Developmental Psychology Case Studies

The client is a 35 year old African American female who presented as open and anxious during the assessment. In 2011, the client was diagnosed with Bipolar and Anxiety. In 2015, the client was hospitalized for 7 days at Richmond Behavioral Health Authority. The client was admitted due to symptoms of irritability, lost track of time and blacked out. The client was prescribed Seroquel and Topamax.

After working in the mental health field for several years, part of my job as an intensive case manager is facilitating crisis assessments on individuals who present in the emergency room (ER) and endorse suicidal ideation. Virtually all people who I have assessed and are genuinely suicidal with high risk mainly report major depressive disorder as their primary mental health disorder. Many of these individuals also have a previous history oftrauma as well, whether physical, sexual, or emotional abuse.

Pt is a 12 y/o Caucasian female presenting to NNBHC due to self-harming behaviors. The pt stated that she had an “episode” last night stating she was crying and inconsolable making SI statements and self-harmed. Pt showed assessor about 10 superficial slashes from a razor she used to her left forearm. The pt stated she had it in her room for almost 5 months just in case if she felt she was needed to feel the pain. Mother reports she was there during the episode and the left the pt for less than 2 minutes when she engaged in self-harming behaviors. The pt stated this episode went on for almost a 1.5hr, and there was an unknown trigger. Per mother report there have been some stressors in regards of the mother and father

V.S described unwavering compliance with her medication schedule. She takes Lisinopril and Levothyroxine at 0800, and Ativan at 0000 before bed (works 1500-3200).

Ms. Corbett stated that she has never experimented with drugs. She reported that no history of alcohol abuse. She indicated that she drinks on an infrequent social basis.

Pt is a 15 y/o biracial female that presented at NNBHC by her father with a dx of persistent depressive disorder with intermittent major depsressive episode, with current episode, severe; rule out PTSD, chronice; marijuana use disorder, mild; and parent child relational problems. Pt presents appropriately dress, pt eye contact was poor. Throughout the assessment the pt demonstrated intermittent of tearfulness. Pt expressed that she have been feeling worthless, helplessness, and hoplessness. Pt describe that since her mother died she has not seen any motivation for living. Pt states that she has been feeling suicidal for weeks, however lately it has became more intrusive. Pt states that she has a plan to either overdose

Patient is a 75 year old female who presented to the ED with depressive symptoms and suicidal ideation. Patient reports for the past 3 months she has been treating a UTI. She expressed that she has been complaint with medications, however has been to the hospital 4 to 5 times within the last 2 months for the same. Patient reports since been diagnosed with the shingles last year everything has been going downhill. The patient has been treated for the shingles since. The patient reports multiple stressor including: medical conditions, inability to care for herself, financial concerns, and poor familial support.

Patient is a 53-year-old female who presented to the ED after a attempt to commit suicide by cutting both her wrist. Patient stated: "I don't care about my life, I can die and it would not matter to me." Patient becomes tearful and expresses when she was cutting her wrist she didn't die. LEO brought patient into the ED from DayMark recovery services under IVC. At the time of assessment, patient endorses feeling suicidal with a plan. Patient reports health, conflict with neighbors, and financial issues as the primary factors contributing to her current distress. Patient reports having a history of suicide attempts by overdose, the last being "years ago". Patient reports no hospitalizations from incidents. Patient reports a history of domestic

During my nursing career, I have worked in many high stress areas (ex; labor and delivery, where not every outcome is great, medical surgical unit, where a lot of people would get diagnosed with pancreatic cancer, and neurosurgical unit, where I took care of many young individuals affected by glioblasoma multiforme) where my patients were depressed (acute depression) due to their diagnosis and were not sure how to cope with their situation. I did have several suicidal patients, as well. Reflecting on this week’s readings, especially on Meghan’s pp presentations, I must admit that I have to learn more about different depression and suicide tools that are available. That is going to help me not only in my current practice but also in the future.

Patient reports that current symptoms started five months ago. She has had suicidal thoughts everyday for that time frame. Family history is unknown. Patient’s medical history is currently unknown except she stated she had a headache for a year in

Today I called a previous staff member at my High school to perform an interview for a project in developmental psychology that is coming up. Before we started the interview she asked how everything was going, and when my alarm went off to go check my laundry she then stated “please tell me you were not just waking up and I responded by saying NO I have an 8:30 class I have been up for a few hours now”. This conversation and interview made my day and has also brought up some reflecting time for me afterwards. I have begun to see how much God has done not just for my family, but what has been done in my life. To think just last year, the thought of God moving our family to Dallas, Georgia was still something that none of our family or friends

The patient expressed she has no current suicidal ideation or homicidal ideation. However, she admitted to suicidal ideation in the past, right after her breakup, approximately two months ago. She expressed that she wanted to hurt herself and had a plan on how to do so, but did not think she could go through with it. Her plan was to overdose by taking her mother’s

During the time of assessment the patient was sitting upright in her bed, her father at her bedside. The patient denies HI, SI, and symptoms of psychosis. The patient reports a history of depression. She expresses that a few days ago her and her boyfriend ended their one year relationship and he left the home due to the multiple domestic violence situations that have occurred in the home. The father of the patient provided a copy of the message sent of Facebook sent to the boyfriend, which expresses that the patient is hurt by the relationship ending and has suicidal thoughts with a plan to take a prescribe bottle of Valium to cope with the situation. Per documentation, patient's boyfriend throws knives at her, beat her and is verbally abusive. This was confirmed by the patient and her father. Per documentation the patient's parents picked her up a few days ago and she feels safe to go home. The patient reports joking about taking pills on Facebook. Per documentation the patient states, " If I wanted to kill myself,I'd just stay with him." Further the patient states, "If I go back to my boyfriend, he's going to beat me and I won't be able to take in much long." Per documentation the patient express crying episodes and feeling sadness, panic attacks for the past few day, and trouble

Monitor for change in mental status Rational: suicidal thoughts or actions can occur, especially at the beginning of treatment

Pt is a 17y/o African American female presenting to NNBHC with SI, HI, aggressive behaviors, AV Hallucinations and frequent flashbacks. Per report from mom the pt. has been demonstrating physical aggression towards younger sibling who is 8y.o. Pt has also been exhibiting verbal aggression towards 2 yr. sibling. Pt states of SI, and passive thoughts of death, pt. states a h/o of cutting behaviors. Pt attempted suicide gestures in 3/2016, by cutting. Pt states she replaced her cutting behaviors with substance use. Pt endorses audio hallucinations, states that she often sees her deceased grandmother standing in her home in a wedding dress saying “welcome home”, last seen 3/7/16. Pt stated impulsive behaviors “I don’t think before acting,