Charlie Kemeckis Psychology

Charlie Kelmeckis is a 15-year-old Caucasian male. Upon meeting him it was easily noticed he was withdrawn, yet, kind. Moreover, Charlie was clean as well as neatly dressed, until intrusive thoughts of the sexual molestation entered his thoughts. He then became somewhat untidy in appearance as evidenced by removing the tie from his neck, shirt not tucked into pants, hair not combed, and crying. Charlie stated that he was 6 ft. and weighed 130 lbs. had short brown hair. He wore a grey suit, white collared shirt, white undershirt, and white socks. In addition, Charlie walked around the entrance to the home banging his head against the front door. His gaze remained towards the ground for most of the scene, and he began to break a sweat. Charlie

had experienced childhood sexual trauma by his Aunt Helen. English has been identified as the primary language spoken. Charlie describes himself as broken/hopeless and hopes to be fixed. The Kelmeckis family consists of Dad, Mom, an older brother, and older sister. Charlie indicates he is no stranger to the world of spirituality. He is in the process of discovering who he is.
Client History

Charlie experienced many psychological issues in his adolescent life. Emotionally he felt as if he were a misfit, trying to find a place to belong. He experienced two great losses in life. The death of his Aunt Helen and the suicide of his friend Michael Dobson were major stressors in his life. She was his favorite person at least until he met Sam. On his birthday Aunt Helen would get Charlie two gifts because his birthday was on Christmas Eve. One time when she left to go buy another gift for him, she was in a car crash which claimed her life. This left Charlie feeling guilty for her death as if it was his fault. He thought maybe if she didn’t insist on buying the gift she might not be dead.
Surprisingly, his aunt caused him pain too. She molested Charlie when he was younger. As a consequence, Charlie experienced depression and anxiety. This caused him to become mentally unstable. The molestation resulted in a form of traumatic stress. Charlie coped with this tragic event by repressing the memory of what his aunt did to him. In the mental breakdown scene, Charlie was able to connect the dots about what happened with his aunt and finally understand what happened to him.
He also was experiencing internal battles over what his purpose was in life. He did not fit in. one of the only people other than his Aunt Helen that would have been there for Charlie would have been Michael Dobson, but he committed suicide the year before Charlie entered high school. As a result of that turn in his life, he felt he did not belong, until he became a part of a clique. Charlie experienced psychological stress, which his depression was evidence of this fact.
Over the summer, he stayed close to his family and did not have too much contact with others. When he went to high school, he was surrounded by a lot of new people and that brought back memories of old relationships, especially when he saw old friends who act as if they never knew him. This event caused him to experience social stress. His way of dealing with this traumatic experience was by repressing those memories.
Mental Status Assessment
Charlie is a 15-year-old Caucasian male who weighs approximately 130lbs and is 6 ft.

tall. The resident is neat in appearance until he becomes emotionally unstable and avoids direct eye contact. Charlie articulates himself in a clear, concise manner. Throughout the movie, he spoke in a low voice. Especially, when discussing past trauma. Charlie's affect was limited/restricted and reported his mood as depressed because he did not know how to make the pain stop. He appeared to be experiencing anxiety and slight agitation. There were no signs of physical abnormalities. Also, resident was cooperative with the exam conducted by the Psychiatrist. Charlie presents as depressed as evidenced by, not sleeping much, but when he does he sleeps too much. He has a loss of appetite and is socially isolated from kids at school. He is alert and oriented times 4(person, place, thing, and time). He was able to sufficiently answer questions and recall most of his past. Some difficulty arose in memory when he tried to remember the past trauma. Insight is considered fair. He is aware that there is an issue that needs to be addressed. The resident has not indicated experiencing any hallucinations, hearing voices, delusions, etc. Charlie has had suicidal ideations as evidenced by thoughts of inflicting harm on himself. He does not feel the urge to harm other individuals. The resident has been unable to control anger at times as displayed by fights at school and withdraws from others in public settings. This is evidenced by sitting at the lunch table alone, and while attending sporting events not knowing how to appropriately respond to

others.
Presenting Problems
Charlie seems to be suffering from PTSD, and major depression; or another similar mental health issue related to the sexual abuse experienced as a child. This caused him to seek assistance, because he wanted to eliminate the pain of what happened to him and erase all of the thoughts he was having. Charlie presents with several concerns related to his health and familial relationships. Following is a list of concerns relatable to Charlie.
• Anxiety and depression
• Family issues/unwanted thoughts (sexual abuse)
• Social isolation (lack of friends)
• Minimal support outside of family
• Anger management (loss of control)
• Overanalyzes everything (lives in his head space too much)
Diagnosis