Presenting Problem(s) at Intake: AT was initially assigned to AT to provide parenting support in an ancillary function. Her son is the identified patient and is being seen by a licensed clinician bi-weekly. AT is a 34 year old, single, mother and Air Force veteran. The VA diagnosed her with post-traumatic stress disorder (F43.10) and major depressive disorder, recurrent-moderate (F33-1), was the victim of domestic violence, and has a history of post-partem depression/psychosis, suicidal ideation and one suicide attempt. AT divorced her son’s father due to the verbal and physical domestic violence he perpetrated upon her during her pregnancy. AT’s son has never known or had contact with his father.
I was asked to see AT by her son’s clinician. The son was experiencing increased anxiety and had complained about AT’s depression and anxiety. The son’s clinician believed seeing them in family sessions would not be productive. I was hopeful that I could provide some effective parenting tools that would bring some relief to the family.
During our first session, AT discussed her depression and anxiety. She reported feeling highly stressed by being a single parent to a teenaged son with autism. She described that she was afraid of her son when he got upset. Her son was taller and larger than her, and often became physically aggressive when triggered. AT’s main emotional support is her mother, a psychotherapist in California. AT is chronically unemployed due to her physical and
A displayed feelings of apprehension and became less co-operative during the initial clinical interview. She additionally displayed thoughts of inadequacy . She moved back to her parent’s house when she began getting panic attacks and was housebound through fear of inducing a panic attack. As a result of this, she became overly reliant and attached to her parents, who provided emotional, financial, and decision making support.
Please review the case notes for this patient. This is a DCF case and her teenage kids has been removed for the second time. She is recommended for mental and substance abuse treatment from DCF. Deborah works for SalusCare in the prevention department and she has a lot of information about this case that she will put in the SalusCare medical record file. The information that Deborah has access to is from the DCF data base.
Mr. Allison is a 26 year of male who presented to the ED via LEO reporting feeling depressed and suicidal ideation without a plan. Mr. Allison reported to nursing staff relational conflict with a female he started to see after his wife and he separated. At the time of the assessment Mr. Allison presents calm and cooperative. According to Mr. Allison 5 months ago his wife and he separated after a 7 year long relationship and 2 daughter. Mr. Allison reports for the past two months seeing another female who he has become involved with. Mr. Allison reports this new female told him a few weeks ago she cheated on him. Mr. Allison noted this female has issues with alcohol. He reported being a supportive person in her life, which has caused additional stressors in his life. He expressed feelings of depression. Mr. Allison describe feelings as feelings of hopelessness, worthlessness, tearfulness, sadness, isolation, increased sleep and fatigue. Mr. Allison reports relational issues, family conflict, legal issues, recent anxiety attacks and substance abuse as stressors contributing to his distress. He reports no history of self harm, no hospitalization for mental health, a strong support system (referring to his father, mother, and wife). Mr. Allison was seen on 10/08/16 and 10/09/16 for anxiety attacks, however was discharged. On 10/9/16 he mentioned issues with his recent female friend and reports he felt better over his situation and want to go home. No mention of suicidal ideation
Patient A was raised in a tumultuous situation. Her mother was married to her father for the first year or so of her life but her parents then divorced. Custody of Patient A went with the mother. The mother was disengaged as a parent and was allegedly more focused on chasing men rather than a parent. Patient A was the subject of intense and ongoing mental abuse with some physical abuse at times. She was forced to raise her younger brother in many ways and this continued until the mother lost custody when the patient was seven years old.
In this case study, I have determined that the client is Andrea. After the assessment, I believe that it is important to focus on services and a treatment plan is with Andrea. Vincent is currently in a stable housing environment and is reporting to be adjusting well he is not in need of any immediate services. Additionally, he is already participating in therapy through his school and is being provided additional services through AHRC. Andrea however, is currently in crisis and is in need of immediate services. It is unclear if she is currently being seen by a licensed psychiatrist and has been provided with appropriate after care following her hospitalization. Additionally, she is currently attempting to be granted reunification with her son, and was recently denied unsupervised visitation. Lastly, her income base solely based upon government services, it is unclear how she is supporting herself without Vincent’s SSI benefits and cuts to food stamps and cash aid.
Mrs. Lowe is a 39year old female who presented to the ED for chest pain and anxiety. She states recent change in anxiety medication, however due to financial strains she could not afford the new medication prescribe to her. Per documentation she reports relational issues with her family as the primary stressor contributing to her distress. At the time of the assessment Mrs. Lowe denies suicidal ideation, homicidal ideation, and symptoms of psychosis. She expressed feelings of irritability, tearfulness, and hopelessness. Mrs. Lowe reports recently her mother died last month, conflict with daughter who just moved back into her home, and a aunt who recently had a stroke moving into her home as well. Mrs. Lowe also reports due to medical issues
The client’s mother referred her son to the agency because he was suffering from anxiety. He was resisting going to go to school and becoming distressed when his parents tried to leave him at home.
