1. The clinical should look for the symptoms that might help him to identify the diagnosis of client. As Meredith mentioned that she cannot sleep and eat properly it is necessary to find out changes in her appetite and weight. Meredith also mentioned that she cannot work properly, so the clinical should ask about problems with concentration. The symptoms of Meredith case seem to be similar to depression, so the clinical should ask about suicide thoughts, thoughts about death and worthlessness; the frequency of such thoughts should be considered. Meredith also should be asked if she feels tired or exhausted easily as it also can point out that she is deeply depressed. is The clinical should ask about mood alteration during the day and define what does it depend on. Also Meredith should be asked about muscle tension as it points out anxiety disorder.
2. Other background information that must be cleared up concerns history of traumas, domestic violence, housing status, primary usage of drugs, mental health problem in family, cases of hospitalization, treatment, previous usage of medication. All these items can influence current client's condition. Despite, as Meredith’s sister Sarah also has some personal problems, it is necessary to find out the origin of it; Sarah might have personal disorder that is inherited, so Meredith is under the risk to have it.
3. In Meredith’s family there were few examples of alcohol dependence, so she is under the risk of becoming alcoholic. She also mentioned that she used alcohol to help herself with sleeping and it can be alarm sign, as she mentioned that she has cannot sleep. There is a great risk for Meredith to become depend on alcohol as she in high-risk group because of her symptoms and hered...
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... Meredith’s family there were cases of alcoholism, moreover, previously she used to cope with her problems by means of alcohol. Meredith displays all the symptoms of co-occurring disorder, as her symptoms, according to her and her friends’ words, cover at least two personal disorders.
8. The situation with Meredith’s beloved is very stressful for her and being scared that someone finds out her feeling, Meredith might avoid using pronouns, especially “I”. As depressed person usually uses pronoun “I” more often than nondepressed, the counselor should explore all circumstances, which accompany her avoiding. Despite, the counselor should find out if there were any cases in Meredith family, when she was suppressed, as it might have provoked stressful situation. It is necessary to clear up why Andy can be taken badly with her family, according to Meredith’s persuasion.
From reading and reflecting her personal experience and journey with her sister, Pamela, I acquired a personal outlook of the deteriorating effects of mental illness as a whole, discovering how one individual’s symptoms could significantly impact others such as family and friends. From this new perspective mental health counseling provides a dominate field within not only individuals who may suffer mental illness such as Pamela, but also serve as a breaking point for family and friends who also travel through the illness, such as Carolyn.
Shaniya Robinson arrives at the County Human Services Authority for her monthly appointment with her social worker. Ms. Robinson is a 25 year old African American female who is receiving treatment for schizophrenia from the adult behavioral health services program. During a session the client reports that she is under a great deal of stress because she is having difficulty adjusting to being a new mother. Her five month old baby girl Shanice is teething and cries frequently. Ms. Robinson is also struggling financially because she is currently unemployed; her mental illness makes it difficult to sustain employment long term. And she does not receive support from the child’s father on a consistent basis. The combination of these interactional difficulties is weighing heavily on the client who reports an increase in positive and negative symptoms (i.e. auditory hallucinations and social withdrawal). Because the client does not have insurance she disclosed to her social worker that she self-medicates using marijuana in an effort to manage symptoms. More noteworthy, the client explains that she uses the same method to soothe the baby by blowing marijuana smoke in the infant's face. It is certain that Ms. Robinson divulged such information for several reasons, she wants help and she believes that any information she shares within the context of her sessions are confidential.
As previously presented, a psychiatric report states that Mary Maloney is not suffering, or has not suffered in the past, any form of mental disorder or illness. Mrs. Maloney did not have schizophrenia, and she was not bipolar, she was not insane. Given the fact that she was not insane still does not mean that it was impossible for her to have “snapped” and done something irrational at that moment. Yet the likely hood of this even occurring is very slim, in fact the chance of it happening is a 0.1 out of 100 chance. It is known that some mental illnesses are hereditary and may have not showed up on current files therefore; we also brought in psychiatric reports from Mary Maloney’s parents and 3 grandparents. All these reports are clean from any mental disorders. Mary Maloney not having a mental disorder was not the only significant evidence in this report. T...
