Mini Bio-Psycho- Social Assessment A sixty year old, African-American, forty percent service connected Vietnam-era veteran (E.S.) was referred to therapy because he recently lost his son and needed help within the grieving process. He reported being the father to ten (now nine) children from multiple wives. Veteran (E.S.) disclosed that the death of his son was a case of mistaken identity and that his son was in the wrong place at the wrong time (suspected gang affiliation). Unfortunately, the killer was unidentified and was never caught, which brought much grief and guilt to this veteran. It seemed that this veteran was also robbed in not getting any closure, and this was very evident in our sessions because he was always …show more content…
But what happens if one experiences negative intersectional play? His or her life tends to be full of distress, hardship, oppression, discrimination, and hurt. This is evident in E.S.’s case. E.S. had a complex case because he was not only grieving the loss of his son but he soon thereafter was grieving the loss of his grandson. The grieving process appeared to be quite tough for E.S. since his family unit had been torn apart (some lived in Los Angeles, while others lived in Chicago). Since his children come from different wives it was hard for E.S. to navigate the family unit upon the loss of one of his sons. He mentioned that it was difficult to talk with the boy’s mother in this time of grief “ because she would start crying and I just couldn’t handle that.” It appears that he felt inadequate for not being the support that his ex-wife needed. This veteran did present signs of depression and grief. E.S. attended a Bereavement Group in Building 500 at the West Los Angeles VA. Before I was forced to terminate with E.S., I found out that he was on three different types of medications. He was prescribed an antidepressant (Zoloft), medication for his blood pressure, and medication for his cholesterol. While he was on this combination of medications, this veteran reported thoughts of suicide. Veteran confirmed that the suicidal thoughts stemmed from his anti-depressant (Zoloft), and once he stopped taking the Zoloft and
Robin Henderson is a 30-year-old married Caucasian woman with no children who lives in a middle-class urban area with her husband. Robin was referred to a clinical psychologist by her psychiatrist. The psychiatrist has been treating Robin for more than 18 months with primarily anti-depressant medication. During this time, Robin has been hospitalized at least 10 times (one hospitalization lasted 6 months) for treatment of suicidal ideation (and one near lethal attempt) and numerous instances of suicidal gestures, including at least 10 instances of drinking Clorox bleach and self-inflicting multiple cuts and burns. Robin was accompanied by her husband to the first meeting with the clinical psychologist. Her husband stated that
This gives the audience many altered ways that they, personally, can interpret the play from. Allowing for many different opinions on a single passage whether they may be relevant or not. Out of many different perspectives, Marxist, has an important part within the play, separating the ‘upper’ and ‘lower’ classes, creating a divide between the stereotype white people and the archetypal black culture. This perspective plays a vital role, beginning at the very start of the play right through till the closing stages. It sets the scene, making the divide between the two ‘different’ cultures, in which over the course of the play, slowly gets bridged with the uncovering of the forgotten stories, told by the Aboriginal Ex-servicemen. Bringing men closer together through the hard times that they had endured together. As the text starts, it begins with an easy to spot, element of Marxism, pushed by the white Vs Black component in the early stages of the book, with name calling and bullying. As the text continues, the element of Marxism is still present but less obvious, with the uncovering of lost and untold stories which bring the segregation between the two cultures of white and black, stereotype and archetype to an
My first research question is what causes some veterans to commit suicide. I have found a lot of answers to this question regarding why veterans commit suicide. I have found that this issue can be caused by untreated mental illnesses such as depression, bipolar disorder, and uncontrollable anger. Other causes for veterans' suicide include survivor's guilt and substance abuse. The two main sources this information comes from are articles from a GALE database. The first article is titled Suicide Rate Reflects Toll of Army Life. This article has given me some insight about mental illnesses and how they affect soldiers. The second article is titled Shocking Suicide Toll on Combat Veterans. It has expanded my knowledge of depressed veterans
There is a common belief that many combat veterans are suffering; many from invisible wounds that affect them in many ways. The challenge that the VA and other government agencies face is determining which veterans need help, there are several factors that affect this, from the individual’s desire to accept help, to the stigma that most veterans have accepted, which is “if they ask for help, they are weak.” During separation from the military it is a critical time for all soldiers, this time provides an opportunity for the military, the VA and our government to intercede and work with men and women while they are still soldiers. Veteran suicide is an epidemic, the number of veterans taking their life daily has been steadily growing, the statistic published by the VA is that twenty-two veterans end their lives every day (Suicide Data Report, 2012); steps have been taken to curb this number but the efforts have been woefully inadequate.
