Introduction In the vignette provided Tommy, an 11 yr.-old male Hispanic male is suffering from numerous symptoms such as compulsive behavior, extreme mood swings, difficulty engaging in meaningful conversations and problems with concentration, to name a few. Tommy first started showing signs of disruptive and hyper behavior as early as 18 months. There are numerous factors both environmental and biological that have affected Tommy’s development and care. His mother and maternal grandmother both suffer from bipolar disorder. While pregnant with Tommy his mother had adequate prenatal care however, she may have exposed her son to various harmful substances. Also, prior to becoming pregnant Tommy’s mother had been on numerous medications for substance abuse, severe depression and suicidal ideation. At 18 months Tommy displayed hyper and difficult to discipline behavior. He lived with both of his parents as well as his paternal grandparents up until his parents’ divorce when he was five. Prior to the divorce the relationship between his parents was very strained. While Tommy was living with his parents his mother refused to take her medication, experienced extreme mood swings and often engaged in inappropriate behavior. Tommy mimicker her inappropriate behavior and often exposed his genitals to other children, which resulted in him being placed in a school for children with behavior problems. At the age of three Tommy was diagnosed with Oppositional Defiant Disorder
Tommy’s educational team has provided some information that will be very helpful in determining where we go next with his behaviors. The staff have specific issues with him during circle time. He is non-compliant and non-engaged during this time. It was said that Tommy has limited attention abilities and has a hard
During my psychiatric clinical rotation at Carney Hospital I had the opportunity to help run group therapy’s where I was able to understand some of the patients better. During this time I was also able to learn more about my patient F.S. The patient is a fifty-two-year-old divorced Chinese woman with a lengthy history of bipolar disorder and a persistent associative history of schizophrenia and attempts at suicide. The patient has one daughter that is 24 years old who noticed F.S. was throwing her pills down the toilet and hiding them in her pockets so she didn’t have to take them. . During her admission, the patient displayed increased levels of incredible energy and mood activities, an approach that was thought to have been instigated by the worsening of her health condition.
The research found that a history of severe childhood abuse is to be found in approximately half of adults with bipolar disorder with multiple forms of having occurred in about a third. Distinct negative impacts on clinical outcome were associated with childhood physical, sexual or emotional abuse histories, with evidence suggesting more extensive suicidality, rapid cycling and possibly comorbid substance misuse associated with multiple forms of childhood abuse. This study helped me come to the conclusion that Marya was not sexually abuse as a child. In my opinion since the study suggest that only half of the 100 people showed symptoms of severe childhood and sexual abuse was included within this half it is not enough evidence to conclude that our client Marya has been sexually abused.
Mom was very receptive in discussing Thomas’s behavior and services that will be provide to him. Mom stated Thomas, continue to have physical and verbal confrontation with his brother, which cusses her to feel stress out and overwhelmed. Mom stated that she has to yell and give out punishment to the boys almost every day and all day. Mom stated, she is encouraging Thomas to eat more nutritious foods, to help with gaining weight. Mom stated that she does have reliable transportation to take her kids to their appointments. Mom Thomas need to control his impulse and think before he reacts to anger situations. Mom stated she does not understand why Thomas fights and argues with his brother. Mom stated that Thomas behavior can go from zero to
the root of the problem seems to be, (b) a diagnosis of the disorder (drawing on your knowledge of material from
Mr. Landaverde is a twenty year old Hispanic male. Mr. Landaverde reported that he was born in Marietta, Georgia. Mr. Landaverde reported that he has lived in Georgia for twenty years. Mr. Landaverde reported that he is single and does not have any children. Mr. Landaverde has been required to complete a substance abuse evaluation as a result of a possession of an illegal drug related offense. The evaluation is to determine whether Mr. Landaverde is suffering from a Substance Related Disorder and to recommend a course of treatment, if appropriate. The interview was conducted directly and entirely in English, Mr. Landaverde’s native language.
