Chief Complaint:
John is a 49-year-old, single, Black/African American male who presented to outpatient psychotherapy for anxiety, depression and anger. He reported feelings of “worthlessness” as if he is “struggling through life”. History of Present Illness:
John presented with an apparent long-standing history of depression and low self-esteem. Over the course of 33 years, his behavioral responses manifested in abusing drugs, criminal behavior, and presently recurrent anger.
Prior to counseling, John served periods of incarceration in prison intermittently over 24 years for infractions, including: theft, burglary, prostitution, and drug possession. He also had a prior history of crack cocaine dependence, however, currently in sustained remission for nearly six years. John’s parole and release from prison, in 2013, precipitate his current depression. Often unemployed or underemployed, John applied for vocational rehabilitative services to assist him in improving his employment trajectory. During the screening for services, it was evident John had difficulty adjusting to life post-incarceration. John lacked support and a sense of community or belonging. He described frequently becoming involved in arguments at his workplace due to reported harassment professedly based upon his homosexual orientation. Despite achieving his longest period of freedom and abstinence from alcohol and illicit drugs, at the time two years, John had an overwhelming fear …show more content…
He and his older two brothers were each born within 11 months of each other. The remaining siblings are several years younger than John, each born about one year apart from each other.
John described having complicated relationships with each of his immediate family members. His earliest memories of the family depict a generally cohesive family, however, one that would grow increasingly dysfunctional. John’s relationship with his family remains estranged for over 30
John is a 49-year-old, single, Black/African American male who presented to outpatient psychotherapy for anxiety, depression and anger. He reported feelings of “worthlessness” as if he is “struggling through life”. History of Present Illness:
John presented with an apparent long-standing history of depression and low self-esteem. Over the course of 33 years, his behavioral responses manifested in abusing drugs, criminal behavior, and presently recurrent anger.
Prior to counseling, John served periods of incarceration in prison intermittently over 24 years for infractions, including: theft, burglary, prostitution, and drug possession. He also had a prior history of crack cocaine dependence, however, currently in sustained remission for nearly six years. John’s parole and release from prison, in 2013, precipitate his current depression. Often unemployed or underemployed, John applied for vocational rehabilitative services to assist him in improving his employment trajectory. During the screening for services, it was evident John had difficulty adjusting to life post-incarceration. John lacked support and a sense of community or belonging. He described frequently becoming involved in arguments at his workplace due to reported harassment professedly based upon his homosexual orientation. Despite achieving his longest period of freedom and abstinence from alcohol and illicit drugs, at the time two years, John had an overwhelming fear …show more content…
He and his older two brothers were each born within 11 months of each other. The remaining siblings are several years younger than John, each born about one year apart from each other.
John described having complicated relationships with each of his immediate family members. His earliest memories of the family depict a generally cohesive family, however, one that would grow increasingly dysfunctional. John’s relationship with his family remains estranged for over 30