Social Work Psychosocial Assessment

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APRIL’S PSYCHOSOCIAL ASSESSMENT

Referral

April was not a referral client; rather she did her own research after feeling unsupported by her previous therapist. She found this practice on the Pratt Institute listserv as she was looking for a psychologist close to school. According to April, she received a diagnosis of stage three Non-Hodgkin Lymphoma five weeks ago and had not told anyone close to her. She wanted to talk to someone “objective” to figure out what steps to take next.

Client Identification

Demographics: April is a 23 year-old woman who currently lives on campus at Pratt Institute studying architecture and urban planning. Her parents are married and she has a 21 year-old brother, Daniel, who has a diagnosis of
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After being sent to the Brooklyn hospital for a chest x-ray, a big mass was discovered behind her spine. A bone marrow biopsy was done and she was diagnosed with stage three non-Hodgkin lymphoma.

It has been five weeks since April’s diagnosis and she has not told her parents or anyone close to her. It is unclear if April is aware of the magnitude of her illness, though she stated she knows she has cancer, she does not appear to be taking the diagnosis seriously rather she is carrying on with her life as if nothing has changed.

April expressed that perhaps she does not want treatment and maybe she would rather die than put her life in someone else’s hands. It is unclear if April truly believes that she has cancer.

Past Solutions:

As indicated previously, April received her diagnosis five weeks ago and presents as being in denial as to the seriousness it entails. She previously was seeing another therapist, however she did not like her and stopped going after only two sessions. It is not clear as to what was discussed in these sessions, as April only said that her previous therapist was not much older that her, had “nothing to say”, and told her “the same story twice”. She stated that she stopped going without telling her therapist she would not be returning and was overtly annoyed when the therapist tried to reach her many times after, which she felt was “over the top”.

April stated she has not yet began seeking medical
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