Presenting Problem: He has an hx of suicidal ideation, he has engaged in verbal and physical aggression towards authority figures in home and at school often making homicidal threats as well. Hx of destruction of property, inabitlity to manage anger appropriately, impulsive poor judgement, lack of remorse, lack of insight into his behaviors, inability to manage moods effectively and poor relationships with peers and family members. He has an hx of self harm by cutting himself. Its reported that he displays aggression and anger against anyone in position of authority. Reported suicidal ideations with no previous attempts. He reported having a sexual addiction which began at the age of 14. He states his addictions are watching porn, gambling,
He has a history of using alcohol to self-medicate, drinks 3-4 times a week and uses chewing tobacco.
Pt is a 14 y/o African American male presented to NNBHC with his mother with a dx of ADHD, ODD, PTSD and Depressive D/O. Pt states that he had an episode of enuresis last night when he had a nightmare about killing his family. Pt states that when he woke up he began to have intrusive thoughts of wanting to kill his family and himself so he wouldn’t have to go jail. Pt states that recently he have been blamed for everything in the home that is missing, or goes wrong. Pt states that he has taken ownership over all the negative things in the home, so none of the his sibilings wont get in trouble. Pt states “I am pretending to be happy, this is not my family”. Pt states when he cam home from residential that his biological
Past Hx of Treatment: Client reports an extensive episode of major depressive symptoms about two years ago, a year prior to the actual attempt of suicide, which he sought help through religious organizations, family and friends with a strong faith based counseling service. But no report of seeking medical help from professionals.
The client has high motivation for treatment within MRFH. The client was diagnosed with Alcohol Use Disorder: Severe and Cocaine Use Disorder (crack): Moderate. The client sought treatment at MRFH when he realized he had lost control of using alcohol and crack cocaine. The client stated he attended the MRFH program in the 1980 's but does not remember the exact date of attendance. The client stated he was diagnosed with Mild Depression by a primary care physician when he was 56-years-old. The client reports he has no history of suicidal or homicidal attempts, and currently denies having any suicidal ideations or homicidal ideations. The client stated one to two times per week he experiences muscle tension and worrying about things that he often realizes have no significance. The client stated prior to the age of 18-years-old, "I would knock over my neighbors mailboxes and destroy their gardens, because they would make my parents aware of my wrong doings and that was way of getting them back." The client stated, there was one time that I started a fire and blamed it on my brother. I would break things as well and blame someone else. The client stated if there was an event taking place that he wanted to participate in, he would rush and complete what he was doing so he could become involved in other events taking place around him. The client stated, "I started using drugs and alcohol without thinking about what the consequences. The client appeared to be oriented to the
Mr. Hurtado is a 19 year old male who presented to the ED with an suicide attempt. He cut himself multiple times with a razor on his legs and then proceeded to cut the right side of his neck with a box cutter. At the time of the assessment Mr. Hurtado states tonight his boyfriend and he were riding home when another guy sent him a message on Instagram. After looking at the message he showed his boyfriend, which started a confrontation. Mr. Hurtado reports a history of cutting behaviors for a stress relief, however tonight he endorse harming himself with intent to end his life. He reports relational issues with his family accepting his sexual preference and the inability to control himself when face with confrontation as stressor contributing
J.F. is a 42-year-old, Hispanic male who was transferred to the behavioral center for suicidal ideation, in which he planned to hang himself with cable wires. He has a history of mental illness in the family. The patient’s mother has a history of bipolar disorder, and passed away when the patient was 37 years old. The patient was emotionally and abused by a family member when he was around 8-10 years old. He had attempted suicide as a teenager by trying to overdose on pills. His medical history includes diabetes, pancreatitis, and methamphetamine use.
