The Shore Family: A Case Study Of Nancy

Susanna displayed the first symptom, “frantic efforts to avoid real or imagined abandonment” through her fear and depression from her childhood. She felt that she could not make satisfactory decisions through out her life because of the lack of communication with her parents and their lack of understanding. Some of her depressive behaviors come from that fact that her parents sent her to the mental hospital without notice and did not say goodbye. She states that the reason she was in the hospital is because of her family and that they are absent from her hospital life. She displays her fear of abandonment through the question she constantly poses; is she as absent from their lives outside as

 Sylvia is 28 years old, stay-at-home mother raising two small children with her husband, who travels frequently for his work. Sylvia finds herself feeling bored and isolated a lot of the time. She finds herself overeating and then feeling bad about her weight gain. She has trouble sleeping at night and takes frequent naps during the day. She has persistent thoughts that she is an unlikable person and cannot manage to do anything right. She feels guilty that she is not a good enough mother to her children. When her husband is home, she questions if he loves her and secretly wonders if

A displayed feelings of apprehension and became less co-operative during the initial clinical interview. She additionally displayed thoughts of inadequacy . She moved back to her parent’s house when she began getting panic attacks and was housebound through fear of inducing a panic attack. As a result of this, she became overly reliant and attached to her parents, who provided emotional, financial, and decision making support.

The impact of Mrs. Smith’s anxiety and panic attacks takes a heavy toll on the family. Mrs. Smith has been the family member that maintains equilibrium for the family. Without her calming influence, Mr. Smith and Junior have lost their stability. Mrs. Smith provided the steady emotional balance in the family.

The client was not diagnosed with any disorder until after the onset of a negative life event. Pat had arrived home from work one day and heard his wedding song playing. As he was walking, he saw his wife’s clothes trailing to the bathroom. Then he sees

For J. N.’s occupation of work, she was employed at Pennsylvania Water & Gas Company. She was employed there for many years, and expressed that when she began working there, it was only called the Pennsylvania Water Company, because they had not yet bought out the gas company. J.N. is a woman who is full of life. Some of her character traits include that she is friendly, funny, supportive, and always willing to help those around her. J.N. expressed that when growing up, she had older parents, which she believes, allowed her to have a special connection with older people throughout her lifetime. One occupational experience that J.N. has experienced is caring for her friend, for many years. Before and after her friend’s accident, J.N. was her primary caregiver. Some of her patterns of daily living include going for a walk everyday that it is nice out and going to the store. At night she follows a specific pattern, which includes the activities of getting coffee at 4 p.m., boiling a pot of hot water for her neighbor at 6 p.m., and watching the evening news at 7 p.m. Some things that J.N. likes are music, playing the piano, listening

This disorder is a symptom that is observed in adults and its initial onset, in the 30s. This mental disorder creates significant impairment in social, academic, occupational, or other areas of daily functioning (Dziegielewski, 2015, p.522). More so, the clients emphasize how she has been visiting her parents for the past 15 years, which is a big stress for Caroline and her family. The client stated that if she missed the Sunday dinner in her parent’s house they will never forgive her, meaning such action or plan is totally unacceptable. This particular issue is one of the biggest stress in Caroline life at present, because she is trying to please her elderly parents by keeping with a tradition that is causing more problem in her family.

Mary, a 31-year-old single mother of three children (ages 9, 5, and 3) has been seeing Annabelle, a mental health counselor at a community mental health center for about 4 months. She has become increasingly anxious over past few weeks and reports that she feels frightened all the time, is unable to sleep through the night, and worries that “something horrible is going to happen.” She also admits to having a “couple of drinks” during the evening several times a week. Mary shared during her last session with Annabelle that she is very worried that she is a horrible mother and is afraid that her children will be taken away and placed in foster care.

Mary is 86 and recently widowed, at which time she moved into the care home where Jean works. Mary has a large family who visits regularly and play an active part in her care plan. She suffers from rheumatoid arthritis and is a little hard of hearing. She had an active life whilst her husband

The loss of her employment created a tough path to the family. Obtaining employment was difficult having epilepsy prohibited her to drive. Applying for SSI and qualifying to receive provided the rent on the house. Soon her husband left his job, the savings that had been tucked away slowly vanished until none was left. The next catastrophic situation was diagnosis of an aggressive lymphoma. The struggles to survive necessitated government assistance; Medicaid, Food Stamps, WIC and section eight housing provided relief. In Ann’s situation, financial problems only arose when she divorced; child support provided for the children. A part-time job permitted for her development of the children. She stretched her meager income with the help of others. Choosing to live with her mother and seeking friends to assist in the family’s necessities permitted acceptable existence. The desire to nurture the children attracted help from people that admired her devotion and sacrifice. She never thought of taking assistance from the government to interfere with her plans of child-rearing and their future. Both women needed help yet made opposite choices. They elected a pathway for their family’s

