U02a1 Case Conceptualization of Cindy
Cindy is a 39 year old Hispanic female who has been struggling with numerous symptoms since she was involved in a vehicle accident seven years ago. Cindy is self-referred and seeks professional help as she and her two young daughters face troubling events as a result of Cindy’s symptoms. Cindy divorced her daughters’ father a few years after they married and is currently living with her boyfriend, Jason. Cindy has recently been arrested for domestic violence and claims that she, along with her daughters, struggle with behaviors.
Presenting Problem
Cindy seeks counseling support after several years of troubling symptoms. Antegrade amnesia, depression, low level of self-confidence, excessively affectionate,
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Based on her history and what she has shared, Cindy may be vulnerable to dismissing her behavior. Cindy experiences bouts of antegrade amnesia, depression, suicidal ideation, low confidence, and chronic pain which involve intracranial hypertension. On the contrary, Cindy also shared that she experiences excessive affection which often annoys others.
Cindy grew up in her hometown for the first 14 years of her life. As a young child, Cindy remembers her father as an “extraordinary” man as she holds him with high regard (Zubernis and Snyder, 2016). Cindy shares that her mother was the opposite of her father in that she was mean and abusive; suffering from bipolar disorder. Cindy claims that the maternal side of her family suffers from bipolar disorder, affecting her grandmother, mother, sister and half-sister. This claim makes Cindy predisposition to bipolar (heredity).
Cindy reports that she has encountered physical altercations with both her daughters; one altercation resulted in her being arrested and incarcerated for three days. The police have responded to calls from Cindy’s home on several instances as a result of the family violence. Cindy and her daughter Chloe have been hospitalized involuntarily due to their claims of self-harm and suicidal
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Additional information about the relationship must be explored as Cindy did not disclose much details. In addition to Jason, Cindy expressed positive feelings towards her father, who may also be considered as her support system. Despite the struggles, Cindy’s extended family and cultural influences of the Hispanic background present value to the family system. Cindy mentions she is worried that her behaviors will annoy other family members; hence indicating that she values the family system.
Timeline
Past influences which impact Cindy’s development include the marriage and divorce of her parents, the move when she was a teenager, exposure to marijuana, the physical and emotional abuse as a young wife and mother, as well as the early marriage and rapid divorce with her daughters’ father. Current considerations including Cindy’s self-referral effort and willingness to receive support and services to address her problematic symptoms are positive. Concerned about her current state and the impacts on her family, Cindy presents a sign of preparedness towards change. This strength, along with her support system are in Cindy’s favor. Yet, further discussion surrounding Cindy’s psychological and pathological development as well as her periodic drug use should be explored.
Familismo. Latino parents expect their children to prioritize family needs over individual needs. Understanding the values within the Latino family is crucial to analyzing family influences on education. Furthermore, understanding Latino cultural values and analyzing how these values either are or aren’t replicated in the high school setting is crucial to understanding the success of the first‐generation Latinain and out of high school. Cultural values which define the family dynamics of Latinos are: familismo (the value of family), comunidad (the value of community), and personalismo (the value of relationship), which are understood as presenting a sense of validation, mentorship, and cultural mirroring when transferred to the university setting (Castellanos & Gloria, 2007). Comunidad or community is defined as a sense of responsibility for one’s community and is closely related to familismo, which is a sense of caring for and being responsible to one’s family and prioritizing family needs over personal ones (Castellanos & Gloria, 2007; Sy & Romero, 2008).
R/s in January 2014 Taylor was diagnosed with PTSD. R/s Taylor has two sons Joshua (1) and Kane (2-months-old). R/s Taylor is living with some relatives at 612 Hill Street in Conway, SC. R/s Taylor goes to work and leaves the children in Mary Ruth’s care. R/s Mary Ruth’s mind is unstable and she is schizophrenia. R/s there is a possibility that Mary Ruth will leave the children or drop them off to someone else is she gets tired of the children. R/s about two months ago Taylor was sleeping in cars with the small children. R/s the children were malnutrition when they were sleeping in cars. R/s it is alleged that Taylor is bipolar. R/s Taylor has a history of fraud with the food stamps, FADC, and Medicaid.
The worker contacted Brittany Coleman, the sister of Jessica Farrand. Mrs. Coleman stated” I don’t think the children are being properly taken care of because Jessica is erratic, emotionally unstable, and she and Steven Burke both have a drug and alcohol problems”. Mrs. Coleman stated “Jessica is in an abusive relationship with Steven and he has put a gash on her forehead so bad my mother had to take her to the hospital. Jessica originally told my mother she fell and got the gash, but later admitted to me it was from fighting with Steven”. Mrs. Coleman stated “Jessica doesn’t talk to her children, all she does is scream, yell, and curse at them they don’t get any help from her they’re defenseless”. Mrs. Coleman stated “The children live in
Since I have last seen the patient, she tells me she has been to see [Mary Bluen at Orchard Park in Portsmouth.] She has been seeing her in counseling now for the last six to seven weeks and her next appointment is tomorrow. She says she has been struggling lately with her feelings. She established a relationship with a superior at work who is married and she herself is married. She says this is something that she is trying to work through to figure out why she is making these choices. Her plan is to ultimately end her marriage. She is not sure if she will continue to see this male at work again or not. She is just not sure what her choices are. She said on top of all of this, she just found out today that she has been given a 90 day noticed, so she is not sure if she will even be able to keep the same job and she is fairly certain that this is follow
Tara Jones is a sixteen year old African American Baptist who lives in Alberdence County. She attends school and is considered a sophomore. She has two siblings, and older brother (Dan Jones), and a younger brother (Theo Jones). Tara does not know where her father is located, and has not been in contacted with his since she was five years old. Tara’s mother’s name is Sharon Jones and Tara has lived with her and her two brothers up until she was eleven years old. Tara considers her mother’s neighborhood as the “projects” and she worried about gang violence while living there. At the moment, Tara denies any consumption of alcohol or drugs when she ran away, she also denies any suicidal ideation. Tara left her mother’s home because she was forced to; because her mother did not believe her that she was being sexually abused by her older brother Dan. Tara resided with her Aunt Sally after leaving her mother’s home. Tara reported that the sexual abuse had occurred for three years, and her mother denies any of the sexual abuse to happen and told Tara to leave the home. Tara ran away from her aunt’s home when she was thirteen years old. She then became award of the state and was placed into a foster home. She ran away from this foster home and was placed into a second home that she also ran away from. She was placed at her last foster home where she lived for six months with Ms. Boot, before she ran away with her boyfriend.
