The Importance Of Hearing Voice And Feeling Uncomfortable

Client has a lack of social support network. No information regarding Alex's childhood, adolescence has been provided. Client mentioned that her father died of a heart attack to Dan but indicated that he was alive but later on we find out that he actually did die of a heart attack. She never discusses her family she was more into her lover’s family. There is no information regarding family history of mental illness, or substance abuse disorder.

Her primary complaint was her frequent doubts, without reasoning, concerning the commitment of her current partner. She harbors a constant feeling of distrust while her partner is away at work and becomes suspicious if her partner has gone a few hours without contact. Phoenix is a moderate drinker and she proclaims this helps to suppress the obsessive thoughts. She has resulted to drinking for this chronic feeling for the past couple of years. Phoenix and her partner have been in numerous altercations because of these internal issues which exist and have not been laid to rest.

The intervention that was implemented was the invitation for the father to participate in the therapeutic sessions with his son and ex-wife. I explained the client’s recent behavior and the subsequent admittance to my agency. I clarified that the client’s behavior worsens after their divorce which is evidenced by the increased disciplinary infractions he received at school. The client also became more combatant and argumentative with his mother and siblings as reported by them. I proposed the idea of meeting for a family therapy session to uncover the cognitive reasons behind the

Donald is a fifty-four-year-old male with a wife, children, and several grandchildren. Donald’s symptoms started approximately thirty years ago and have been increasing in severity. Documenting the critical issues, diagnostic impressions, and treatment recommendations are imperative to successfully helping the client deal with the issues and possibly minimize the risk of future relapse in recovery. Addressing the biological, psychological, social, and spiritual aspects will help to guide the therapist through developing the most accurate treatment model for the patient.

The client’s primary care physician is Dr. Damian Covington. The client does not currently have a psychiatrist.

Mr. Grape is a 52-year-old single African American male who resides in Phoenix, Arizona. His parents separated when he was 8-years-old because his father was abusive towards his mother and his mother’s infidelity. Mr. Grape’s older brothers were high-functioning and well-behaved, which made Mr. Grape feel like an outsider. As a result, he had behavioral and attitudinal problems and frequently engaged in defiant, oppositional, and negativistic behaviors. After completing high school, Mr. Grape joined the military but was dishonorably discharged. Since then, he worked as a substance abuse counselor and held numerous hands-on labor jobs. In addition, Mr. Grape has received five prison sentences, as well as numerous arrests and convictions for many different crimes, and was seemingly bragging as he reported his legal history. Mr. Grape also has a history of substance abuse and has enrolled in two residential drug treatment programs. Mr. Grape does not have a history of psychiatric treatment or mood disturbances, aside from recent depressive episodes. He was referred by the court for a psychological evaluation. Specifically, the court requested an evaluation of his psychological and emotional functioning to determine whether or not he was at risk for violence and/or other maladaptive behavior that would compromise his ability to raise his newborn child.

Shannon met with several of Janet’s clients. After meeting with clients, she discovered a pattern in which the clients would report that they have not seen Janet in 2 to 3 months. However, the case files reflected face-to-face contact with all of her clients, despite what her clients stated. When Shannon investigated further, she found that the client notes were all at the same day and time, which is unlikely. Further, several of Janet’s clients needed referrals for counseling, but Janet never

However, Patrick is in denial that he has any issues, but he recently discovered that his wife was cheating on him and was involved in a physical altercation, with the man his wife was cheating on him with. The altercation resulted in Patrick being sent to a psychiatric treatment facilitation for inpatient treatment. After eight months of treatment, Patrick was released from the treatment center, but against his doctor’s recommendation. However, the court determined that he was stable enough to be released, as long as he was complying with his wife’s restraining order, attend therapy and medicines prescribed. As Pat’s case progresses, we see many sides of him and how he handles certain situations and influences that come his way.

When reading the information, at first it was straightforward to be able to have a question mark of debt about why these people we being referred to an agency when there was no indication what was happening with these people. Without the proper report, history, or diagnosis several things may perhaps have been mistaken. One the person may have been recommended to the wrong agency, incorrect treatment, and denied being seen for services. This is why we as professional must learn the different cues for communication. Over 65 %, of the population uses nonverbal cues (Dillion, 2003). Learning different cues, gestures, facial expressions, and body movements can assist with clinical gestalt. When an individual, can understand a person through no expressive dialect we have learned how to break a barrier.

Frank states that the client’s parents got divorced, the father was an alcoholic that also suffered

Tom is considered to be clinical and cold, a man who is capable of separating himself from his emotions. Tom’s personality has been developed as a result of his emotionally charged yet clinical workplace, which requires that he detach himself emotionally upon leaving the office. Working with troubled children who wear a mask of innocence has forced Tom to view the world as black and white, being devoid of human emotion. Tom’s cold and analytical personality became a necessity, as is clear from his reflections on Danny’s court appearance, ‘…He gave the impression that he was telling the truth, and indeed he was – 98 percent of the time.’ (Page 97)

On the micro level Johnny is dealing with individuals inside and outside of the residential treatment center. On the outside Johnny has his mother and father. Johnny’s mother has been a source of stress as well as support. She cares about his wellbeing and is a willing participant in family sessions. Johnny’s father has refused to come to family sessions, which is very upsetting to Johnny. Johnny’s father is an active substance user. Also outside of the treatment center is Johnny’s probation officer, Joe. Joe is supportive of Johnny being in treatment and keeps a close watch on the progress notes and any incident reports he receives.

In terms of using an assertive stance and voice in a confrontational situation, I feel extremely comfortable for most aspects. I feel confident that I can use my voice in a calm but assertive manner, and to be sure to keep both of my hands up. The one aspect that I may have to work on would have to be to keep my body at a 45 degree angle. It is more likely that I would back up with my feet close to each other, rather than having my body at an angle and my feet spread farther apart. After some more practice and muscle memory however, I am sure that I can train my body to get into that stance more naturally. Also, I am very confident that I would be able to keep a good enough distance away from my attacker. Keeping that two arms-length distance

Tim is the child of Mr. and Mrs. Thomas who passed away on 6/15/2008 and 8/14/2009, respectively. He reports a “good” relationship with his father. Tim reports that he fell into a “deep depression” when his father passed. Tim reports an “okay” relationship with his mother but shared that she suffered from depressive episodes, since he was a child. He reports relationship with his mother was distant. Tim has one older brother named Ben. Ben is forty years old and is married with a son and a daughter. Tim reports the relationship with his brother has been strained since the death of Tim’s wife but he knows he can always count on him. He shared that prior to the accident and death, he and his brother had a “friendly” relationship and spoke often. Tim reports a distant relationship with his sister-in-law as well as his niece and nephew. Tim reports that his sister-in-law does not like him for unknown reasons and has thus keep herself and her children from him. Tim reports that recently Ben has been calling frequently to ask about where he is staying and how he is doing. Tim feels his brother is being “nosey” and he

his therapy sessions, within time, Will evaluates his relationships with the people he is close