This assignment will highlight the interview process and the observation analysis of a child named Alice Buck who lives in our neighborhood. She is five years old and she struggles with a condition called Autism a mental disorder which is characterized by difficulty in establishing social interactions, non verbal and verbal communication and behaviors that are repetitive. She was diagnosed with the condition when she was 2 years old when her parents and doctors noticed some difficulty in her intellectual ability, complications in her physical health like inability to sleep, gastrointestinal disruptions, strains in motor coordination and maintaining attention spans. She has two elder sisters Alex and Christine both in secondary school. She is American and comes from a middle-class family. I will interview her parents and observe her in school and at home to further understand her development process and how her condition impacts her life as a child.
Parents of children with ASD encounter a variety of unexpected- emotional, physiological, and financial challenges in their lifetime. Parents of children with autism spectrum disorders often have “elevated levels of depressive symptoms and psychological distress” (Meltzer, 2010, p. 362) and are at “a heightened risk for mental health problems” (Ingersoll & Hambrick, 2011 p. 337) not only compared to parents of neurotypical children; but also in contrast to parents with children with Down syndrome, an intellectual disability, fragile X syndrome, and development delay (Meltzer, 2010; Ingersoll & Hambrick, 2011).
During the last session, AT’s demeanor was more open and relaxed. AT openly discussed her fears about her son. She mentioned that middle-school required much more than any school he had previously attended. AT described how her son’s behavior had begun to change. When stressed, he often made fists and dug his fingernails into the palms of his hands. She also reported that he secluded himself in his room and would sway gently to “get himself under control”. AT said she was concerned that the new behaviors were signs of oncoming self-abuse. She explained that his behavior reminded her of when she used to cut her leg to relieve emotional pain. Just over one year ago, AT experienced an episode of suicidal ideation and had, on another occasion, attempted to commit suicide by taking pills. Her cutting behaviors occurred just prior to those episodes. She was hospitalized and stated that she was afraid that either she or her son would get hospitalized. AT stated that she was afraid her PTSD or post-partem experiences had “ruined” her son.
Significant experiences in my life influenced my decision to embark on a journey to become a marriage and family therapist. Possibly, the most influential experience involves countless medical appointments, multiple misdiagnoses, and an extraordinary will to persevere. Seven years have passed since my son was initially diagnosed with autism. Today, I still find it challenging to describe the intense emotions that I felt during the first few weeks following his diagnosis. The despair, grief, guilt, and hopelessness that I felt are indescribable. Prior to his diagnosis, I worked tirelessly to obtain the help my child desperately needed. Being a parent of a special needs child leaves little to no option of failing; hence child has taught me to be strong even in the most difficult and darkest times in my life. Furthermore, encountering the unique challenges of raising a child with autism inspired me to help other families and individuals experiencing hardship.
Autism is a disability that has different affects, such as difficulty in communicating and interacting with other people. According to, (Baron 2006) “Autism spectrum disorder (ASD) is associated with deficits in social communication and interaction coupled with restricted and repetitive interests and behaviours. Within and across individuals, the level of impairment associated with any single characteristic of ASD can differ widely. Though less formally discussed, clinical observations and research findings also suggest that the distress and anxiety associated with any single characteristic of ASD are variable” Relating to (Baron 2006), (White and Roberson-Nay 2009) says that “some individuals experience debilitating fears and worries, whereas
The client is a 63 year old African American male who is currently homeless. During the assessment the client presented as open and receptive towards the assessor. During 2016 of October, the client was hospitalized at MCV for suicidal as evidence of trying to cut himself with a knife. The client says he was given the diagnosis of Manic Depressed and Bipolar. The client was given Trazadone and Risperdal prescribed by Dr. Burman. The client stated that at the age of 15 he was first diagnosed with Explosive Temper and was prescribed antidepressants.
Individuals with autism, have social impairments that lead to (an) obstacles in knowing their surroundings, and an inability to predict what will happen. These impairments establish a sense of insecurity and (an) anxiety on a daily basis; expressing through
This was my first time in a session with a teenager who is affected by Autism Spectrum Disorder. I also have not used any intervention methods with my clients before. I found several moments during the clinical session challenging. Below, I have discussed moments which include talking about body movements when angry, the reasoning behind why people tend to hurt themselves or others when angry, other people’s observations and talking about the emotional thermometer. Also discussed below, is what I was able to do well during this session.