Since Bobby is Hispanic, comes from a poor upbringing, did not finish his education, and is unable to hold a job as an adult; treatment must be dealt with according to his ethics and culture. Information found under the APA Guidelines, Policy Statements, and Resolutions the discussion of proper procedure in ethnic background treatment and diversity (APA, 2010). The recommendation of a Hispanic psychologist will only assist in allowing Bobby to open up to treatment. The cultural similarities will assist in Bobby understanding that his parent’s life style was not appropriate; and if he continues on the same path he will not change the cycle that has caused him so much pain. Any language difference would be more accommodated with a Hispanic psychologist (APA, 2010). At this time Bobby has been able to correspond on an pragmatic level of English that was understandable. The treatment plan laid out for Bobby under Research and Evaluation allows for civil commitment. This will give Bobby time to gain control of the substance abuse and take control of the trauma from his past. The Hispanic intervention will allow for a more comforting environment. This part is important because Bobby suffered from abuse and neglect from his parents (Zalta, et al., 2014). His desire was to please his mother, no matter her requests. Although he now understands that instead of his parent’s protection he was abused and left
Adam K. is a 38 year-old, client, of the Steven A. Cohen Military Clinic at USC. He is an African American, Marine veteran, who served 3 years in the infantry. He currently lives with his wife of 5 years and their 4-year-old son. Adam reported growing up with a single parent, and witnessing domestic violence at young age before his parent’s divorce. He described his childhood as normal but also disclosed getting into a lot trouble and experimenting with drugs, although, he reported currently abstaining from alcohol and illicit drug use.
D.D. is a 50-year-old, African American male presenting with a number of anxiety and depressive symptoms. The client reports that he came to counseling for “extra support and someone to talk to.” D.D. has been struggling with mental health issues since he was young. Since the age of 15 he has been hospitalized on and off for “hearing voices.” In the early 1980’s he was diagnosed with schizophrenia and prescribed Risperdal to treat the symptoms. Since then, D.D. has been in a variety of mental health settings, including hospitals, day programs, and outpatient treatment. The client has an extensive alcohol and drug use history that he believes impacted his Schizophrenia. In the early 1980’s the client would use alcohol every day “to avoid the voices,” drinking “anything he could get his hands on.” He was also heavily involved with drugs at that time and regularly used marijuana, PCP, cocaine, and heroine. In 2000, the client was sentenced to eight years in jail for four bank robberies. While in jail, D.D. received mental health treatment and alcohol and drug treatment, which was greatly beneficial. When the client was released from jail in 2008, he was drug and alcohol free and was taken off of Risperdal.
The purpose of this report is to create a social services delivery plan for an at-risk client named Alice Doe. Alice has a history of drug abuse yet has been clean and sober for several years. Alice also suffers from bipolar disorder. In recent times, she has experienced setbacks due to the stress created when her daughter and grandchild moved in with her. To make matters even more challenging, Alice has a boyfriend who is a veteran suffering from PTSD and recurring substance abuse issues. Although she has been fairly stable for years, and takes her medication regularly, Alice has begun decompensating and is at risk of falling into crisis. In the following pages, we will take into consideration the many services and resources that Alice Doe will need to comply with in order to stay healthy and maintain stability. While taking into account that Alice lives in Miami-Dade County, Florida, we will focus on both of her problems, bipolar disorder and substance abuse, as we address the following points:
The Sanchez family came unstable. Maria and Tony lived with their parents both mom and father. Unfortunate Maria and Tony parents were in an automobile accident that cause their life to be unstable; both parents died upon impact. Maria and Tony father was the driver and he were drinking heavily. Mr. and Mrs. Sanchez, age 77 and 68, took on the responsibility of raising Maria and Tony. This case study will also have a treatment/service plan, case/care management and intervention plan.
Later as a teen he would call his younger sister mean names, and seemed emotionally distant. He purposefully made his mom uncomfortable when she would try to bond with him, but he got along with his father really well. I believe his diagnosis as a child is Oppositional Defiant Disorder (ODD), and he may have then developed Conduct Disorder (CD) as he grew older. Throughout the movie they do portray some aspects of the disorder accurately.
Ryan is a ten-year-old Caucasian male who attended the intake assessment with his grandmother who is also Ryan’s legal guardian. Pediatric Medical Associates referred Ryan to Children’s Advocacy Network due to current behavioral concerns. Ryan has a previous diagnosis of ADHD, and has been prescribed Tannax and Setraline. Ryan also reportedly experiences migraines and takes medication to treat symptoms. Grandmother reported that Ryan exhibits aggressive behavior such as: “talking back with teachers” “looses control” and “lashes out” becomes “argumentative”. Grandmother reported that behavior takes place at school and at home daily and episodes last approximately 30 minutes. At school, Ryan presents as defiant to authority and has been suspended
The issue or the clinical concerns begin with the second of only two children (Pat Solitano, Jr.) and his somewhat recent diagnosis of suffering from an “undiagnosed bi polar disorder.” The diagnosis came
La bipolaridad es un trastorno en el cual el paciente se encuentra en un estado de depresión o extremadamente feliz, muy irritable o malhumorado; y en estos episodios el paciente sufre cambios extremos en su actividad y niveles de energía.