manage his own affairs.
“Now We Can Begin” an essay by Crystal Eastman is a very powerful essay. Eastman makes the point know in her essay that an honest and true feminist no matter where she stands in the movement she will see to the woman’s fight with strength and courage and how it matters in the future and as well as its difference in its approach for the workers fight for industrial freedom. Eastman state “In fighting for the right to vote most women have tried to be either non-committal or thoroughly respectable on every other subject. Now they can say what they are really after; and what they are after, in common with all the rest of the struggling world, is freedom”