Client reported that he has been doing well since the last session. He reported desires of change of his diet, change of the time that he wakes up, and reduce the amount of tobacco use to become healthier. Client reported that he needs to prepare to go to the court because his ex-girlfriend may not let him see his daughter. Client spoke in length in regards of what he wants to change and achieve, and how he was not able to. Client reported that id he needs to have a heart surgery, he would rather avoid it, and choose to die from heart disease. Client denied having suicide thoughts. He reported that applying the new thought "I just want to be with someone" for the use of ABC model when he sees his ex-girlfriend has helped him throughout
the client met with his counselor for his 1x1 session to discuss his progress in the program and regarding his treatment plan. Client has shown a lot progress sine he has been in the program. However the has been 13 other program so, the client could be telling the counselor what she wants to hear. on the other hand the client has can to his counselor and reported that he had an doctor appointment on 2/03/2017 for bur his was canceled. the really show some growth. The client also made up own treatment plan an area that he needs to work on . but the thing that is wrong with this is client is not focusing on humoring his self or even thing about learning to applying what he has learn to his life. CADC-1 Yolanda Smith
his the client has met his treatment plan goal regarding completing his second step. the client shared about the insanity of his drinking and the people that he had hurt in the course of his drinking, getting DUI's and being force to retire from his broker business , the huge financial cost of getting these dui's , and being selfish in his addiction. The client mention that he is 65 years of age and it's time to get a grip on this thing called addiction. The client also completed a list of triggers which were stress , and social gathering. The client has yet to come up with ways of dealing with this triggers. Client at this time seemed to genuine open and honest during his 1x1 session. However, the client needs to be connected to what
years old and feels responsible for it. Since the death of his aunt, he has irrational fear of abandonment and being alone. Since this incident, the client has been
CM was out on vacation from the period of 5/31/2017 to 6/14/2017. On 6/20/2017, CM met with the client to complete Bi-Weekly ILP Review. In the meeting client was satisfactorily groomed and dressed appropriately for the weather. Client affects and mood was inappropriate. Client continues to denied suicidal or homicidal ideation. Client reported she wasn’t feeling well and she was given “Bed Pass”. CM observed that the client sometime can appears to be manipulative and she will always find excuses for her behavior.
The therapist who is watching over the case, has agreed to encouraging the client to come in for more therapy, we would need to develop a plan to address the client’s presenting problems. During the next sessions, we would need to address the client’s general feelings, his self-worth, understand his past relationships, but first we need to make sure that he is not going to injure himself or other
to request that she meet with this writer to discuss her current counseling non-compliance status and how she is refusing to schedule an individual session. Counselor told her that she signed a notice of counseling non-compliance letter and if she failed to schedule an individual session by 1/22/16, she faces possible a discharge from the AMS program. Pt. agreed to schedule an individual session by stating, “I’m going to schedule something tomorrow. I’m sorry. I got a lot on my mind.”
Mental health: Client reported that he is currently waiting for an appointment for MH services from his OTP. The client reported his intention to continue attending a PTSD support group while in the program. Client denied having any S/I and H/I at this time.
On 7/11/2015, CM did a visual and had client come to the social service office. CM completed Bi-Weekly ILP Review. In the meeting client appears to be wear out, and tired. She was constantly throbbing her forehead, like if she was having headache. CM inquires what the problem is. Client replies “she doesn’t like the shelter food and sometimes she doesn’t eat” CM advised the client to eat and nourished her body. CM also observed that client is depressed but she continues to refuse medical referral to see a psychiatrist and medical doctor. Client continues to mention her son who is in foster care, and the physical altercation she sustained many months ago here at this shelter. CM mentioned to the client she was a transferred from another shelter due to physical altercation, CM continues to relate to the client she
Bensalih reported that she has completed her rule 25 assessment at Tubman and has upcoming treatment sessions with her therapist and with her group. Also, CPSW asked Ms. Bensalih her process regarding Associate clinic psychology. Ms. Bensalih reported that she has not seen her therapist lately and planning to go back and schedule appointment with Associate clinic associate asap. Ms. Bensalih reported that she will let this writer know her up coming appointments with tubman and ASC. CPSW encouraged Ms Bensalih to go back at Associate Clinic Associate for the mental health assessment. CPSW asked about her supervision and needing to schedule appointment asap. Ms. Bensalih stated that she has been busy and stressed about all the work she needs to complete regarding the
CM was out on vacation from 5/3/2017 to 6/14/2017. On 6/20/2017, CM met with the client to complete Bi-Weekly ILP Review. Client was dressed in proper attire for the weather. Her affect and mood was appropriate. Client maintains eyes contact appropriately and she was oriented to person, place, time and situation. Client continue to deny suicidal or homicidal ideation
Mr. Saunders is a 60 year old male who presented to the ED via LEO under petition by his niece, Rachelle, for allegedly putting a gun into his mouth, him putting a gun in another individuals mouth called "legs", and increasing alcohol consumption. At the time of the assessment Mr. Saunders is calm and cooperative. He denies suicidal ideation, homicidal ideation, and symptoms of psychosis. Mr. Saunders reports he has been depressed for several months and has been binge drinking alcohol. He reports relational issues with his wife has been the primary stressor contributing to his distress. He express feelings of hopelessness, worthlessness, irritability, and isolation. He does admit to informing a friend, William, he see no reason to leave if he can not be with his wife. Patient does not appear to be exhibiting signs of agitation,
I was among three therapists sent to New Hope Corps transitional home for quarterly face-to-face contact with client. Client has been at the transitional home for three months and all reports are that he is doing well. I met with transition home counselor at the home prior to meeting with client. The transitional home counselor reported that the client had made much progress in his therapy group this quarter. She had reported at previous meeting that client had not wanted to share any of his issues with the group and just sat there until the time was up in group and then left with no remarks. During this quarter, he has begun to open up about his feelings regarding his birth father and his anger toward him. He has talked about his drug use. The transition home counselor began meeting with him individually two months ago and that one-on-one counseling has given him the encouragement to share with the group. The transition home counselor warned me that client would want to discuss his desire to return home as soon as possible. I met with client alone to discuss his progress over the last quarter. He reported that he is feeling good about
Client continues to deny any mental health issues, but on 4/11/2016, she met with Dr. Shuster and an initial psychiatric evaluation was completed and the client was diagnosed with Axis 1: PTSD (Post traumatic stress disorder) F43.10 (Primary), rule out symptoms off. She was refer to participate in individual mental health treatment. Client reported she went for mental health assessment at Woodhull Hospital client need to submit medical documents.
On 6/30/2016, CM met with the client to complete to Bi-Weekly ILP Review. In the meeting, client was dressed appropriately for the weather. She was very loquacious and client. Client appears to have difficulty sustaining attention, client does not seem to listen when spoken to directly and she is unable to follow through on tasks. Client affect is inappropriate and she denied suicidal or homicidal ideation.