Name Of Character : Pat Solitano Jr.

Ms. Smith is a 30 year old single, Caucasian female referred for a psychosocial assessment by DOC Parole Officer Ward. She reports she was released from prison 2 months ago after a 3 year sentence for attempted escape due to not notifying her probation officer of her address change. Ms. Smith states due to her past substance use history and trauma experience her referral sources ordered counseling to address complex issues related to her emotional and physical well-being.

He "speaks daggers to her" and condemns her actions against her true family.  Both women are reproached for their relationships and interactions with other men.

The client was not diagnosed with any disorder until after the onset of a negative life event. Pat had arrived home from work one day and heard his wedding song playing. As he was walking, he saw his wife’s clothes trailing to the bathroom. Then he sees

He exchanged many letters with her and developed a close friendship. There was only one problem: she was married to one of his in-laws. Despite his feelings, however, no evidence exists that he ever crossed the line into an affair. He put the welfare and feelings of others first instead of rushing emotionally into something that could be very damaging.

The client is a 50-year-old, Latino who identifies as a gay male. Throughout this paper, I will refer to him as Jorge. He has been HIV-positive for 15 years and reports to have experienced problems with addiction to various substances since his mid-twenties. Within the past ten years, he has experienced cumulatively harsher consequences as a result of his drinking and drug use. He has been arrested 16 times, has been involved in 3 car wrecks, has received 3 DUIs, and at one point, served 6 months in jail. He reports that last Thanksgiving weekend he overdosed on heroin while thinking he was consuming crystal meth. Having survived that overdose has prompted him to seek recovery

Presenting for treatment is a 39 year old single, Caucasian female born in Montreal, Canada. The client identifies as heterosexual with no children and no current intimate relationship. The client was recently released from a psychiatric residential treatment in the U.S. and referred for ongoing outpatient treatment by her doctor at the hospital. The client has a history of suicidal ideation, with her last attempt leading to her hospitalization. The client reported that both her parents died in a car accident when she was an infant. The client stated that she has a twin brother whom she did not meet until much later in life. The client reported being raised in a hyper-religious school in Quebec and it was there, the client stated,

D.D. is a 50-year-old, African American male presenting with a number of anxiety and depressive symptoms. The client reports that he came to counseling for “extra support and someone to talk to.” D.D. has been struggling with mental health issues since he was young. Since the age of 15 he has been hospitalized on and off for “hearing voices.” In the early 1980’s he was diagnosed with schizophrenia and prescribed Risperdal to treat the symptoms. Since then, D.D. has been in a variety of mental health settings, including hospitals, day programs, and outpatient treatment. The client has an extensive alcohol and drug use history that he believes impacted his Schizophrenia. In the early 1980’s the client would use alcohol every day “to avoid the voices,” drinking “anything he could get his hands on.” He was also heavily involved with drugs at that time and regularly used marijuana, PCP, cocaine, and heroine. In 2000, the client was sentenced to eight years in jail for four bank robberies. While in jail, D.D. received mental health treatment and alcohol and drug treatment, which was greatly beneficial. When the client was released from jail in 2008, he was drug and alcohol free and was taken off of Risperdal.

I am currently working with a 30-year-old male who comes from a lower socioeconomic background. He has a history of incarceration, abuse, and addiction to drugs. He is currently sober, and has been for a few years. He is currently married, has three children, and is currently unemployed. He is living with his wife, children, and two siblings. They live in a 3-bedroom apartment, with his brother and sister. His wife is the only source of income for his family, and he does odd jobs to help pay for things around the house. He is seeking help because he is aware that he is unable to control his anger at times, and needs help with how to deal with it. He also says that he has depression, anxiety, and PTSD from the time that he was incarcerated. He has received services through the clinic before, but has a history of inconsistent attendance. He will come to the clinic for a few weeks and stops coming. With the last therapist, he showed up for two sessions. He is not enrolled in any other programs, but receives government assistance to pay for food, and for health insurance. Initially, I was taken back because he looked so young. My initial reaction when I was first met him was curiosity: what brings him to therapy? In our first session, he shared that is having issues assimilating back to life outside of prison, and was having flashbacks of traumatic moments from when he was incarcerated. After the session, I realized my immediate assumption was wrong. Yes, he is young per his age

The patient meets the criteria for 295.90 Schizophrenia. The patient’s symptoms consist of delusions, hallucinations, psychosis, and impulsive.

