Obsessive Relationship

Presenting Problem: She has a hx of multiple failed placements and relates being placed in the programs for her substance abuse, anger and aggression. She has 2 past suicide attempmts one from an attempted hanging and the other from attempting to jump off a building. She reported feeling homicidal 7-8 times against her stepfather. Rhonda reported physical and emotional abuse from maternal uncle and incidents of sexual assault btwn the ages of 6 and 12.

The intervention that was implemented was the invitation for the father to participate in the therapeutic sessions with his son and ex-wife. I explained the client’s recent behavior and the subsequent admittance to my agency. I clarified that the client’s behavior worsens after their divorce which is evidenced by the increased disciplinary infractions he received at school. The client also became more combatant and argumentative with his mother and siblings as reported by them. I proposed the idea of meeting for a family therapy session to uncover the cognitive reasons behind the

The victim was court ordered to be admitted at the Specialized Treatment Facility by Harrison County Youth Court on 04/27/16; he will be admitted for six months and the expected discharge date is 10/27/16. The reporter stated John was has been diagnosed with bipolar disorder, ADHD, marijuana abuse, mood disorder, severe mood swings, disruptive behavior, border line dyslectual disorder, basic personality disorder, mental incompetance; John is unable to function on his age level and has a very low IQ; John is unable to read, write, and count. Mr. Young stated John will never be able to live on his own and will always need assistance. During a session with John on 04/28/16, he disclosed that his father punched him in the face but that the details

Meeting is arranged for Tuesday, September 20, 2016. Client continues to report not even her coordinator she gave him a copy of her psychosocial and psychiatric evaluation. She also mentions that her coordinator is requesting for client to be removed from his

A YWCA of Richmond counselor contacted DSVRC advocate requesting assistance with a client who sought a preliminary protective order in the General District Courthouse and had an upcoming permanent protective order hearing. Advocate became in contact with client, Ms. Z was a 22year old African American female whose abuser was her ex-boyfriend, whom she had no children with and did not cohabitate with. Ms. Z ended the relationship a few weeks ago due to physical violence within the relationship, her abuser began stalking her and threatening her through third parties. Speaking with Ms. Z she stated that the judge who heard her preliminary hearing advised her that she was unlikely to obtain a permanent order due to lack of evidence. Ms. Z stated

Ms. Myiesha Leonard reported that her understanding of why the children were removed from their home was because the mother called in to CPS and reported that she could not care for the children anymore. Ms. Leonard did not clearly describe the allegations of abuse and/or neglect and she understands her brother mental needs but does not believe he was violence toward anyone. She reported knowing about the abuse or neglect of the children. Ms. Leonard appears to need additional information about the abuse and/or neglect of the children because of not knowing what took place. Ms. Leonard also does not understand the impact of the perpetrator’s behavior on the children. Ms. Leonard believes there is a need to protect the children from the perpetrator

I am currently doing my field practicum at an agency named Quality Care and Advocacy Group (QCAG). QCAG is a therapeutic clinic that provides an assortment of mental health services to clients that need their psychological needs met. Some of the of the services provided at the agency are in-home counseling, behavior aid, family therapy, individual counseling, life skills, and crisis intervention. Our clients’ ages range from children to adults. Many have acute emotional and psychological disorders that they are struggling to overcome in their life. My caseload typically consists of children, elementary to middle school age. My client is an eight-year-old African American male. My client currently resides with his mother and step-father. He has a younger sister that is one-year-old and his mother is presently pregnant with another girl. The client’s natural father was murdered several months ago. The mother reported that the client feels some anxiety over his father’s death and frequently states that he misses him. The client has a strained relationship with his step-father and habitually opposes his rules. The client has been diagnosed with attention deficit hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD). This causes him to misbehave at home and school. The client repeatedly engages in altercations with other students and even staff. The client will attack students and staff with pencils by attempted to stab them. The mother has been called to the

Refer the client’s family to a therapist or support groups. Rationale: abuse often requires long-term treatment.

Background information: Sally Sue is a white female in her mid-nineties residing in an apt with her boyfriend. Pt has an ongoing struggles with hallucinations for many years. Pt was admitted to SBBH involuntarily. APS is involved because of the phone calls that she made to the police officers. Pt has received therapeutic treatments in the past. Pt does have legal matters. Recently, pt went to court to get her days extended for longer treatment. Her barrier to treatment is she can hardly hear. Her major source of income is her social security. Her strengths is verbal and motivated for treatment. Her weaknesses

The Client is a 17-year-old African American female who was removed from her mother’s care in 2013, and resides in a residential treatment program under the custody of the state. The client currently attends a special education school due to a speech impediment and behavioral disturbances. The client was referred to the screening center on this occasion after running out of the school building and threatening to run out into traffic as a suicide attempt. The client’s teacher mocked her speech impediment in front of the entire class, which triggered aggression and suicidal ideations. The client threw a soda at the teacher, and was put into a physical restraint, but when she was able to break free,

Therapist received a phone call from the youth’s mother regarding Denae’s behavior. The mother reported that her husband had to restrained the youth because she had gotten into a physical altercation with her father. Per the mother Denae became upset when her father told her she could not spend the night over to her friend’s house. Mother noted that Denae started talking back and did not agree with her father’s request resulting in the situation escalating. Therapist suggested to mother if the problem continues to call the police to intervene.

She has had numerous legal issues and several DUI’s over the years for which she served a prison sentence two years ago. Elsie attended the Repeat DUI Offender Program through Gulf Coast Mental Health (GCMH) at the beginning of 2014. Elsie is non-compliant to medication and therapy, and uses manipulation and aggression with every therapist she has had since coming to GCMH in

Lowry is learning to adapt to her family. She is lacking support from her husband’s extended family, has custody of one of her children, and is allowed to visit with her other children twice a month. She is unable to lean on her husband for support as he continues to drink daily and his abuse continues. Ms. Lowry is unwilling to participate in services to reunify with the children and Ms. Lowry feels as if she is in the process on her own. Ms. Lowry currently is unable to function with her daily living skills and has isolated herself for the past four years. Ms. Lowry has not had consistent support with social services as she has had many case managers over the years. She is having to constantly “start over” with another case manager and does not feel she has been acknowledged for the progress she has made. She has been hesitant to seek services for fear it would not be successful and the community would shun her for being “mentally

Therapist diverted from plan to meet with individual, mom, and grandmother to discuss individual disrespectful behavior. Mom states individual did not get upset or angry at his teacher, but he did get upset with his therapist. Therapist, mom, and grandmother discuss section therapist and individual had about him disturbing class. Individual states he told a girl to shut up because she told him to shut up first. Therapist explained to mom and grandmother that the session was only about individual disturbing his class and we worked on strategies to improve his anger behavior towards adults and his peers. Grandmother states she understands and will work with individual on his anger behavior problems. Individual states he will do better in

Intervention: MHS began the session with a check in form the last session. MHS met with the client to address her impulsive behavior. The client’s mother was present and shared her concerns with the MHS about the client. The client’s mother informed the MSH that the client has been lying and being disrespectful at home. The client informed the MHS that she will stop lying. MHS and the client talked about telling the truth. MHS encouraged honesty with the client. MHS let the client know that they may be able to fool some people, but they can't fool themselves. MHS shared with the client that there is no pride in stealing, cheating, or lying.