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Sample Case Conceptualization Paper

Decent Essays

Identifying information:
The client is a fifty-two year old, White, upper class, female. The client lives with her husband, near New Carthage University, where her husband is a tenured professor. Her father is the president of the university. Martha is a homemaker.
Presenting problem:
"I cry all the time; but deep inside, so no one can see me.”
Emergency medical personnel have admitted the client to inpatient treatment after she suffered from acute alcohol poisoning. Staff was alerted to a possible ongoing substance use disorder when delirium tremens, hallucinations and withdrawal symptoms were present within eight hours following her treatment for alcohol poisoning. She was referred to me in order to be assessed for long term care. Client says she has eight to twelve drinks a day, never having fewer than five drinks. Client has admitted depressed mood, emotional reactivity as well as interpersonal problems with family, friends and with her husband George.
History of presenting problem: …show more content…

Client indicates that she does not have a history of hospitalizations, but does occasionally spend time in a “rest home.” Upon further exploration it appears that the “rest home” she visits functions as a private hospital or spa style detoxification and alcohol treatment facility where psychiatric medications (e.g. Librium, Valium, Clonazepam) are prescribed by health care professionals. The client has been nine times in the past 30 years. Although initially she insisted it was just a place to rest and get fresh air Martha later referred to it as a place that she was “shipped off to” when she was “losing her marbles,” “couldn’t cope” and “just wanted to drive her car off a cliff.” It is unclear if her symptoms of depression and potential suicidal ideation are historical in nature, ongoing or alcohol

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