CC Stephanie is a 48-year-old female here today for followup regarding her anxiety and OCD. HPI Since I have last seen the patient, she tells me she has been to see [Mary Bluen at Orchard Park in Portsmouth.] She has been seeing her in counseling now for the last six to seven weeks and her next appointment is tomorrow. She says she has been struggling lately with her feelings. She established a relationship with a superior at work who is married and she herself is married. She says this is something that she is trying to work through to figure out why she is making these choices. Her plan is to ultimately end her marriage. She is not sure if she will continue to see this male at work again or not. She is just not sure what her choices are. She said on top of all of this, she just found out today that she has been given a 90 day noticed, so she is not sure if she will even be able to keep the same job and she is fairly certain that this is follow …show more content…
She says that they were only intimate a couple of times. She is really not concerned about the possibility of STDs and does not think that it is something that she needs to worry about it, but would be willing to have testing done. Because of all the things that she has been going through, she has taken more of the lorazepam, especially recently in the last couple of days. She was given a 30 day prescription at the end of June and has approximately 15 or so left. She said she took two yesterday and one this morning as she has been dealing with the job and relationship issues. She occasionally has difficulty falling asleep and finds lorazepam helpful for that. She has otherwise has not had any side effects to it and has been tolerating it well. She does not need a refill of that today, but does
In the film Silver Linings Playbook (Russell, director, 2012), followed the character Pat Solatano after his release from a psychiatric hospital. Pat had, after he caught his wife with another man, beat that man severely. As part of a deal with the court, he was placed in a mental health facility for treatment and was diagnosed with bipolar disorder. After his release, he was not concerned with his condition and was more preoccupied with his ex-wife, Nicki. Pat initially continued to struggle with his condition after his release and would not take his medication. However, in his attempts to reconnect with his ex-wife, he met Tiffany. The pair make a deal: Tiffany will give a letter to Nicki if he will compete in a dance competition with her. With this new focus, Pat gained a better control on his life and became more receptive to his treatments. Overall, Pat proved a compelling character in search for a silver lining.
31 y/o AA male patient seen today for psychiatric-mental health assessment. He is awake, alert and oriented x4. He is calm, cooperative and follows commands during assessment. The patient reports he is depressed, difficulty sleeping and nightmares at night. The patient explained his depression is as a result of deep thinking from a news he received two days ago from his elder brother that his mother is ill. Stressors identified by the patient include losing his job a week ago before the news about his mother; his wife is 6-months pregnant with their first child, who currently works part-time at her present job; patient relates difficulty paying monthly bills and inability to provide adequately for his family as a man. The patient denies mood swings, suicidal/homicidal thoughts and ideation. Patient reports his spouse is at work at the moment and he does not want to put stress on his wife due to her current condition. Patient denies been hospitalized for depression or psychiatric illness; and denies family history of mental illness. Patient reports he is seeking help because he does not like feeling this way using terms of “helpless and loss of worth from his spouse”. Patient reports he needs help with his depression and nightmares before his current condition get out of hands and ruined his marriage.
1.3. In order to estimate the peso discount rate, assume that the International Fisher Effect (IFE) holds. Groupe Ariel's Euro hurdle rate for a project of this type was 8%. Assume that inflation rates are expected to be 7% in Mexico and 3% in France.
b.What are the amounts and timing of the acquisition investment’s free cash flow from 2013 through 2022?
At age 77 J.B. is a healthy and active woman, who spent her life before retirement as a nurse working at Shriners Hospital for Children. Her mental health and wellness as she has aged has stayed strong. She has full cognitive function and is able to make sound decisions about not only her life, but others that she may care for. Her mental health I feel keeps her strong physically along with the fact that she stays active with her husband and grandchildren. Functionally she has no problem mentally or physically going about her everyday activities or any other activities that are required of her. Culturally she is versed in many different cultures as she spent much of her career caring for people as a nurse and working in hospitals. Her
Client was given table and 4 chairs, coffee table, 1 side table,2 chairs lamps-inflatable air mattress very uncomfortable; by a friend.
Cindy has worked the majority of her professional career in the customer service industry. She is passionate about helping others and being part of a team. Her references said that she is a strong person, dependable, has great work ethic, and willing to do anything she is asked. Cindy wants to continue to grow professionally with a company where she is part of the team and she can call home. Gaps in employment have been due to illness and the passing of immediate family members.
Kenny is a teenager who has experienced uncontrollable bodily and facial movements, various uncontrolled vocalizations, and other compulsions such as excessive hand washing and wringing. He has been treated with Clonidine, Haldol, pimozide and buspirone. This patient was diagnosed with Tourette’s Syndrome. Clonidine is a vasodilator that allows for blood to flow more easily to the brain. This lowers blood pressure and helps treat the tics the patient experiences(1). Haldol and Pimozide are antipsychotics that blocks dopamine receptors in the brain. This would help treat the compulsive behaviors (2). Buspirone is used to treat anxiety disorders. It binds to serotonin receptors in
help stabilize her moods has also been on an antidepressant to treat the bipolar. Client has cycles
Client reported that she had a very rough weekend because her best friends were at the gunshot incident in Las Vegas this past weekend. She reported that she has been staying with her friends, and taking care of them since they came back. Client reported that she feels like she is her best friends' mom, and that she wants to protect them. Client reported that she feels really sad and painful for her best friends because she understands how much this traumatic incident would impact them. Client reported that she is angry at the shooter. She mentioned that if she does not have kids, then she would most likely also be at the gunshot incident, and it is very hard for her to think about it. Client reported that she is angry at her best friends' parents because they have not come and visit
His patient is young 21-year-old girl. She has three children from three different fathers. The first father impregnated her at the age of 16. He openly cheated on her and would beat her during his drunken rages. She left him and met her second child’s father. This man was an addict with a criminal history. He died in an accident while driving a stolen car. The father of her third told her to have his child or he would leave her. She lived with him and had his child. A week after giving birth he left her. She went to Dalrymple claiming to be depressed.
History of Present Illness: The patient has been seen in this clinic since 2016. She is diagnosed to have ADHD, Bipolar II disorder, Generalized Anxiety disorder, Alcohol and Cannabis use dependence. The patient has struggled with separation from an abusive ex-husband, who is currently
The patient I have chosen to write about is a seventy year old male who has been married for nearly fifty years. He has two grown up sons, both married with
Giuseppe is a 14-year-10 month-old, Latino male in the 8th grade referred for counseling through AB3632 from Hollywood Senior high School under the Los Angeles Unified School District. Giuseppe’s school counselor indicates Giuseppe has difficulty controlling his anger towards peers. She also shares that Giuseppe fights with his peers leading to a suspension from school for three days due to fighting. Giuseppe’s mother reports that at home he is very oppositional especially with his father. Giuseppe’s mother has made multiple threats to call the police and have him spend time at Juvenile Hall if the behaviors persist. The counselor and mother, both report that Giuseppe has an attitude problem and frequently
Case Example A: Elaine has sued Jerry because Jerry fired her. Elaine was on the job for two months.The job offer letter that Jerry had sent her mentioned the great career opportunities at the company and stated that her annual salary would be $30,000. The company is an employment‐at‐will employer. Elaine was given no reason for the termination. After the termination, Jerry hired a man named Kramer, who had less job experience and education than Elaine, for the position. Elaine has sued to get her job back.