Background Information : Sally Sue Essay

766 Words Feb 12th, 2016 4 Pages
Background information: Sally Sue is a Caucasian female in her mid-twenties residing in Paragould with her daughter. Pt’s hobbies consist of singing and sleeping. Pt had her first session with a therapist and decided to send her to the emergency room. Pt was admitted voluntarily to SBBH for needing help. Sally Sue reported that her symptoms kept progressing over the past week. The patient reports she has an ongoing struggle with depression and anxiety for a couple of years. Sally Sue reported having two therapeutic treatments this year. Currently, the patient major source of income is her two jobs and child support. In the past, the patient got a DWI for alcohol. Currently, she has fines to pay and supposed to be doing forty hours of community service. Her barriers to treatment is not being able to attend due to her jobs. Sally Sue’s strengths consist of employment, use recreation and hobbies, and motivated for treatment. On the other hand, her weaknesses include: anxiety, significant loss issues, impulsive, sleep disturbances, and family conflicts.

Patient meets the criteria for 311 (F32.9) Unspecified Depressive Disorder. Patient’s symptoms characteristic of a depressive disorder that cause distress or impairment in social, occupational, or other important areas of functioning, but do not meet the full criteria for any of the disorders in the depressive disorders diagnostic class. Patient meets the criteria for 300.82 Somatic Symptom Disorder. Patient’s symptoms consist…

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