Identifying Information And Referral Statement Miriam Israel

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Identifying Information and Referral Statement Miriam Israeli (she/her) is a 24-year-old cisgender heterosexual White woman. She is not married, has no children, and lives at home with her parents and siblings. She recently graduated from college and is currently unemployed. Ms. Israeli was born and raised in New York City, however her parents immigrated to the United States from Israel. She was referred to the Psychology Practice because Ms. Israeli is grieving the loss of her first significant romantic relationship. She expressed that she was “codependent” on her ex-boyfriend and “way too attached,” trying at every juncture to attempt to work with him on the relationship. Ms. Israeli states that her ex-boyfriend simply wanted a different …show more content…

Israeli lives with her parents and a younger sibling. She mentioned feeling supported by her family in practical matters but emotionally distant from them. She expressed that her parents' cultural background and generational differences contribute to the feeling of disconnection. Ms. Israeli identified herself as a first-generation individual, with her parents having immigrated to the country before she was born. She explained that this has created a complex social and cultural context for her, as she navigates between her family’s traditional values and the more contemporary culture she encounters in her daily life. She expressed feeling torn between these two worlds, which adds to her overall sense of isolation and identity struggle. Mental Status Exam Ms. Israeli, a twenty-two-year-old white woman, arrives in casual attire. No unusual movements or psychomotor changes were observed. Ms. Israeli is cooperative and easily engaged. Ms. Israeli reports feeling “directionless,” affect is flat with minimal fluctuation in emotional expression varying based on the topic of discussion. While she appears flat in affect, she states that her overall mood remains depressed and …show more content…

Both cultural and generational differences can shape the emotional landscape within a family. When parents come from different cultural backgrounds, it can be enriching and challenging to navigate the dynamics of a family due to the unique blend of traditions, perspectives, and values. However, it also introduces complexities, particularly when it comes to understanding and relating to emotions, influenced by cultural heritage and generational gaps. While some cultures emphasize openly expressing emotions, others prioritize emotional restraint and indirect communication. Moreover, parents from different generations may have been socialized to express and respond to emotions in distinct ways based on the prevalent cultural norms during their upbringing. Feeling like the most sensitive daughter in the family adds another layer of complexity to Ms. Israeli’s history and presents problems as family dynamics play a significant role in shaping our self-perception and coping mechanisms. If someone feels like they do not meet their family of origin’s expectations or standards, it can exacerbate already existing feelings of loneliness, hopelessness, and/or

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