Patient L.H. is a 69-year-old married Caucasian male that is a retired teacher that lives at home with his
She presented with anxiety, academic concern, and depressed mood. She reported that she has a habit of avoiding things that increases anxiety. She noted that her strategy in avoiding anxiety provoking situations also makes her feel stuck. She reported that she can be self-critical that it is difficult for her to motivate herself. She reported that she has been missing her classes in an attempt to avoid a stressful situation.
History of Present Illness: The patient has been seen in this clinic since 2016. She is diagnosed to have ADHD, Bipolar II disorder, Generalized Anxiety disorder, Alcohol and Cannabis use dependence. The patient has struggled with separation from an abusive ex-husband, who is currently
Is there a significant difference in the level of stress management of the students under.
Client reported no known allergies to food or drugs. Client reported that she has 8 years daughter. Client indicated her physical health "average". Client reported that she does not have a current primary care physician at the time of assessment. Client reported that she is not currently pregnant and does not taking medication for medical purpose. Client denied any issues in this dimension. Indicated no current condition or medications that would interfere with treatment. Client exhibited adequate ability to tolerate and cope with physical discomfort. No immediate biomedical services are needed at the time of assessment.
Please review the case notes for this patient. This is a DCF case and her teenage kids has been removed for the second time. She is recommended for mental and substance abuse treatment from DCF. Deborah works for SalusCare in the prevention department and she has a lot of information about this case that she will put in the SalusCare medical record file. The information that Deborah has access to is from the DCF data base.
She reports that a lot of current medical condition stem from riding horses for 30 years and a lot of physical labor. The patient has 2 children-females. The patient does not get along with her oldest child due to conflicts with her patient's father and the patient was upset that her daughter sold one of her horses for profit. The patient does in fact get along with her youngest child, who is 25 years. The patient discussed the marital issues with her ex-husband. The patient was married for 18 years and divorced her husband in 2003 due to verbal, physical, mental, and fiancial abuse. The patient reports she is happy that she left her marriage; however, her husband had caused a lot fiancial issues in her life by fraudlant acts. The patient had attempted to go after her husband for the frauds he did by using the alimony and her name, but the patient reports she had a conflict with her attorney. Till this day, the action was
Patient lives with her husband of 10 years and 3 children in Denver, Colorado. Patient denies any spousal abuse. She also denies smoking, alcohol, or drug use during her pregnancy. Patient completed middle school, and currently works as a house wife. Patient is of low economic status.
Patient lives with mom, dad, and sister. There are no pets, weapons, or tobacco/drug use in the home. There has been no recent travel. Patient is currently in the 8th grade
Stress is a main aspect of the human condition, because everyone goes through a daily amount of stress, whether the problems come from school, family, even physical activities. The first time I felt a load of stress was earlier this year in fact, on a Thursday in September. I had many assignments due that day, and had a football game for band later as well. There was a reading check for “WHAP”, and the second I had seen the vocab and multiple choice questions my stomach started churning. There was sweat running down my face.... The notes I had took were horrendous, the thought of my French IP Practices the next period did not help either. Even though the day had finished and I did not have to stress over school anymore,
31 y/o AA male patient seen today for psychiatric-mental health assessment. He is awake, alert and oriented x4. He is calm, cooperative and follows commands during assessment. The patient reports he is depressed, difficulty sleeping and nightmares at night. The patient explained his depression is as a result of deep thinking from a news he received two days ago from his elder brother that his mother is ill. Stressors identified by the patient include losing his job a week ago before the news about his mother; his wife is 6-months pregnant with their first child, who currently works part-time at her present job; patient relates difficulty paying monthly bills and inability to provide adequately for his family as a man. The patient denies mood swings, suicidal/homicidal thoughts and ideation. Patient reports his spouse is at work at the moment and he does not want to put stress on his wife due to her current condition. Patient denies been hospitalized for depression or psychiatric illness; and denies family history of mental illness. Patient reports he is seeking help because he does not like feeling this way using terms of “helpless and loss of worth from his spouse”. Patient reports he needs help with his depression and nightmares before his current condition get out of hands and ruined his marriage.
Social History: The patient widowed and lives in a house with her two daughters. Currently employed as a supervisor at Walmart and has health insurance through her work. Works full time and enjoy her work. She enjoys spending time with her family. She is sexually active. She is currently in an intimate relationship for the past one year after the death of her husband and used condoms occasionally when having sex. Highest level of education is bachelor’s degree
Based on these findings from research done previously I feel that this study is important. Firstly, we need to understand what causes the stressors and how it affects the individual. For example, if you have an entire university with stressed students, not being productive, not performing well academically perhaps thinking of dropping out of university because of the overwhelming anxiety; it can be detrimental to the institution in terms of status and students in terms of individual realisation. Secondly, we soon have to formulate effective and efficient stress management guidelines as we