Ms. Freedle is a 11 year old female who presented to the ED with suicidal ideation without a plan and homicidal ideation without a plan. Ms. Freedle reportedly has had multiple suicidal attempts in the past 3 months. She has had 2 attempts by drowning herself and one by place a knife to her chest. Today she went to school with a knife from home. Ms. Freedle states she was going to give it to her boyfriend.…
Goal #1: Taliana’s family will be able to utilize coping skills to manage Taliana’s inappropriate and depressive behaviors in diverse setting. Criteria of Achievement: Taliana’s family will be able to manage Taliana’s poor, unhealthy behaviors and actions 4 out of 7 incidents per week. Objective: 1. Taliana’s family will be able to learn and practice coping skills with Taliana to decrease or eliminate unhealthy and attention-seeking behaviors monthly.…
Carmen is a 19-year-old female who was referred to occupational therapy at an out-patient clinic by Dr. Findlay to be evaluated and treated. Dr. Findlay’s referral came after Carmen was recently discharged from a three-day acute care stay in the Psychiatric Ward. During the acute stay, Carmen’s depression and anxiety from the break-up with her boyfriend, of three-years, was discussed. The doctors have not started Carmen on any medications for her depression or anxiety. Carmen’s ex-boyfriend broke up with her three weeks ago, around the time school started.…
: Resident stated “I do not have any friends here. I wouldn’t remember their names anyway” and “I am not really a part of this community.” Patient feels that her daughter is her only support. O: Resident does not interact with other patients during my shift. She does not go to many community activities.…
After obtaining consent from M.Z to release information to her mother, Dr. Coulter and I returned Mrs. Zeman's phone call. Mrs. Zeman expressed concerns for her daughter while asking for advice regarding her daughters symptoms of feeling homesick to Kutztown not "clicking for her". Mrs. Zeman reported receiving multiple phone calls throughout the week from M.Z who expresses these symptoms in an emotional way by constant crying. Dr. Coulter…
This week’s discussion question is about GF, a 41-year old woman who arrives for her first visit at the clinic. She reports that she has been feeling sad and depressed, with crying spells, trouble sleeping, increased appetite, impaired concentration, and fatigue. She has experienced depression in the past but was able to overcome the symptoms without medication. On physical examination, she appears to be poorly groomed and with minimal facial expressions. She is slow to respond to questions.…
While Kubler-Ross said that no two people would experience the same order and same length of time for each stage, it’s clear that those are the general paths, with acceptance typically being the last and final stage. In the movie P.S I Love You, Holly goes through a majority of these stages, and at various times too. For example, she actually experiences depression post Gerry’s funeral, in which she locks herself in her apartment and has hallucinations of him as if he’s still there. During this time she’s not cleaning the messes she makes, not taking care of herself, and constantly singing sad songs about love. She experiences anger in many situations, one of the most prevalent with her mother.…
When the therapist met the client at home for individual therapy, the client greeted the therapist and she was feeling sad because she had bad time with her biological mother as client reported that they had as a family small party at the biological family's house and client's mother had a fight with her. Client reported that her biological mother started to drink alcohol a lot and when the biological mother finished the first bottle of Vodka, she asked for the second one. When the client asked the biological mother to stop drinking, biological mother started to shout and cry. Client reported that mother likes to play the victim role. Client described her reaction to her biological mother's shouting as she freezes, client reported that she…
Some people decide to do some kind of treatment for their ‘disorder’. Certain drugs like lithium, and quetiapine can help prevent or stop cyclothymia, whereas antidepressants can make it worse. Therapy can also be fairly helpful. (“Cyclothymia”). Cyclothymia seems to affect everyone differently.…
The psychiatrist noted that Valeria’s family needed to address its poor communication, which became pronounced after the death of a family member. Valeria’s substance abuse was, in part a symptom of her pain and her inability to express her agony in a way that it could bring healing. With several months of therapy, Valeria and her family was able to develop a deeper bond as they worked together through the…
I interviewed Susan on September 9, 2016 about the medications she takes for her mental health. Susan is a single, 45-year-old female, and has one daughter, Hannah, age 16. Susan and Hannah’s father were divorced when Hannah was three years old. Hannah currently lives with Susan during the week and visits her father, who lives about an hour away, every other weekend, some holidays, and several weeks during the summer. Susan lives in a Los Angeles suburb and works full-time, with an hour commute, to support herself and her daughter.…
Although she saw many therapists and tried different medications, she was not cured, nor will she ever be. This reminds me of Marya Hornbacher’s (1998) experience with an eating disorder. Hornbacher (1998) argues that there is no pill, therapy, food or endless support from friends and family, “you fix it yourself” (p. 237, 1998); that it is a low movement from sick to “mostly well”. She states, “The illusion of time is that it heals all wounds, but the ones that have not been attended to only foster” (Danquah, p. 120,…
Lorna-Case study analysis and report. Lorna is a 26 year-old suffering with borderline personality disorder, however experiences several other difficulties which could be clarified through psychological analysis. Lorna is intensely in permanent trepidation of rejection, even when BPD was diagnosed she was apprehensive to tell anyone based on this. Lorna also finds it extremely difficult to express emotions, resulting in mood swings over short periods of time, concluding in her feeling all emotions from excitement to hopelessness powerfully within an affair of hours. She also finds that she can perceive things in either black or white, resulting in her being able to enjoy being around an individual to really disliking them within one episode,…
Laura, is a forty-seven year old female, who is seeking therapy. Laura’s doctor recently referred her for treatment of depression. During Laura’s first session, she revealed that she is currently living with her common-law partner, of 15 years. She admitted to having a good relationship with her partner, however, stated that she keeps her distance and has trouble sharing her feelings with him. In addition, Laura acknowledged that she infrequently discloses private woes, and vexations with her partner and her friends, in fear that she will be seen as a “complainer”.…
The Nest of Insanity, Pain, and Sadness It’s only been two days in this hellhole. The agony, sadness, and anger, it hurts, please make it stop! As she lies in the cool tile floor crawling, groaning, and holding her head. She wanted the pain to go away it was not physical pain.…