Family Therapy Case Study

He reports the patient’s roommate was subsequently evicted from his home after the landlord inquired about the ambulance visiting. He reports he contacted her father concerning the patient residing within the family home, but the father has said no. In addition, he reports he has attempted to contact her uncle but has been unable to make contact with him. He reports he has attempted to make contact with her said friend who is considering allowing her the opportunity to reside with her but she has not answered her phone and he has been unable to leave a voice message. He reports no one wants her in their home, and the patient has “burned her bridges” with family members. He reports her family would benefit from counseling. In addition, he reports her family has high expectations of CPS. He reports her current case was not going to close within 12 days of 06/30/2017. In addition, the case will not

Presenting Problem: Pt is 16 y/o female who is currently at Tuckers Pavilion Acute facility. 8/7/16 Kelly refused to take her medication, and was generally noncompliant to staff directions. She communicated AWOL intent; she also broke a lightbulb to make a number of superficial cuts to her arm, but refused to turn in the glass an dstated that she had flushed it down the toilet. She refused first aid and refused to cooperate with staff directions. She also communicated that she was going to do worse things to herself, Intercept contacted crisis stabilization which transitioned the child to Tuckers Psychiatric at 6am. 8/12/16, Pt was upset to find out she was not getting discharged from Tuckers. Require hydroxyzine 50mg at 1530 medication

\. She moved to the United States with her husband in 2004. She does not want to go back Brazil because of her safety concerns regarding a family dispute. She sought psychotherapy to cope with enduring sadness, insomnia, and explosive anger, which had been increasing in frequency over the course of several months. Currently, she resides with her 9-year-old daughter and her partner. She is troubled by the fact that they are the main target of her explosive anger and she says “I do not want to hurt their emotions.” Felisa felt ashamed of her inability to relate to her daughter and partner in a supportive way. She states that she tries to hold her anger but it gets very frustrating. Her family physician stated in his referral that he was concerned

CM was out on vacation for the period of 5/2/2016 to 5/9/2016. On 5/19/2016, CM met with the client to update Assessment and to complete Other ILP Review. In the meeting client appears to be friendly and cooperative. She appears to have some cognitive impairment. Client reported WECARE/Wellness referred the client to see Dr. Larissa Lempert/Neurology. Next upcoming appointment is scheduled for 5/26/2016. During the meeting session, client was dressed appropriately for the weather and had good hygiene. She ambulates with a cane due to leg problem. Client affect was flat. Client denied suicidal or homicidal ideation.

Ronny is a 46-year-old white male who present to CRU from RRC-W on ACOT for PAD. He was amended by his OP clinic, Life Behavioral Wellness, for not complying with the terms of the order and treatment plan. Per collateral, Ronny has a hx of violent behavior including pulling knives on people and stabbing. According to his OP psychiatrist, Diana Havill, MD, Ronny pulled a knife on a pregnant woman. He also have a history of self-harm including attempted hanging. Patient is cooperative during admission, and answered all questions. He has a PMH of HTN, Asthma, TB, seizures, and Brain surgery (infant). His vital signs were WNLs. Patient will benefit from medication

D-The patient arrived to the clinic emotional and was advised to see this writer. According to the patient, she's upset about her DCF case, her supervised visit with her son that hasn't occurred yet, loss of employment, and owing $80. 00 for her rent. This writer provided support, validated the patient feelings, and encourages the patient to maintain contact with her attorney and to also, contact 211 for financial assistance. In addition, reach out to the court system to address the violation to her supervised visit as it is not being honored. During the remainder of the session, the patient provided an updated on her mental health provider whereas she is no longer going to Wheeler Clinic due to the travel distance. The patient signed an ROI

On September 14th a child showed up with her mother for an outpatient procedure. The minor was checked in at registration and then proceeded back to prepare for surgery with the pre-op nurse. At this time the mother further explained that she would be leaving the facility but gave contact information to get a hold of her once the procedure was complete. This information was placed on a note pad and note in the patients file. Once pre-op was complete the child was taken back to the OR were she was cared for by the OR nurse. After the procedure was complete the recovery nurse ensured the patient started to wake and then handed off to the discharge nurse. After waiting for the mother to return for about a half hour the patient started to become upset. Looking in the waiting area and not being able to locate the mother the, once the discharge nurse got a call from security that the father had shown up the nurse gave discharge instructions to the father and allowed the father to take the child.

