Ms. Client Case Study

Psych: The patient states that she is depressed due to “falling apart” and anxious about dying. Denies suicidal thoughts, memory loss and confusion.

not associated with the disorder. These characteristics were met by the client who is as follows: 1.

SUBSTANCE ABUSE UPDATE: Client has a history of alcohol abuse. Client reports she drinks one or two cans of beer once a week. intoxicated. Once again CM tries to refer the client to a substance abuse program. Client refuses

Today is November seventeenth, this will be the first meeting with my new client Jill. She has an extensive criminal background due to the fact that she was caught shoplifting and under the influence on several occasions. At a later date, Jill was given a court date and failed to make an appearance. As a result of her failing to attend her court case, a warrant for her arrest was dispatched. Shortly after Jill’s warrant for her arrest was sent out she was caught speeding on Route eighty by a state trooper who then pulled Jill over. When, the officer scanned her license he discovered Jill 's warrant for arrest. On further inspection of Jill’s vehicle, the officer detected that she was in possession of various illegal substances and was then suspected of her herself being overwhelmingly intoxicated by such substances. Consequently, Jill was apprehended due to there being a warrant for her arrest in addition to her possession of drugs. As a result, of Jill being caught by the officer she has been forcefully stationed into the PHP program (Partial Hospitalization program). Which she will be spending half of her day counseling with various social workers such as myself. Meanwhile, the remainder of her day will be spent attending school under close supervision. If Jill refuses to make an appearance to these mandatory meetings there will be severe repercussions. Failure to attend will have her imprisoned in a juvenile detention center until she is of legal age to be relocated to a

The point at which the client’s symptoms were most extreme was towards the end of her alcoholism, which was in her early thirties. She used humor, felt incomplete and fragile, oversensitive to other’s reactions of her, felt the need to hide from people whether it was through work or through drinking, and was aware of her drinking problem. She also presented with anxiety, excessive exercising and healthy eating, and denial of drinking in excess.

Your honour, my client has an ongoing problem with alcohol leading to intoxication which may lead to making unsound judgements/decisions and for this reason may need professional help or counselling regarding her alcohol problem as her addiction may get worse if it is not treated properly.

Major Depressive Disorder has claimed the lives of up to 15% of those suffering from the disorder through suicide (Belmaker & Agam, 2008). Different people are effected by depression in different ways. Some individuals, like Raquel, suffer from loss of interest, feelings of worthlessness, along with thoughts of suicide (Fave & Kendler, 2000). Others go on with their daily routine with a smile on their face, while hiding their emotions. Although most individuals will experience depressed mood or general loss of interest in activities they once enjoyed (Spaner, Bland, & Newman, 2007).

Client comes to treatment because she has been mandated by the court to receive services for her drug and alcohol usage. Client self-reports an extensive history of drug and alcohol usage, as well as, issues with controlling and maintaining her anger. Client is more concerned with her anger issues then her drug and alcohol usage. Client feels that if she can control her anger then she will not have to turn to drugs and alcohol. Client appears to be self-medicating with drugs and alcohol.

This taxonomy includes three hierarchically categories that are used in the classification of different relapse episodes. The first level differentiates between the intrapersonal and interpersonal causes of relapse. The second level contains eight subdivisions, five within the intrapersonal category and three within the interpersonal category. Within the intrapersonal category is coping with negative emotional states and negative physical-psychological states, testing personal control, giving in to urges and temptations, and enhancement of positive-emotional states. Within the interpersonal category is coping with social pressure, interpersonal conflict, and enhancement of positive emotional states.

Anxiety, self-esteem, depression and mental instability were some of the points of concern in the treatment plan of client. She is also affected by poor social skills, inadequate problem solving skills and poor verbal skills which greatly

A client admits to alcohol dependency on a consistant and regular basis because the loss of job. The client exhibits hopelessness and depression. The client has explained they experiencing insomnia, and decreased energy to do anything. This explains their poor personal hygiene. As the clinician the safety of the client is of the utmost importance.

Most of the consumption of alcohol may well have occurred at home. The client and family members

The client is living with her parents, who are retired and live in a small, rural town near Yuma, Arizona. Their relationship has been strained (as reported by the client) ever since she was a teenager. The client has no job due to her inability to get hired because of prior arrests, no transportation due to her license being suspended and car being impounded after her last arrest for Driving Under the Influence (DUI), with a Blood Alcohol Concentration (BAC) of 0.247 and client states that she feels stuck. (Micro).

During the time of assessment the patient was sitting upright in her bed. The patient denies SI and HI. However, reports that for the past two weeks her "ex-friend" and she has been arguing, however does not remember what about. The patient reports that this conflicted has been going on for the past 5 months. During the assessment the patient lacks focus severely time and continues to talk about her relationship with her "ex-friend". The patient reports seeing people on the lawn of her home. When asked if she knew them, she reports that they week her sister and the sisters

Anthony’s affect was congruous and appropriate to content; he became emotional and showed signs of deep sadness, anger, and anxiety when speaking of his daughter’s death. He remained frank but seemed suspicious of the counselor during the interview. Client reported feeling anxious as he continued to talk. When asked to rate his anxiety on a scale of 1 to 4 (4 being high) he rated himself as a 3. He demonstrated no notable characteristics in his motor skills and spoke with a normal rate, rhythm, and volume of speech. Client’s thought processes were coherent, logical, and goal directed with no cognitive impairments noted. He demonstrated both intellectual and emotional awareness. There were no notable impairments in judgment and he