Case Study Rosie

Background Information

Rosie is a thirty-eight-year-old, Caucasian female who lives with her husband David, her daughter Clara, age five, daughter Amelia, age two, and her invalid mother. Rosie states, “I am so exhausted from parenting. I don’t like the type of mother I have become.” Rosie is in the sandwich generation with the responsibility of her mother, who isn’t any help with the children, and taking care of the children. Her mother has Parkinson’s disease and early signs of dementia. Rosie is an only child and, therefore, the sole caretaker of her mother. She takes her mom to doctor appointments, deals with the insurance companies, and take care of her daily needs. Rosie stated that she is irritable, cranky, ungrateful, and that she adds

She finds it difficult to control the worry. The anxiety and worry are associated with the following symptoms. Rosie is restless and feels keyed up and on edge. She is easily fatigued. She feels irritable and has muscle tension. She often wakes up during the night and is unable to go back to sleep. The anxiety, worry, and physical symptoms cause significant distress and impair her ability to care for her mother and children. This disturbance in not attributable to the physiological effect of a substance or other medical condition and the disturbance is not better explained by another mental

MHP and Rosie brainstormed how Rosie can simplify her life and came up with the following solutions.

a. Rosie thinks she should go to the doctor to have her health checked. Rosie, with MHP’s help called the doctor’s office during the session and made the appointment. She explained to the receptionist that she is making the appointment because she isn’t sleeping well and has elevated anxiety.

b. Rosie would like to hire someone to clean her house every two weeks. MHP gave Rosie several referrals for a house cleaner and Rosie asked several of her friends for recommendations. Together MHP and Rosie decided on the best person to clean the house based on the quality of the referral and the price. During the session, Rosie made an appointment for this person to clean her house the next week.

c. Even though Rosie is environmentally conscience, she decided she would us paper plates and buy more prepared meals until school starts in the fall and she will have more free-time.

3. MHP listened to Rosie’s concerns and validated that she is a good mother who is currently in a difficult situation. Rosie and MHP made a list of the positive things she does as a mother. Rosie took the list home and plans to add items to the list and read it once a