creates a play that illustrates not only the struggle of growing up in a prejudiced world but also
It is one thing for the veteran to be diagnosed, be willing to seek treatment, and find support from his family and friends. It is another thing for them to return home only to be judged by the very same people that he trusts and loves. This will make it more difficult to accept and seek treatment due to feelings of shame. Over time these symptoms may get worse, leading the veteran to feel that they would rather die than to go on enduring another day feeling the way they do. The trauma they have been through increases their risk of suicide (Finley 2011). These outcries must not be ignored. The veteran realizes that they are hurting those they love, but cannot control their outbursts and
Pt is a 14 y/o African American male presented to NNBHC with his mother with a dx of ADHD, ODD, PTSD and Depressive D/O. Pt states that he had an episode of enuresis last night when he had a nightmare about killing his family. Pt states that when he woke up he began to have intrusive thoughts of wanting to kill his family and himself so he wouldn’t have to go jail. Pt states that recently he have been blamed for everything in the home that is missing, or goes wrong. Pt states that he has taken ownership over all the negative things in the home, so none of the his sibilings wont get in trouble. Pt states “I am pretending to be happy, this is not my family”. Pt states when he cam home from residential that his biological
Mr. Goins is a 52 year old male who presented to the ED via LEO following a 4 day binge on alcohol and requesting help with his dependence. Mr. Goins reports he moved to Asheboro recently and found work, however recently lost his job. He reported a history of alcohol use and depression. Dr. Keith requested an assessment on Mr. Goins.At the time of the assessment Mr. Goins denies suicidal ideation, homicidal ideation, and symptoms of psychosis. He reports 5 days ago he became unemployed. Mr. Goins reports his fiance who is his primary support system left town to go to a doctor appointment in their home state of Georgia. He reports binge drinking for the past 4 days attempting to cope with his recent stressor. Mr. Goins reports calling his fiance last night an expressed to her he need help. He states, "I told her I felt at the time no reason to live." Further Mr. Goins stated, "I just had too much in me last night, I had about 14 of them airplane bottles." Mr. Goins denies a history of self harm. He does report a prior hospitalization for depression in Georgia. He also reports a history of attending substance abuse treatment, which was a positive experience for him.
The central idea of this article is about the unfair treatment people are facing because of intersectionality. Such as Nicole, her grades are suffering, shes always late to class,etc. As The teachers dont dig deep into why she is late and her grades are suffering. They believe because she is a female African she is not doing well in her classes. What they dont know is that her socioeconomic status is low, and she has to take care of her two younger siblings.
Many veterans are unable to leave behind the trauma of Vietnam and psychologically return home. They struggle with a variety of extremely severe problems that neither they nor their families, friends, or communities knew how to understand
The members of Brandon’s current family system include his mother as no further family systems are available. According to Brandon’s mother, Brandon disclosed to his mother that his natural father had repeatedly
Mr. Wooten is a 33 year old male who presented to the ED following a visit to his primary care provider. Prior to Mr. Wooten coming to the ED his provider contacted TACT with concerns of Mr. Wooten mentioning suicidal ideation with a plan to use a gun to shoot himself and experiencing depression. At the time of the assessment Mr. Wooten denies suicidal ideation, homicidal ideation, and symptoms of psychosis. He states having no suicidal ideation today, however mentioned to his provider a previous thought of harming himself. It should be noted Mr. Wooten was seen on 4/22/17 here at Randolph Hospital for reporting similar statement, however retracted his statement after reports a hidden agenda of only seeking anti-depressant medication to alleviate
Client reported feeling down within the last month and using heroin to cope. Client also reported feeling better and motivated towards the end of the month. Client completed a Beck Depression Inventory in which he scored a 6 indicating normal ups and downs. Client VA records confirm a diagnosis for PTSD and the medication list includes, Sertraline and Setraline HCL, as well as methadone to which the client appears compliant. Client reported he is medication compliant. Client denied any S/I or H/I.
Intersectionality is a term that describes the ways which oppressive institutions such as, sexism, homophobia, racism, classism etc interact. Categories such as gender, ethnicity, poverty and mental illness reinforce each other in ’‘Women on the Edge of Time’’ and they overdetermine a negative outcome. Piercy put Connie in positions where she came to understand sexism, working class opression and white supremacy in both her personal life and in Mattapoisett.
In the vignette, it is mentioned that the client Julie, a 34-year-old African American female, is calling about her son 12-year-old son Derik, who seems to be having an adjustment issue relating to her recent marriage to John. Although Julie indicated that she is calling on behalf of her son’s adjustment problem, she spends most of the time talking about her dissatisfaction at work and within her romantic life. When approaching this case through a solution-focused lens, I would stress to her that anyone who is concerned about the problem situation (Derik’s adjustment problem, although it is apparent there are other issues) should attend the sessions. In the initial intake phase, little information is taken, understanding that the client is the expert in what needs to change; as the therapist, my role is to help her access the strengths she already possesses.