Betty Jo reluctantly made the decision to move to an assisted living community, due to high pressure from her healthcare providers and family. She is an 85 years old and a widow of 3 years from her beloved husband of over 50 years. Her husband made sure his financial affairs were in order before his death, and thus managed to provide financial comfort and security for Betty Jo. She has two children, both live out of state. Her daughter Karen, has two adolescent children, and visits her mother once a month. Her son, Adam, is a recovering alcoholic who has trouble keeping a job and frequently seeks financial assistance from his mother, yet rarely visits her at Sunrise Pines. Betty Jo often has to sit down for a minute, due to “dizzy” spells and becomes fatigued at a greater frequency than she did before her husband passed away. Her decision to move came after falling twice in her home, upon having hip replacement surgery. She had trouble keeping her physical therapy appointments, and managing her pain medication. Prior to her move, Betty Jo was active in her church and in the Red Hat Society. Now that she is living in Sunrise Pines, she has become more withdrawn and rarely eats her meals in the main dining area. When she does participate in social activities, she acts out and becomes hostile with her fellow residents. The community director received word that she is refusing to take her antidepressant and blood pressure medication. The director reached out to the local

Enchanted by her serene radiance, I did not disturb her. Suddenly she began to speak in a whispered hum that was more like a song, unique in a dwelling full of ranting outbursts. She spoke of years long past, swimming in the pond with her sister and dancing in the moonlight. I could picture all in my head, like I was watching a movie. Then she began repeating the story she had just told me, and I realized that she was merely talking to herself. Although this discovery disenchanted me at first, I soon realized that, although the woman was talking to herself, she still had so many fantastic stories stored in her mind. The residents of the home all had some life flittering in them and numerous stories to share; they just need someone to listen to them. After my experience at the home I knew that one of my goals in life would always be o help make sure that people were receiving proper treatment, and not merely stuffed away and drugged up.

Alice enters my office wanting to work on her anxiety and mood changes. There were some general goals aligned with her assessing a desire to be less anxious and to control sudden mood changes. She also stated she would like to turn her life around, but has no idea where to start. Alice notes she is not bleak. She has enough guts to leave a lot of her shady past behind and enrolled into college.

Michael Strand is a 62-year-old who has worked with children for 40 years as a coach, counselor, and mentor. Due to his business, he maintains strong ties to his community. He is also strongly driven and motivated by his wife and kids. While interviewing Michael, he didn’t shy away from sharing his personal stories and experiences that helped him become the person he is now. He was honest and became emotional when sharing his long time stressors that began in his early adolescence. In addition, the moment he described his obsessive compulsive disorder (OCD) and his triggers, it became noticeable throughout the interview the types of patterns he created. These patterns included cleaning and placement of drinks on a coffee table. However, he was humorous and insightful when he made jokes that revolved around the societal stereotype of an old man and his capabilities. The interview as a whole undertook different forms of emotions as Strand explained the consequences to his drug use in his adolescence, overdosing twice, and living on the streets from 15 to 17-years old. All of which made a big impact on him while growing out of adolescence up to his early 30s. Although his life began troubled, his quality of life seemed to have improved as he entered his adulthood to late adulthood years.

Lanesha is a 12 year old girl that has been having trouble with her temper and her anger in almost every aspect of her daily life. Her medicine and compliance to her treatment plan are no different. As a teenager, she does not want to continually be hassled and bothered. So to avoid this she constantly is telling the providers lies, or in her mind, “what they want to hear.” (http://support.mchtraining.net/national_ccce/case1/Flash/activity1.html). Lanesha has a sense of neglect from her grandmother because she states that she want to act like everything is fine as to appease her Grandmothers temperament. Marietta, also shares in frustration but also has a great deal of added stress as she also cares for her 10 year old grandchild and also her older ailing mother. Marietta exudes many of the qualities spoken by Dr. Horky in her presentation; her own age is taking a toll on her ability to care for Lanesha, she is worried about Lanesha. Due to Lanesha’s age and behavior however, Marietta is experiencing depression and grief. Almost portrays a sense that she has given up, like she has done all that she can. (Horky, n.d.). Other socioeconomic issues are in Marietta’s forefront.