Monica is forty-eight years old white female who has experienced mental health concern for the last eight years. Monica also reported that she had nine years sober at the onset of her diagnosis of Bipolar disorder and had a professional job as a legal secretary. Monica report being in a committed relationship with her partner of three years. Monica report being bisexual and had been married and had been divorced from husband about seven years. Monica said she was going through a lot of change and highly stressed, with her family about her lifestyle and them being not accepting of her choices. Monica said she sought out counseling from a private therapist in the beginning. Monica reports that she found herself crying repeatedly and could …show more content…
Monica share that in her journal she has to seek help with her mental illness at a community agency after she lost her job. Monica stated that the treatment that she receives that was nothing like having private insurance. Monica said with her private insurance her doctor new a very well because she had been his patient for about five years. Monica said at the community clinic she never saw the same doctor. She discusses having to wait long period of time to see the doctor and they were all late. She also said that in the community clinic that the patient she met that were very resourceful. The patients made her aware of resource that were available to her in the community that she was not aware of. She said because of her waiting time was so long she found it was very helpful to talk with other patient she found out a lot about different medication from talking to other. She said in the beginning they wait time was a negative however it turn out to be a positive because of how much she learn from talking with other had a mental health diagnosis. Monica said in her private doctor office there was know one to discuss mental health with so the doctor was her greatest resource. At the community clinic there were so many people speaking openly and honest about his/her mental health disorder and they did not have any shame about. Monica said the community clinic help her working being shame of
The patient expressed about feeling that she is self-sabatoge her recovery for no apparent reason and currently thinking about going into an inpatient treatment- more so, a treatment that is spiritual. The patient shared that lately she's been feeling down and haven't been to going to church for the past two weeks. In addition, the patient shared about having homocidial thoughts with regards to her daughter's DCF case as she expressed frustration with the custody battle. This writer advises the patient about this writer's role as a mandated reporter and based on the patient comment of having homocidal thoughts, she recanted her statement and says," So, you are telling me that I cannot vent and express how I feel.....I am going to keep my mouth
First the psychiatrist, I felt that the psychiatrist limited Paula’s personal empowerment. It stated from the reading that Paula was severely socially isolated as she has limited contact with family and lack of peer network of any kind. I know during her initial intake assessment that should have been address. The question should have been asked why she rather be socially withdrawal from her
This is affecting her social life because she reported that she is avoiding going out with her friends. She stated that she missed work last week, because she did not want to have an episode while working.
Furthermore, Monica is also diagnosed with Bipolar Disorder. According to the Diagnostic and Statistical Manual of Mental Disorders 5 (DSM), Bipolar Disorder is characterized as a mood disorder consisting of major depressive and manic episodes (American Psychiatric Association, 2013). One must display at least 5 of the following symptoms of a major depressive episode within a 2-week period which must include a depressed mood most of the day or a diminished interest or pleasure in daily activities (American Psychiatric Association, 2013). The manic episode must persist for one week in which the individual displays an irritable or euphoric mood (American Psychiatric Association, 2013). Based
Based on her family history, her father’s side of the family suffers from depression and substance abuse. A member of her family who is diagnosed with depression is her father and older brother. Furthermore, when addressed about experiencing any past traumatic events, she disclosed that she does not think she experienced any.
You asked: what if ACEs were the basis of mental healh treatment? I am employed as a crisis specialist in one of NewJerseys screening and crisis intervention programs, and I intern through their mobile outreach program. Last week, I evaluated a 5 year boy who has been taken in by his grandmother, instead of entering the foster care system. This particular boy had been kicked out of his partial hospitalization program, is prescribed medication by a psychiatrist and is very compliant. I evaluated this child, because he was threatning to kill himself and others. Before speaking with the kid, his grandmother explained that his mother is a heroin addict, he watched his mother use heroin via IM and is able to tell others the best places to stick
Psychological Demi was often depressed and went into mania mood. She feels anxious after consuming food. Demi also engaged in substance and alcohol abuse.
`In the past, I worked in such a research setting, where if a person was found to meet criteria for opiate dependence they received treatment, however if even slightly short of DSM-IV criteria for the disorder they would have to look elsewhere. This was a continual concern for me, as the person who met criteria was not always the person with the most distress, and alternative treatments were not easy for people to find. Largely from this experience, I find the current categorical approach to classifying persons with psychopathology to be an imperfect system at best, with the primary advantage of being convenience when communicating with other professionals. I question whether this convenience comes at a severe cost to accuracy, the
The interviewee expressed interest in the RxP movement. She revealed that her most recent experience in psychiatric treatment had been fraught with problems. She went to a nurse practitioner for her psychiatric consultations and the nurse practitioner admitted that she was lacking in expertise in regard to psychiatric treatment. The subject revealed that she been placed on and removed from a large
She also mentioned her experience when she was being put on anti-depressants and having appointments with both psychiatrist and psychologist at her young age. The last visit to the
Who is to say what “Normal” is? I am saddened by the travesties of our past leaders and how people with disabilities were treated. Ignorance is something that keeps up from making informed, educated decisions and this is apparent in the way society treated those that were thought of as less than perfect. Although disabilities are an illness, they are no less significant than diabetes or cancer. In in countless cases, they are just as serious, individuals with mental disabilities need medical attention, just like the previous illnesses mentioned, in addition to somebody to listen to them. Diagnosis is a crucial part of getting the correct treatment and several times as discussed in Chapter 5 of The Social Work Experience, An Introduction
Monica: All of a sudden she started screaming when we were at the mall yesterday. We did not know why. We went back to the hospital where they ran tests on her. Eventually, they diagnosed her with a psychological disorder. It was very disturbing because when the doctor gave us the diagnosis, she was screaming at imaginary people. She kept saying her ex-boyfriend was coming to kill her because he found out what she did. She did not explain what she did.
Behavioral Treatment for Substance Abuse in Serious and Persistent Mental Illness (BTSAS) is a comprehensive behavioral treatment model that has been shown to decrease substance use in individuals with serious and persistent mental illnesses (SPMI), people with a traditionally high incidence of co-occurring disorders. For those with SPMI, substance use disorders are associated with greater impairment including: “severe psychiatric symptoms, worse clinical outcomes, poor medication compliance, frequent relapses and hospitalizations, as well as higher rates of violence, suicide, and homelessness” (Tenhula, Bennett, and Kinnaman, 2009, p.832). Therefore, the availability of practical and effective treatment modalities are of the utmost importance
Cassie presents with multidimensional and complex problems. The problems are inter related and need to be addressed concurrently. This client presents with a history of anxiety and childhood sexual abuse which manifests as post traumatic stress disorder [PTSD], social phobia (social anxiety disorder) and depression. Wagner (2008) reports a strong association between social anxiety disorder and depression. Post traumatic stress disorder [PTSD] in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DMS-5; American Psychiatric Association [APA], 2013) specifically includes sexual violation as one of the diagnostic criteria for PTSD. Consequentially, co-morbid symptoms create dis-regulated behaviours which may have long
Mental healthcare professionals need to uphold their responsibilities to tell the truth, respect confidentiality, function as an advocate, and accept accountability for providing proper mental health care to their patients. If I were to have a mental health professional tell me that my depression would go away on its own and break confidentiality by telling the receptionist about my problems. I would not trust them and I might even hate them as my depression got worse. If a mental health professional were to lie to a patient, like the example, that patient would tell their friends what had happened. No one would be able to trust that professional. The mental health professional would lose their license because they broke HIPPA regulations