In the disease of alcoholism, there are many psychological effects on the person. It can cause depression, anxi...
The physician will question the patient about any stressors she may be contending with at home or work prior to her entering the hospital. The physician will order lab tests and speak with the patient to understand the psychological factors; a referral will be made for making a final diagnosis. After the physician reviews both lab tests and the psychological factors, a referral will be made for the patient to see a clinician. The referral will focus on obtaining support and stabilization. The clinical assessment will gather information using written forms as a first step, including releases to speak with family members. The second step would be to invite the family along with the client in an effort to obtain a better understanding of existing medical conditions along with any past mental disorders. Abuse as a child or abuse as an adult will be determined. The clinician will evaluate if the client is portraying any signs due to alcoholism or a drug addictions. An example of one question her clin...
Certain practical issues need to be considered by the clinician during the assessment of MDD, (Dozois & Dobson, 2009). Depressed individuals tend to express their problems in a detailed manner when they are aware of what is expected from them during initial phase of assessment. Warning depressed clients about the possible interruptions at the initial phase along with providing them rationale helps to improve the effectiveness of the assessment (Dozois & Dobson, 2009). As depressed individuals tend to commit cognitive bias (Dozois & Beck, 2008), it is necessary to determine the actual impairment by evaluating patient’s daily routine in terms of different areas of functioning. Each diagnostic criteria needs to be addressed in number of ways (Shea, 1988). Sometimes, the patient describe their symptoms in more idiosyncratic way. So, the clinician needs to translate those concerns in to the nosological system (Dozois & Dobson, 2009). Bolland & Keller (2009) emphasize the need to assess the number of previous episodes and their duration because this information is one the predictor for risk of subsequent relapse (Solomon et al, 2000). Dozois & Dobson (2009) have reported to rely upon information related to previous episode carefully as the client may commit the reporting bias. The reporting bias can be reduced by ensuring that the patient understands the time frame to which he or she refers (Dozois & Dobson, 2009) and providing contextual cues to the patient’s memory (Shea, 1988). The information related to previous treatments, medical history, patient’s motivation for change, etc. may help in identifying resources for change (Dozois & Dobson, 2009). It is also helpful to assess client’s strengths which will help in formulating...
...e of the person. Also on the abnormalities in behaviour and this is informed by family members or friends. As well by GP, social worker, clinical assessment by a psychiatrist, clinical psychologist and other mental health professional. However, the Doctors are the ones need to make assessment on the foundation of identical list of externally evident symptoms, not on the improper of interior psychological processes.
Murray and Will thought Mr Creswell was not well due to the lose of his wife. They suspected he might be drinking but did’nt realised the extant of his problem until Murray followed Ada into her home and saw the terrible state of their house was in. Mr Creswell had neglected his respounsibilites to his family due to the amount of alcohol he was drinming to drown the grief of the losing his wife. Ada was ashamed of the state her family had fallen so she never asked for helped and kept her fathers drinking problem a
throughout her childhood with an alcoholic father and a selfish mother who cared more about her art and happiness than that of her children’s. Alcohol misuse can affect all aspects of family functioning: social life, finances, good communication, relationships between family members, parenting capability, employment and health issues, It also has a strong correlation with conflicts, disputes and domestic violence which can leave a damaging effect on children. Alcohol misuse often times changes the roles played by family members in relation to one another, and to the outside world as well.... ... middle of paper ... ...and agencies designed to meet the physical, intellectual, and social-emotional needs of individuals and families.”.
