L. ' Sisters Have No Reported Mental Illnesses

Sybil works as a substitute teacher and her dissociative episodes have been interfering with her occupation. She has recently had episodes in front of the children. Although she has been struggling as a substitute she wants to be a teacher eventually. Eventually Sybil loses her job as a substitute teacher due to her dissociative episodes. Sybil is going to college to be a teacher and get her Master of Arts in art. Her dissociative episodes have begun to affect her learning stating that she cannot complete homework due to her episodes but she still continues to attend college. Sybil’s hobbies consist of drawing, painting and playing piano. Each personality has different hobbies. Sybil doesn’t think she can remember how to play piano but one of her personalities does. Sybil is unaware of how she is acting at times. Different personalities come out and they help her deal with social interactions when she is afraid. Her social interactions and interpersonal relationships are overall low quality. Sybil begins to see that her episodes are affecting her relationships and wants

Sarah’s mom suffered from effects related to diabetes and passed away and her father passed away from cardiac dysfunction. Also, Sarah and her husband begin to have problems with her marriage. In her early 40’s, I decided that Sarah and her husband were in an unhealthy relationship and needed to file for divorce and live separate lives. She begins to focus more on herself and being with her children and close friends after the divorce. Ten years later, Sarah finds a new romance and is again married. At this point in adulthood, Sarah’s children are all grown up at this point in adulthood. Hannah graduated from school, gotten married, and has a child named Lucy. Sarah’s other child Will, has gone to college and is attending a top-ranked program for engineering. Sarah’s health must be watched closely during this stage in adulthood because previous stressors in her life caused significant weight changes earlier on in adulthood. As Sarah enters late adulthood, she comes to terms with her identity and is always finding new ways to engage in different

Admitted to the medical-surgical unit with a chief complaint of “breathing problems”. She speaks broken English & requests that her daughter be allowed to stay with her. She is on nasal cannula oxygen & sitting up in bed. At this time, she seems slightly short of breath, but is not in acute distress. You note that she is pale & has a petite frame. Her ankles are swollen. Her daughter tells you that she has been complaining of feeling more tired in the evenings & “unable to catch her breath”. While at home, she has been sitting up either in an easy chair or in bed with three pillows. Her daughter states that Mrs. Lee has not had to

Half way through the academic year Jane’s behaviour and personality seemed to alter drastically. She became withdrawn and moody and generally seemed genuinely unhappy. Her attendance, which had been excellent, had also been affected. One day whilst Jane was helping me wash fruit for morning snack she began to cry. She opened up to me and admitted that two

Per grandmother, the client’s pregnancy, and delivery were normal. The grandmother recalls that Keisha’s developmental milestones were reached appropriately, including basic motor skills such as crawling, walking and fine motor skills such as writing. According to the client, she experienced an accident when she was nine years old. The accident affected her brain causing her to experience a coma for more than a month. It took her several months of rehabilitation to be able to return back to school. Keisha reports fatigue and/or loss of energy very often. Even after sleeping for more than twelve hours per day she feels tired every morning. She has been feeling this way for more than three years. Furthermore, the client reports that she has poor appetite, eating one or two meals per day. Due to her decrease in appetite the client reports that she lost about ten pounds since last year. Keisha mentions that her appetite has decreased since she started high school. Per client, her father abused drugs when he was younger, which included heroin and crack. She is unaware if father continues abusing drugs. Per client, her mother did not abuse any drugs while she was alive. The client reports no allergies, traumas or chronic diseases affecting her

Y.L. makes an appointment to come to the clinic where you are employed. She has been complaining of chronic fatigue, increased thirst, constant hunger, and frequent urination. She denies any pin, burning, or low-back pain on urination. She tells you she has a vaginal yeast infection that she has treated numerous times with over-the-counter (OTC) medication. She admits to starting smoking since going back to work full time as a clerk in a loan company. She also complains of having difficulty reading numbers and reports making frequent mistakes. She says, “By the time I get home, and make supper for my family, them put my child to bed, I am too tired to exercise.” She reports her feet

On 7/30/2015, client walk in the social service office and CM completed Bi-Weekly ILP Review. In the meeting client appears she appeared her stated age and in good physical health. She was satisfactorily groomed & dressed. She constantly throb her forehead, she most of time space out and her affect is flat.

General Health State (present weight – gain or loss, reason for gain or loss, amount of time for gain or loss; fatigue, malaise, weakness, sweats, night sweats, chills ): She currently weighs 110lbs. No weight loss. She is well developed and nourished. No distress. States she has always been healthy, other than occasional constipation.

During the investigation, The Department discovered Mrs. Lawson's health had declined both mentally and physically over the past year and a half. She now had diagnoses of anxiety disorder, COPD, reflux disease, acute respiratory failure with hypercapnia, hypoxia, Acute hyponatremia, B-12 deficiency, hyperthyroidism, depression, coronary artery disease, acute tubular necrosis, chronic obstructive pulmonary disease with acute exacerbation, and hypokalemia.

