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She went on to graduate high school and attend a community college. Family problems were beginning to be too much by then so she decided to seek solace from her English professor. The conversation resulted in her moving in with her professor; this had a critical impact on her life. Her professor provided a stable home and encouraged her to pursue writing at a four-year university.

2. She is right regarding taking classes to acquire new skills that could get her a better job; however she has to take care of all the other aspects of her financial situation in order to do so. Once her net cash flow is positive, she can start planning going back to school.

At the beginning of sophomore year, my parents and I became aware of my sister’s depression and suicidal intentions. My parents had just gotten a divorce, and my sister was struggling with the concept of their separation. She was extremely close with my Dad, and because we were living with my Mom, she often blamed my Mom for my Dad’s absence. Because my Mom is a teacher, and also because of my school obligations, my sister was often left home alone. She began to think of self harm, and no one was home with her to notice the signs or prevent it.

The first thing the therapist needs to do in this situation, beyond the obvious need to form a therapeutic alliance, is determine the lethality Allison’s suicidal intent. This could perhaps be accomplished by administering the Children’s Global Assessment Scale, or CGAS. This is an assessment tool that rates the general mental functioning of minor children, on a scale from 1-100 (Shaffer, 1983). This would have to be the first step, as it poses risk to the client and carries an obvious urgency prohibit lengthy therapeutic visits, depending on the severity of the crisis situation. On the surface, it appears that Allison’s score is within the 40-31 range, due to the history of suicidal attempts and self-cutting. However, a determination is made that Allison did not have “clear lethal intent” (Shaffer, 1983), placing her in the 50-41 range. Because there is no immediate risk of harm, therapy can commence.

and therefore, no source of income. She looked for a job for 8 months until she was hired at a

Maxine is a 19-year-old female who has developed an addiction to self-mutilation. Maxine began cutting around her 17th birthday, as this was a very traumatic time period in her life. Both of Maxine’s parents were habitual Methamphetamines users who co-conspired to rob a gas station and were caught during the offense. Both parents were immediately arrested and have since been serving out their time in prison. Maxine was left behind to tend for herself and her younger brother Mikey who was a 11-year-old minor at the time. She previously dropped out of school and currently reads on an 8th grade level. Maxine began stealing from retail stores to feed Mikey and herself as they have no known living relatives and have been living undetected

Wanda McGill has around $100,000 in debt from DeVry University; she makes $8.50 an hour. McGill stopped paying on her loans. She says, “I was promised the world and was given a garbage dump to clean up. Like my life was not already screwed up with welfare and all.”

Many parents struggle with kids thinking that they are not good enough, Sarah McQuilkin is one of those parents. Her daughter has been showing symptoms of self doubt since she was two years old. “Now at seven, Sarita says, ‘Mommy, the world will be better off without me.’” Parents are left baffled, no one really knows how to react to such a comment by their little girl. It is not only the moms that are affected by this though, Mr. McQuilkin states, “Without treatment, I see my daughter as killing herself.” It was quoted that he was weeping while saying that. Since sweet Sarita has been on antidepressants, her self doubts come much less frequently and her parents are no longer worried about her killing herself. Janet Wozniak is a psychiatrist from Harvard Medical School and she says that she understands why a parent might be afraid to medicate their child “but parents also need to consider that there may be a downside to not medicating and missing an opportunity to interrupt the course of a serious illness” in her opinion. If these types of problems are continually being overlooked, adults could completely miss the seriousness behind their children’s condition. Even though, some believe that since there are too many risks in over or underdosing patients,

Siewdhan, a mother of two originally operated the hardware and gas station with her former husband but when the spilt up,

Ms. Sanders is a 13 year old female who presented to the ED With her mother for recent suicidal ideation without a plan and depression. Dr. Keith requested an assessment. At the time of the assessment Ms. Sanders denies suicidal ideation, homicidal ideation, and symptoms of psychosis. She reports feelings overwhelmed and depressed to the the many extracurricular activities she is engaged in at school and in the community. Ms. Sander also reports recently coping with becoming aware of her boyfriend of 3 months going into a detox facility this morning. She expressed having to deal with the stress of attempting to help him as been challenging. Ms. Sanders reports these stressors have contributed to her distress and has cause her to feel depressed

under the new rules. She is now torn between moving out of her family home –

Raelynn is a 7-year-old Caucasian girl who lives with her mother, stepfather and younger sister. Raelynn’s parents divorced when she was 3 years old. Raelynn was brought to the clinic because her mother found a journal depicting suicidal ideation. Raelynn wrote things like: “I want to die, I think about it all the time. I think about running into traffic, as fast as I can”. Her mother also reported that Raelynn had been talking about wanting to die and killing herself daily. Raelynn increasingly found comfort in her thoughts of dying. Upon initial assessment, the psychologist uses the Collaborative Assessment and Management of Suicidality (CAMS) and follows with the other questions that need to be attached like family environment. Raelynn’s

Sarah presents with more than enough relevant symptoms and signs often associated with Criterion A, for a diagnosis of Major Depressive Disorder with a recurrent episode. Based on the duration of her symptoms and the fact that she mentions having previous episodes of depression in the past, further reinforced this diagnosis. It is important to note that none of her symptoms are attributed to any medical conditions or etiology. With no current or past history of alcohol or substance abuse/use, it is clear that these symptoms and signs have caused a change of previous functioning as noticed by her sister Gloria. Sarah reported having a depressed mood with crying spells lasting all day, for more than several weeks. Her recurrent (Criterion A1) suicidal ideation without a specific plan are explained as she reported being close to taking all the pills in her medicine cabinet. In this depressed mood, she also reports having chronic feelings of profound emptiness. This essential feature of MDD, along with her self reporting of (Criterion A2) loss of appetite as evidenced by her not going out to buy groceries to eat, could have also contributed to her rapid weight loss. Sarah reported having no energy to do anything and only watching television in bed, which can also be seen as a sign that meets (Criterion A3) of extreme fatigue. Her reporting of not bathing for a week can also meets (Criterion A4) of markedly diminished interest

Jocelyn KearneyHealth and Quality of LifeProfessor ZuberMarch 26, 2017 According to the Mayo Clinic, Major Depression Disorder is a disorder that results in apersistent feeling of sadness of interest lost. It affects how an individual feels, thinks and behaveleading to multiple emotional and physical complications and causes trouble in day-to-dayactivities. Symptoms include feelings of hopelessness or sadness; anger/irritability at smallmatters; lack of pleasure or interest; sleep problems (insomnia or not sleeping at all); lack ofenergy and tiredness, appetite changes, anxiety, slower pace of thinking speaking or bodymovements; feeling worthless or guilty, trouble in decision making, thinking, paying attentionand remembering things; reoccurring

She stated that it was a codependent relationship, as she paid the bills, cared for the children, took care of all the domestic chores while worked a full time job.