Mental Health Case Study Assignment

Cassie presents with multidimensional and complex problems. The problems are inter related and need to be addressed concurrently. This client presents with a history of anxiety and childhood sexual abuse which manifests as post traumatic stress disorder [PTSD], social phobia (social anxiety disorder) and depression. Wagner (2008) reports a strong association between social anxiety disorder and depression. Post traumatic stress disorder [PTSD] in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DMS-5; American Psychiatric Association [APA], 2013) specifically includes sexual violation as one of the diagnostic criteria for PTSD. Consequentially, co-morbid symptoms create dis-regulated behaviours which may have long

Provide a tentative diagnosis for each of the following case studies. Write at least one paragraph for each, justifying your answer in terms of the DSM-V criteria for that particular disorder. Remember, writing matters, as you will be judged on the quality of your communication as well as on the justification for the tentative diagnoses.

Housing Update: client NY NY I, II was approved. Client is waiting for DHS manifest to tour apartment. Another alternative housing is MRT once client SSI is approved. Client also mentioned she signed up with Brightpoint Health Home Health Services since 5/9/2015, Client report she will like to sign up with CAMBA/Home Health and she provided BrightPoint Home Health approval letter for CM to submit to CAMBA/Home Health Coordinator. Client is waiting for her coordinator at Brightpoint to return from vacation to close her case, so that she can sign up with CAMBA/Home Health

Child Welfare: Children were present at the time of the meeting. Children seemed to be well and

Housing: Case Manager informed client that she must meet with assigned Housing Specialist on a weekly basis to discuss her housing opportunities.

Housing: Case Manager confirmed and verified that Ms. Williams has been attending housing meetings and that she has been submitting her weekly housing search logs. Ms. Williams has a City FEPS Voucher. Ms. Williams was escort it to go view an apartment by her assigned Housing Specialist and application was submitted. Case Manager encouraged to

On 02/26/2016 client Gregory Spencer came to the SSO for a House Meeting with HS De La Torre. The purpose of the meeting was to develp a Housing Plan and explore other possible housing opportunities.

CM received report from LAMP VASH worker Laurie Garza regarding client’s missed appointment on 11/25. LAMP VASH worker Laurie Garza inquired about client’s drug use and general well-being due to client’s lack of motivation. LAMP VASH worker suggested client explore different housing programs due to client’s resevations regarding weekly meetings with case manage . CM will discussed new housing referral options with client. CM will notify Laurie Garza about client’s decision regarding housing program.

Housing: HOH asked HS when she is going quality for any housing program. HS Ms. Taveras ask client if she added her husband to her PA case, if her husband starting to provide proof of saving, proof of pay stubs. Client stated that she all already added her husband to her case and he starting to work at the Kennedy airport, he had to provide his pay stubs to CM.

I-CM informed the client that he had contacted and left a message with LA Family Housing the week prior, but no one answered due to the Thanksgiving holiday. CM contacted LA Family Housing again with the client present, but on one answered and a voice message was left. CM continued to assess client’s mental health and medication compliance. CM inquired what outside activities the client has been engaging in. CM inquired about client’s plans for Thanksgiving.

On 11/06/2015 Ms. Tameca Chandler came to the SSO to meet with CM Watterson for an ILP meeting. HS De La Torre approach client to ask her if it is possible to stay extra half an hour in order to develop a Housing Plan and discuss barriers, housing opportunities to transition into permanent housing. Client agreed to stay to discuss a housing plan.

Housing: Client meet with HS and she was explains that she could be able to provide

Client must maintain dorm clutter free, client must participate in all scheduled meetings, client must accept firs suitable housing offers, client must maintain all on-site and off-site medical appointments, client must maintain medication regimen, client must adhere to the saving contract. CM reviewed the Bi-Weekly ILP Review. Client agreed and

Client presented a pleasant and patient demeanor. Her behavior is acceptable and in accordance with the DHS rules and regulations. She will benefit from SRO that offers on site management support to assist client with community resources and skill building so that client can achieve a greater self determination to become self-sufficient and to secure and retain housing or independently with HHA services.

During the initial phase of therapy, Jane exhibited characteristics that I considered mentally unhealthy in CBT. She had little insight into her maladaptive information processing; she could identify that she was anxious, but was unable to trace the source of this anxiety. I identified two types of cognitive distortions that were problematic for the client: arbitrary inference and mislabeling. Arbitrary inference became particularly obvious as the client reconnected with her son. For example, Jane’s son, hereby known as Joe, might miss a scheduled phone conversation or seem distracted while on the phone with Jane. Jane’s catastrophic conclusion was that Joe realized that he could not forgive her and hated her, despite no evidence to suggest such feelings from Joe. Furthermore, Joe’s interactions suggested that he genuinely loved/missed his mother and is determined to rebuild their relationship. However, this tendency toward arbitrary inference/catastrophizing would invoke near debilitating anxiety as Jane anticipated a phone call or spoke with Joe. Additionally, these experiences would deepen the client’s feelings of shame (e.g. I deserve to be hated, I am a horrible person and unforgivable).