Mental Health Case Study

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

Mr.’s Jones suffers from the following symptoms, painful joints particularly her knee, and hip, fingers and back, joint stiffness, limited joint movement and swollen feet and enlarged joints. These symptoms are due to significant problems with Rheumatoid Arthritis (RA) and Osteoarthritis (OA).

Osteomyelitis, the infection of bone, would cause swelling in the foot, limiting the movement in her foot. It also

Since I have last seen the patient, she tells me she has been to see [Mary Bluen at Orchard Park in Portsmouth.] She has been seeing her in counseling now for the last six to seven weeks and her next appointment is tomorrow. She says she has been struggling lately with her feelings. She established a relationship with a superior at work who is married and she herself is married. She says this is something that she is trying to work through to figure out why she is making these choices. Her plan is to ultimately end her marriage. She is not sure if she will continue to see this male at work again or not. She is just not sure what her choices are. She said on top of all of this, she just found out today that she has been given a 90 day noticed, so she is not sure if she will even be able to keep the same job and she is fairly certain that this is follow

SUBSTANCE ABUSE UPDATE: Client has a history of alcohol abuse. Client reports she drinks one or two cans of beer once a week. intoxicated. Once again CM tries to refer the client to a substance abuse program. Client refuses

I interviewed Susan on September 9, 2016 about the medications she takes for her mental health. Susan is a 45-year-old female. She has one daughter Hannah, age 16. Susan and Hannah’s father were divorced when Hannah was three-years-old. Hannah currently lives with Susan during the week and visits her father, who lives about an hour away, every other weekend, some holidays, and several weeks during the summer. Susan lives in Simi Valley and works full-time in West Los Angeles to support herself and daughter. Susan takes two psychopharmacology drugs for her mental health. The first is a 20 mg fluoxetine (Prozac) pill which she takes once a day in the morning to help with her depression. The second is a 1 mg Lorazepam (Ativan) pill which she takes for stress when needed. She usually takes half a Lorazepam pill three to four times a week when she experiences anxiety and chest pain. Rarely does she need to take Lorazepam during the day.

Millie had expressed concerns of joint pain, financial difficulties and being incontinence that plays upon her having a negative body image. These concerns placed a toll on her health and this require immediate

A-Based on this writer's assessment, the patient appears alert and oriented. The patient struggles with asking the right questions to her DCF and needed assistance by this writer, at which this writer was willing to help the patient. The patient reports that she hasn't used any illicit drugs and is focus on applying for her take home bottle. The patient appears to be under the maintenance stage of change as the patient remain focus on her recovery process and attain self-control to refrain from illicit drugs.

Risperdal is an “antipsychotic medication used to treat schizophrenia’, but I found it’s also used to “treat bipolar disorder” ("Risperdal: Uses, Dosage & Side Effects - Drugs.com," 2015). So there is a chance she may be taking for this reason as well. She has shown no signs of emotional or physical threat to the children, to herself or anyone else. All of her students love her, and she has never given us a reason for concern. She submitted to her file that she is on medication, and has not tried to hide her medical situation form the school board. So I have to base my decision on facts and ethics, and what is morally right.

Patient also advised that she had broken both her ankles just 2 weeks prior and her doctor expressed concern over her lack of perfusion in both feet.

With any medication prescribed it is the duty of the prescriber an any mental health professional working directly with that client to provide them with as much psychoeducation as possible. It is vital that the client understands the benefits and risks of the medication. FUrthermore, it is vital for the client to understand that the client must be willing to commit to the process of finding the correct cocktail if you will.

The medication that Mrs. A is on is Clozapine. The decision to use clozapine is not taken lightly because of the potentially life threatening side effect. An awareness of side effects is important to primary care practitioners because they have most contact with the patients.

To treat symptoms of insomnia or anxiety, she has had trials of lorazepam, clonazepam and temazepam, and in 2016, quetiapine in doses of 25-50mg per day was prescribed.

Ms. Lee is complaining of severe pain to her RLE for the past two days, unrelieved by soaking, heat and massage. She has edema to only one of her lower extremities.

The patient is a female by the name Annie. She is married to a female partner who is away working at a mining site. Her case was presented as an emergency due to the excruciating pain that she was undergoing. According to her, the pain has been there for two days where she could not sleep due to the pain intensity. Also, she was unable to cover herself as the warmth provided by the bed sheet amplified the pain. According to her, she had to raise the affected foot using a pillow to ease the pain. Her toe appears red in color with an evident swelling. Also, the toe under the pain is experiencing higher temperature than the rest of her body. According to Anne, she