Case Study James

Since I was young I was told I was a quiet child, very mousy like who was always hiding behind her mother’s leg. I would never leave my mother's side and if I was greeted by a stranger, I would retreat from them, so I was shy. My mom would encourage me to go and say hi to others or play with a child that asked me to join in a game. I would at times play with them, but I would always go back to my mom when I had enough playing or was stressed. While I am comfortable to explore and later going to my mom when I want to be safe, I was avoidance of others and never felt comfortable, but I did have fun when I was comfortable.

Mr. Goins is a 52 year old male who presented to the ED via LEO following a 4 day binge on alcohol and requesting help with his dependence. Mr. Goins reports he moved to Asheboro recently and found work, however recently lost his job. He reported a history of alcohol use and depression. Dr. Keith requested an assessment on Mr. Goins.At the time of the assessment Mr. Goins denies suicidal ideation, homicidal ideation, and symptoms of psychosis. He reports 5 days ago he became unemployed. Mr. Goins reports his fiance who is his primary support system left town to go to a doctor appointment in their home state of Georgia. He reports binge drinking for the past 4 days attempting to cope with his recent stressor. Mr. Goins reports calling his fiance last night an expressed to her he need help. He states, "I told her I felt at the time no reason to live." Further Mr. Goins stated, "I just had too much in me last night, I had about 14 of them airplane bottles." Mr. Goins denies a history of self harm. He does report a prior hospitalization for depression in Georgia. He also reports a history of attending substance abuse treatment, which was a positive experience for him.

My first clinical interview with Joe was productive. I went over goals and objectives to pass through his phases. His responses were short and made very little eye contact. Joe was very quiet his first few weeks in program. He was compliant with staff and stayed on task with class work and actively engaged in group and individual therapy sessions. As he got comfortable with his peers and staff, he began showing his personality, which allowed me, as his milieu therapist, to begin helping him develop coping skills and teach him more appropriate behaviors when he would lose control of his emotions. His anger outbursts became more frequent, and some resulted in physical altercations with other peers. He was found with drugs and rumors of him selling drugs to other clients became an issue.

CPI arrived at the family residence located at 149 S Calhoun Avenue, Eatonville, FL 32751. CPI completed a joint visit with Taina L. Ramos FIS Counselor. Taina completed a BHC screen with Mr. Clayborne. Mr. Clayborne admitted to have a history of alcohol misuse and impulsive and aggressive behavior while under the influence. He began drinking while in his 20’s and drinks 1 to 2 times weekly. Mr. Clayborne drink preference is beer, but sometimes drinks vodka. He usually drinks when is stressed out. He has been to Alcoholics Anonymous meetings in Springfield, MA. The last meetings he attended was about 2 years ago. While in prison was seen by a psychiatric five times a day for 3 months, but is it not diagnosed with a mental health condition.

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.

I interviewed my stepson who is currently struggling with an opioid addiction. This 24-year-old male has struggled for the nine years with his addiction, and when discussing it appeared to be depressed and unable to feel any hope to overcome it. When asked about his goals in life he reacted disempowered and unable to build a path to achieve his dreams. When we discussed his family and support he reacted very irritated and frustrated by the lack of support, as the family members who have been there for him in the past will not speak to him due to the re occurring relapses. The interviewee was asked about his diet and fitness habits and although he communicated a desire to continue a proper diet and exercise regime he has not been motivated to

Case Vignette Analyzing the biological domain, JL is 37 years of age. She is an Anglo American female who is in the middle class. JL lives in a sober living home and wears a cast due to an injury she had on her leg two months ago. She stated her injury is under control and does not require medical attention at the moment. JL has been residing in a recovery home after giving birth to her first child; her child was born with drugs in his system.

Relevant Symptoms: Benjamin is a 16-year-old male, single, who presented to treatment with family conflicts and poor academics performant as the client started is trying to adjust in a new environment. Ben as he wants to be called, is actively drinking alcohol and using cannabis with some peers. (substance dependence, adolescent/parent conflicts, communication, and adjustment issues in a new location).

Edward is an approximately 30 yo Caucasian male who lives in California. Edward presented in the interview as relaxed and confident, sitting with his arm stretched over the couch. Edward stated his main goal today was in the spirit of helping others by telling his prescription substance use disorder story.

Paul is a 52-year-old married, father of two with a history of alcohol abuse and low self esteem manifesting in form of anxiety and depression. He was referred for individual cognitive behavioural therapy by Crime Reduction Interventions ( CRI). Paul had been taking antidepressants and was on and off depression for the last five years.

being. As a result, Bruce should be arrested for assaulting his partner which is also a breach of his probation conditions.

My client Marisa is an eighteen-year-old female, who was referred to me by her academic advisor for poor academic standing and noticeable weight loss. Marisa and I began the session with her family history and childhood. Marisa told me she was raised by mother, and had minimal contact with her father as a child. Her mother was married for a short time to a man who she was not in favor of. Although Marisa looks up to her mother, she explains how critical and controlling she is, but expresses it is out of love. Once Marisa opened up about her childhood, she began to discuss her drug use of cocaine. Marisa states she does not have a drug problem; nonetheless she uses cocaine to stay awake, stay thin, and control

On 08/12/15, Mr. Harrison’s mother reported that Mr. Harrison was not living at his reported address (104 Hudson St, Clayton DE 19938). Mr. Harrison mother stated that Mr. Harrison is living in Wilmington, DE with a friend. She could not confirm the address. Mr. Harrison has failed to report his new address with 72 hours.

Patient stated that he was on detox unit in October of 2016. Patient stated that after his discharge and went to Salvation Army in Jersey City. Patient stated that he AMA'd from Salvation Army in February of this year. Patient stated that he felt that it was time to go get his own place, start working, and get his life together. Patient started working in construction Stated workin. got house care and within two to three months started using. Patient stated that he was stressed from life and physically tired from work as the reason for his relapse. Patient stated that he was fired two week ago. Patient will attend groups to identify coping skills for maintaining sobriety from drugs. Patient will increase socialization by interacting

This essay is based on a client Ibrahim (30 year old, male) who is currently living with his three siblings with their biological father and step mother. The client has a history of juvenile delinquency with outrageous behavior. Due the suspensions from the school, he has a low academic performance. Currently, he is jobless due to abusing drugs and low academic performance, which made him feel depressed. The purpose of the essay is to evaluate the clients’ problems with the help of consistency theory and understand the possible neurological underpinnings that may have occurred in his brain. Also recommend possible interventions that are most fitting for client.