II. Reason for Referral About a month ago Tamara’s doctor suggested that she go to therapy. Her doctor made this referral to Tamara personally during one of her visits. Tamara stated that he made this suggestion because she “didn’t look the same” as she normally does.
III. Assessment of the Client System
Family Background and Situation
Tamara grew up with her parents and three siblings. She …show more content…
Dr. Broussard is her current physician and she had a cesarean section two years ago. Tamara has no onset of illness or any past or present symptoms. She was hospitalized two years ago when she gave birth to her twins. Tamara has no previous diagnoses, medications, or prior/current outpatient …show more content…
Tamara was not labile but at times flat during our session. During our interview Tamara’s voice was both euthymic and dysphoric. When asked if she’s experience any changes, Tamara states, “I don’t really eat much” and that she lost 10 pounds. Tamara states not getting much sleep at home. She states that she’ll get 4 hours of sleep at night “if she’s lucky”.
Interpersonal and Social Relationships
Tamara has been married to her husband, Robert for 12 years. They “met in college, fell in love, and got married”. Robert is now 35-year-old engineer who now runs his own company. Tamara has three children who all live at home with her, one boy that is 6 years old and twin girls that are 2 years old. Tamara’s father died 7 years ago however her mother and siblings are still alive. Tamara states getting along with her siblings “okay” and not talking to them but “once a month”.
Religion and Spirituality
Tamara identifies with the Baptist religion, however she doesn’t get to go to church as often anymore because she’s “scared” to leave Lindsey.
Cultural