Shy is a fourteen-year-old girl, just starting to experience the sexual aspects of puberty. Her sixteen-year-old boyfriend, unfortunately, is slightly more experienced than her. He has threatened her to break up with her if she does not have sex with him, making her feel the pressure of what she feels she needs to do to keep her relationship together. She could always say no and refuse to risk herself, but her partner is pressuring her to say yes. However, she does not have enough knowledge to decide because the sexual education course at her middle school focuses more on staying abstinent and the benefits that it will bring in the future than going in-depth on the dangers of all sexually transmitted diseases (STDs) and contraception methods used to prevent pregnancy.

Marcy is a 20 year old White female from Charlotte, NC. Marcy has lived in Charlotte for her whole life. She was raised by both her mother and her father until she was 5 years old and her parents got a divorce. Marcy remembers being happy about the divorce because she was afraid of her father and knew that he sometimes hit her mother, although Marcy never witnessed it. After the divorce Marcy never saw her father again, and continued to live with her mother as well as her younger sister Annie. Her mother was know to drink heavily and was always in and out of employment, often leaving Marcy and her sister Annie alone for long periods of time.

When picking my adolescent I had quite a few choices to pick from but I decided on my adolescent 15 year old sister since I know a lot about her and have seen first-hand how she is coping with this adolescent stage. Patricia is a normal 15 year old girl still in high school. She lives in a household of 7 with 3 older siblings and one younger one. She mentioned that she lived in a small home with three dogs, two fish, a bird and six other humans. Both her parents are field workers so they aren’t really at home much. Patricia has a younger 7 year old sister that she pays attention to a lot, they have a really close relationship, and she cares for her younger

Lanesha is a 12 year old girl that has been having trouble with her temper and her anger in almost every aspect of her daily life. Her medicine and compliance to her treatment plan are no different. As a teenager, she does not want to continually be hassled and bothered. So to avoid this she constantly is telling the providers lies, or in her mind, “what they want to hear.” (http://support.mchtraining.net/national_ccce/case1/Flash/activity1.html). Lanesha has a sense of neglect from her grandmother because she states that she want to act like everything is fine as to appease her Grandmothers temperament. Marietta, also shares in frustration but also has a great deal of added stress as she also cares for her 10 year old grandchild and also her older ailing mother. Marietta exudes many of the qualities spoken by Dr. Horky in her presentation; her own age is taking a toll on her ability to care for Lanesha, she is worried about Lanesha. Due to Lanesha’s age and behavior however, Marietta is experiencing depression and grief. Almost portrays a sense that she has given up, like she has done all that she can. (Horky, n.d.). Other socioeconomic issues are in Marietta’s forefront.

She stated that anxiety started after high school when she felt pressure to go to college. There is no evidence to support that client has learning disabilities. Hannah reported that she thought the change would help improve her life. She stated that she thought moving out on her own would shift her into independence. However, client reports that her anxiety has been worse. Reportedly, she has difficulty spending too much time alone. Hannah recalled her recent experience meeting with friends at a coffee shop and reported that during the entire outing she experienced persistent thoughts of going home. She stated concerns about the possibility of losing her friends due to the anxiety. Hannah reflected on how social life when she lived with her parent and reports her new social difficulties. Client reported that her anxiety is stopping her from making friends. Hannah works as a freelance photographer. Anxiety has been stopping her photography. Hannah reported that she has been receiving less work and took the responsibility for the decline in work. Client reports some of her anxiety symptoms as shaking, hot flashes and sweating. In addition she reports having many flooding thoughts that others may think she is stupid, she can’t do her job, she’s an idiot, weirdo, or everyone is looking at her. She reported that those thoughts make her feel she should give up and she is an idiot. Hannah reports that when anxious while working, she has the tendency to clinch tight onto the camera. Reportedly, her shaking interferes with her taking photos. Client reported that had resorted to wearing black to work and many places to conceal the evidence of her sweating due to her

Myself and my partner were called to a 46-year-old woman with deteriorating mental health issues, experiencing paranoid psychosis, increased violent outbursts, she was non-compliant with instructions, had a loss of appetite and had increased her alcohol consumption. The patient was located at her residence in Sippy Downs, Queensland. The residence was disordered with empty alcohol bottles, newspapers, and general mess throughout. The patient had covered all electrical devices with linen, the power points were covered with aluminium foil to prevent external sources from stealing her work and preventing her from breaking “The Code”. The patient meets us at the door and was very cautious about letting us in. My Partner and I were ushered to a small table with what appeared to be an alcoholic beverage, a notebook with compulsive repetitive behaviours written in it, “Some big mistakes”. The patient appearance was dishevelled and tired, the patient was wearing multiple glasses, an electrical device around her neck (protecting her from the external electrical intrusions) and a baseball cap. The patient was