On 1/27/17 I met Mr. Revis at the office of Dr. Geffard PMR. Mr. Revis sister Marie also attended the appointment. The Rainbow Rehab case manager was not at the appointment. I was able to provide Dr. Geffard with a prior medication list. Mr. Revis wants to decrease his medications. Mr. Revis can increase his anxiety regarding a subject fast. Dr. Gefferd is able to redirect Mr. Revis. His focus is being off all of his medications. Dr. Geffard explained that medications will never be completely gone but he will make an effort to decrease and remove what he can. Mr. Revis was very upset about an incident that occurred in his group home. Another resident became angry and hit him in the eye. He doesn’t feel there is anything being done regarding

Patient is the second child of a separated family. She reports that growing up was very chaotic because his father was physically and emotionally abusive towards her and her family. Patient’s father admitted himself in a psychiatric unit about 20 years ago for unknown reasons. She believes he fits the criteria for Bi-Polar I Disorder. Patients’ younger brother (22 years old) carries a diagnosis of Asperger’s and takes Prozac 20mg to treat symptoms of depression. Patient stopped talking to her father in 2010 after a dispute related to her brother. She reports that her mother is a good support system and they talk regularly. Her mother was diagnosed with Lyme disease during this past

Alexis has been evaluation previously in many different clinics. Her parents also express how upset they were as they felt that she was not provided enough care in the past. They account for times in which evaluations have taken only thirty minutes to complete. Alexis has been diagnosed with Anxiety, Oppositional Defiant Disorder (ODD), Attention-Deficit/ Hyperactivity Disorder (ADHD), Bipolar Disorder, and Hypochondria. Alexis has been taking therapy since she was 12. Alexis mentions that her parents would get defensive therefore in sessions, when the therapist seemed like they were siding with her, her parents would get mad and switch therapist. They have also tried family therapy which did not work as well and Alexis reveals that her father

Client did not came to the schedule appointment. Therapist received a phone call from client's mother. Mother reported that client was in the hospital as of last night. Mother explained that has been out of control since the weekend; going out with man, provoking mother and sister by cursing, calling them name. Tuesday (7/04/17) night after getting in to an argument with sister, client called the police. The police called EMS but client reported that she would be spending the night at a friend house so client was not taken to the hospital. On 7/5/17 client went back home and it was upset coursing and telling mother that she always take sister side. Client then took a knife an threaten to kill mother and sister and after jumping out of the building.

A 51 y/o male A.C admitted on 09/17/2015 for adjustment disorder but later change to schizoaffective disorder. Brought in by sheriff after asking brother “should I just kill myself”. Was on 72 hold but now 60day hold by court. Chief complaint is “my brother won’t talk to me”. Patient has 8 pervious admissions and the last one was on August 15. Patient is walking with some shuffle in his gate with no signs of EPS. He had fair hygiene, alert and oriented to time and place. Sleeping 6-8 hours per night and eats 3 meals per day. His affect was congruent, memory and cognitive ability seemed below average and judgement is questionable. His is 5/10 on depression scale and states he is upset about brother not talking

A 27 year old aisan female brought to Beaumont Farmington Hills Hospital ED by a friend. The consumer is married with two children and want to get a divorce from her husband who has been cheating on her during their marriage. The consumer is employed and she work six days a week. The consumer is depressed, denied any delusion, no hallucination, and no auditory. The consumer is calm but depressed about her situation. The consumer report she has never had any mental health treatment. The consumer also denied any suicidal or homicidal ideation at the time of her assessment. The consumer has judgement and insight into the need for treatment and possible medication. The consumer is concerns about missing time from work and she states that she does

I believe the best approach would be to have one or two therapy sessions solely with Amanda to understand her a bit more, following with a family therapeutic session. By advising Amanda to have a family therapy session with both her mother and boyfriend, this approach will provide opportunities for Amanda to discuss her pregnancy with her mother whom she claimed to be verbally abusive. The therapeutic aims would be for Amanda to resolve the conflict with mother in the family therapy, while maintaining the support of her boyfriend at the same time attempting to gain her mother’s support. Moreover, Amanda’s revealing her pregnancy and wanting to seek an abortion might lead to her mother disputing her decision or perhaps be supportive. Therefore,

One of my patient’s husbands arrived on the unit and explained to me that he had not spoken to a doctor since his wife was admitted. I let him know that I will speak to the team leader to see if we could get the doctor to speak with him. I spoke with the team leader and explained to her that the husband would like to speak with the doctor to get more information about his wife current conditions because she was acting like her normal self. She contacted the doctor and left a message. After a couple of hours the doctor came in and spoke to both the husband and the patient about finding out which medications was causing the patient’s altered mental status. The husband thanked both the doctor and me.