Alcoholism is a complex disease, as it affects more than just the person living with it. In the article “Coping with an Alcoholic Parent” we explore why people drink too much, how it affects families, and the ramifications it has on the children in the household. The focus of this article was on children in the household, and the ways in which they can deal with having a parent who is considered an alcoholic. The next article, “Alcoholism and the Effect on the Family” deals with what alcoholism does to a person, breaking it down into three sections: Physiological effects such as tremors or blackouts, psychological effects such as the obsessive desire to drink, and the behavioral problems that disrupt home life and work. Once the article discusses the effects of alcoholism, it looks deeper into what the effects on the family are, especially from the child’s perspective. The “High School Dropout Statistics” were updated on the first of 2014. They show when kids dropout of school, what demographic they belong to, the rate of drop...
These ethical concerns must be addressed with every client. This is where closed ended questions may be considered, the best approach is to intertwine these questions into the normal flow of conversation so that the client does not feel like they are being judged. One of the ethical concerns the clinician needs to address is suicide, since those dealing with the crisis have no ability to cope and are vulnerable and overwhelmed, suicide may feel like their only option to end the crisis (Kanel, 2007). The clinician needs this information to keep the client safe. Another ethical concern the clinician must address is the possibility of abuse towards a child or the elderly or any harm to others. It is always a counselor or mental health workers ' duty to report any suspicion of this kind of activity to the proper authorities (Kanel, 2007). Organic or medical concerns are one of the other ethical considerations which must be addressed in the second stage. This includes making evaluations about any mental health or behavioral disorders as well as making any necessary referrals (Kanel, 2007). Substance abuse is another ethical concern that must be addressed by the clinician. Since substance abuse is commonly used to treat stress for those in crisis the clinician must be assertive in gathering information about drug use (Kanel, 2007). This information will direct the clinician in the
Rachel is an alcoholic and there is no doubt about it although she is in all types of denial about it. “When I drink I hardly sleep at all. I pass out cold for an hour or two, then I wake, sick with fear, sick with myself. If I have a day when I don’t drink, that night I fall into the heaviest of slumbers, a deep unconsciousness and in the morning I cannot wake properly, I cannot shake sleep, it stays with me for hours, sometimes all day long. (Hawkins, 28)” Everyone in Rachel’s life is aware of her problem and suffering but not many people say much about it in fear of hurting her. Including her friend Cathy, Rachel moved in with Cathy after the divorce so she could land on her feet. Unfortunately Cathy finally had, had enough and asked Rachel to find a new place to stay within the next four weeks. Cathy sees that Rachel is in jeopardy and recommends therapy but Rachel refuses.
It is unfortunate that many people within our society and worldwide suffers from the affects of alcohol addiction. There are many issues associated with this addiction and many times it’s not only the victim that deals with the addiction but also the people in close association with the individual. Alcohol addiction can afflict anyone and knows no limits of its damage that it can do to a person’s life or the people in their lives. Most importantly are the ones whom seek help for their addiction as it becomes a lifelong healing period for them. It has become clear that constant consumption of alcohol leads to addiction. It has also become clearer with the laws and policies that have been drawn up to combat drunk drivers that it is not a normal thing to do anymore as was thought to be normal in the late 60’s and early 70’s. This is not normal behaviour and it becomes clearer as the laws for drinking and driving is enforced by law enforcement officers. It is a duty for addiction workers to help in the aid of these problems and its laws and policies that help in putting a stop to some of the problems that arise from this addiction.
"A Guide to Taking a Patient's History” is an article published in an August 24th, 2007 issue of Nursing Standard. Written by H. Lloyd and S. Craig, the process of taking a history from a patient is outlined. Many aspects pertinent to obtaining a sufficient health history are discussed. In addition to providing a framework for completing a thorough health history, guidelines and interview techniques are explored.
According to Institute of Alcohol Studies there is more than one kind of relationship involved between alcohol problems and mental health, such as: mental health problems may be a cause of problem drinking and vice versa; there may be a factor in common, in the genes or in the early family environment, which later contributes to both a mental health problems and alcohol probl...