SR is a 45 year old, single, African American male, who lives with his family in an urban area of Columbus, GA. SR is currently unemployed, but is on disability. SR is presenting to see if a higher level of care is needed for his presenting symptoms. A local outpatient community service board referred SR, after a routine appointment with his outpatient therapist because of reported aggressive behaviors, to include homicidal threats, with multiple plans, by his family. While at the appointment his outpatient therapist reports that the client was rambling, having racing thoughts, rapid and frequent mood swings and severe paranoia. SR reports that he is easily agitated and has anger outbursts that accompany his mood swings. He also reports severe bouts of depression that leads to decrease in sleep and appetite, as well as helpless, hopeless, and worthless feelings. Client reported feeling like people were talking about him, and laughing at him, while at home with his family, he also feels that his family are out to get him, and his money, onset, x2 weeks. SR also reported current active homicidal ideations on 10/31/16 with a plan to shoot his friend who stole money from him. Client reports onset for H/I was 10/29/16. SR has no previous homicidal attempts. Per family, SR is very impulsive and spends his money on gambling and drugs. SR also has a 15 year addiction to cocaine, which he feels he can’t kick. SR has tried to stop in the past, but he always
Our direct competitors would be H&R Block and Jackson Hewitt, respectively. H&R Block has a professional atmosphere and gives off an ambiance that they are knowledgeable and capable. They have educated employees and trained professionals there to assure customers that everything will go well. Jackson Hewitt has a more casual and “home style” approach that allows it to be more welcoming and less
My initial reaction to this situation is to not advise them to write a prescription for their patient to give to the woman nor would I advise them to visit the woman either. If possible, I would say to that instead the patient could try to convince the woman to visit them or another doctor to examine if she actually needs the drugs for her condition. In this circumstance I consider both the physical, resident, and the woman as the primary decision makers with the patient as the stakeholder. My primary ethical question is whether it is morally permissible to write a prescription for someone who is not your patient and is it right to pay them a visit at their home.
I believe "loving" is the essential characteristic that an ultimate foster parent needs to demonstrate. When parents take time to listen and to give an explanation for matters to their child, they're competent to comprehend. This creates an environment that's safe from any emotional, intellectual or physical damage. Furthermore, an ideal foster parent should practice being a positive role model. They should be shrewd in their words and actions. They should attempt to specific their wants in a positive way. An ideal foster parent should also exhibit moral and spiritual responsibility. They should let their child transform into who they genuinely is then attempting to make the kid into the person they want the child to be. They should reliably
Recommendations: (Identify the problem to be addressed, type of counseling [individual, family, group] frequency [50 minutes, once per week], and any recommendations for other services (i.e., couples therapy, medication evaluation).
Many people at one point in their life have experienced the feeling of hopelessness. Hopelessness is described as a feeling of despair. Most people experience despair after a death, trauma, or being separated from a person or thing. Out in the world today, there are so many outlooks and strategies that are willing to help with this feeling of hopelessness. Outlooks such as people or even making plans and setting goals. Setting small goals and accomplishing them are a great way to boost self-esteem and prevent or reduce hopelessness. Hopelessness can lead to issues such as depression, low self-esteem, and suicide. These people may be able to use the bible to help them to cope with hopelessness. For example, Isiah 40-55 is a great explanation on how to restore hope.
This assignment is being submitted on June 13, 2016, for Professor Kehiante McKinley’s G148/PSY1012 Section 02 General Psychology course.
For some teens, striving for perfection has led to harming their own health and wellbeing such as living with depression and suicide. Teenagers today are relying on what they see in ads, T.V., magazines and on the internet for their input on appearances, the way they think not only comes from media sources, but from family and friends.
Many people think of dentistry and other healthcare careers as stressful professions and the media has repeatedly represented dentists as health care workers that are at a high risk of committing suicides. Although suicide is fatal, in cases of surviving of an attempt, it still has physically and psychologically devastating consequences not only for the suicide attempt survivors but also for their relatives and close friends1. This paper reviews the studies about suicide among the dentists to analyse profession-related stressors that put dentists at a high risk for suicide and explore possible preventive strategies and treatments.