Client appears to be quite obsessive at times about his physical appearance, stating his constant desire to lose weight and look “attractive” in order to please his estranged former wife. Client has also reported he has put forth much time and effort to read a large number of literature to impress his former wife in an effort to reunite with her. Client’s maladaptive thought patterns (i.e., believing he is not mentally ill, his wife wants to be with him), negative thoughts, emotions, and impulses effect his social functioning and interpersonal

symptoms of delusions (Frank, 1998). According to Foster and Levinson (1998) this client has a

His thoughts were logical and coherent. He appeared somewhat measured in relating emotionally laden information. He was goal directed, however. He identified auditory hallucinations of people “yelling and screaming” and gunshots/explosions were identified. His basic level of intellectual development revealed probable upper low average to low end of average intelligence. Dr. DeRoeck diagnosed the claimant with Post Traumatic Stress Disorder (Chronic), Unspecified Depressive Disorder, Alcohol/Cannabis Use Disorder (in early remission). Dr. DeRoeck opined the claimant’s impairment would interfere with activities of daily living associated with increased social isolation. He shops minimally particularly if the store is crowded. He also interact with his children. He can dress, groom, and bathe without prompting or supervision. His capacity to communicate and interact in a socially adequate manner is limited by the impairment. He avoids eye contact and has limited tolerance for interaction with others. In addition, his capacity to cope with the typical mental demands of basic work-like tasks is limited by his impairment. He also has difficulty coping with stress in job-related activities. His capacity to sustain persistence is

When a patient is in a manic episode they are very excited, energetic, and hyper. A manic episode can cause a patient to make impulsive, irrational decisions such as, partaking in high risk behaviors, spending large amounts of money they cannot afford, having sexual indiscretions even when they’re in a committed relationship or driving at dangerous speeds. There is a lesser state of mania called hypomania, it is in very close relation to a manic episode, the patient is not as hyper but it is still considered a abnormal state of high emotion. When a patient is in a depression episode it consists of sadness and hopelessness. The patient can become more tired, irritable, or have a change in their eating habits. In this episode thoughts of suicide can occur, losing interest in things they have previously enjoyed. These are just a few examples of the actions a patient makes when in a manic or depressed episode. There are multiple bipolar disorders, bipolar I and bipolar II are better known. The reader has been diagnosed with bipolar two at the age of twenty two. This disorder has been a problem since the age of ten, after learning more about the disorder over the years it’s been a process learning how to cope and continue everyday life. The lives of patients who have been diagnosed with this disorder are affected

Background information: John Smith is a mid-sixties old Caucasian male residing at a rehab center for broken his foot. He was sent to the er for suicidal ideation and admitted to SBBH. Previously, the patient has received inpatient and outpatient treatments for depression. The patient has an ongoing struggle with depression and occasionally suicidal ideation for the past six years. The patient’s strengths include the following: motivated for treatment and spirituality; however, his weaknesses consist of being homeless, abuse substance, family conflicts, and mood disturbances. His barriers to treatment consist of being homeless, money, and no transportation. His interests and hobbies are hunting and fishing. His major source of income is Social Security and Veteran’s Benefits.

The following essay is a case study of a client named John who is suffering from major depression and was sent to see me for treatment by his concerned wife. I will provide brief background information about John then further discuss interventions and strategies I believe can be applied in each session with my client in order to make John's life more manageable. In the essay, I will be writing as the therapist, and the sessions are based on a ten week period.