Her third and final story paints her as a battered woman, sexually, physically, and emotionally abused by Travis. She claims self defense and memory loss, as well as PTSD.
Jenifer grew up in the country in Bellingham, Washington. She lived on many acres and had many cattle. Walton grew up with a mother, father, and adopted sister named Kristin who was 6 years younger than Jenifer. Her father was an alcoholic which led him to develop lung and throat cancer. Not only was he a drunk, but he was also blind. Jenifer had a very close relationship with him but not her mother. Jenifer and Kristin's parents slowly became unhappy. When Walton was 13 her parents decided to get a divorce. The divorce effected their family tremendously. Shortly after the divorce Jenifer's sister, Kristin got in with the wrong crowd. She started using drugs and drinking alcohol. She used these substances for quite awhile. There were bumps along the road after the divorce for Kristin. When Kristin was 29 she became
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.
With all these being said, it’s most likely that Rose Mary carries manic depression since she potentially has something wrong with her ways of thinking and behaving.
Her son, Mr. Choi is present with her for the interview today. She complained about having a decline in her cognition for over 5 years. She is forgetful with conversations and has decreasing comprehension. It is getting worse over time. There are no hallucinations
Mrs. Garcia is a middle age Mexican American woman, first generation acculturation into the societal beliefs
Lisa's parents reported that Lisa has no history of psychiatric problems, behavioral problems, or alcohol or drug abuse. There is no family history of schizophrenia or other psychiatric disorder; however, Lisa's parents reported that Lisa has an aunt who is rather "odd" and a recluse. They are unable to provide any
She reported suicidal ideation, and visual and auditory hallucinations. She was anxious, had mood swings, was afraid of being alone, occasionally she was “too tired” to take her medications, and often yelled demanding things from the staff. She repeated questions that had already been answered. One of the records documented that the claimant stated, “I am 12 year old- I do not want to grow up … I wish I could have some tequila, tequila, tequila!” In more than one opportunity, she slept on the floor. She was “sometimes hysterical when reacting to hallucinations.” In late 2013, she was discharged into police custody and was transported to an emergency detention center. There were numerous episodes documented of aggressive, disruptive, hostile, agitated, and uncooperative behavior. The diagnoses listed included major depression with psychotic features, borderline personality disorder, mood disorder, and alcohol abuse. The mental health provider indicated that the claimant was unable to work full-time because of mental illness; she had and would predictably have repeated episodes of decompensation. She was homeless, or at risk of homelessness due to her mental
Tanya is a 21-year-old African American female who was referred by Southern Psychiatric Unit after she called 911 as a result of beings annoyed with her family and co-workers. She complained that her employer puts her in places to do paperwork and not giving her 70 hours a week. They were cutting her hours from 10 to 6 a day. She reported that she was feeling suicidal when she called 911. Prior to calling 911, Tanya reported that her baby father Derrick is in her brain singing and rapping all of the time. She reported that Derrick works at Taco Bell. She reports that she had to have sex with Derrick in order to quiet down his voice; however, if she has sex with others, the voices would get louder.
Sara spends majority of her days with Laura, socializing her and attending every aspect of Laura’s needs. Following are some of the activities: haircuts, facials, and brings her along while shopping, etc. Although, Sara attempts to teach Laura adult daily living skills (ADL) to promote independence, she does majority of the activities herself. “We just can’t trust her, but I am trying to.” Out of everyone in this family, Sara has the best relationship and the most patients for Laura. Although Sara has a good relationship with her extended family and her friends with whom she tries to keep touch, she has not been able to do so lately as a result of Laura’s needs. Additionally, Sara states, “in the past” when Laura was a child, “when no one can tell that she was your know, (she wont state it) she was accepted by kids and others and we were able to spend time with friends at various BBQ events and with our neighbors. We used to have so many things that we did in the neighborhood.” Sara was so happy reminiscing about the past. Today, Sara appears to be isolated, consumed the Laura and her needs, three of their dogs and the immediate household members needs. “I would have loved to spend time with my friends.” On occasion she is able to and at times spends a night over at her family or friends home. She tries to spend time with her husband, but this is also difficult, “we think and talk about Laura.” Chooses not to utilize services offered by the Regional Center to the fullest.