The client is a 47 year old female with a 12 grade education level who lives in Hillside Court. In 2017, the client was hospitalized at Richmond Community for approximately 4 days. The client recalls experiencing symptoms depression, anxiety, and suicidal gestures. The client was diagnosed with Major Depressive Disorder and Anxiety by Dr. Jackson at Community Hospital. The client was prescribed Trazadone.
The client sees Dr. Richard Jackson as her Primary Care Physician, Tonjanika Boyd as her Psychiatrist, and Natasha Randolph as her Therapist.
Using the symptoms check list the client advised that she has experienced the following daily: sadness, crying, irritability, mood swings, excessive worrying, hypervigilance, isolates self from
Casey Weston’s vignette describes symptoms such as anxiety, fear, social isolation, heavy feelings of loneliness, extreme restlessness/irritability, feelings of overwhelming dread, and perceptions of low self-worth and bouts of crying. He also experienced somatic symptoms such as muscle tension, heart palpations, trembling/shaking, chest pain, increased heart rate, and difficulty breathing.
A 38-year-old single woman, Gracie, was referred for treatment of depressed mood. She spoke of being stressed out due to conflicts at work, and took a bunch of unknown pills. She reported feeling a little depressed prior to this event following having ovarian surgery and other glandular medical problems. She appeared mildly anxious and agitated. She is frequently tearful, but says she does not have any significant sleep or appetite disturbance. She does, however, endorse occasional suicidal ideation, but no perceptual disturbances and her thoughts are logical and goal-directed.
The patient has a history of anxiety disorder, depression, diabetes, and hypertension, controlled with medications.
IDENTIFYING INFORMATION: Raven Wright is a 13-year-old eighth-grader who was initially scheduled to be seen at the Psychiatric Consultation clinic at the outpatient pediatrics. The clinic staff was contacted by patient 's the therapist, who brought up a number of concerns. Per review of the chart, Dr. Sandra Shocket was concerned that the child is having thoughts of harming self and others without a plan and that child hears a voice telling her to do things. Raven was described as, anxious and depressed. At the time of appointment
Mr. T is a 48-year-old Korean-American male admitted to Mercy Medical Center for heart palpitations following a call to the Behavioral Health help hotline. As a result of the call to the helpline, the police were called and Mr. T was initially brought to the Emergency Department. He told medical staff he was depressed and had ingested somewhere around 10 Xanax pills. Mr. T has bipolar disorder with possible borderline personality disorder characteristics. He was “nasty” to the staff and refused to give consent to treatment regarding his heart condition, for which he has a pacemaker, as well as any type of psychiatric evaluation.
If the patient is showing any of these sign/ symptoms then they would be diagnosed with generalized anxiety disorder (Comer, 2013, pp.115).
Mr. Farley is a 52 year old veteran who presented to the ED with a BAC of .42 and requesting detox treatment. Mr. Farley denies suicidal ideation, homicidal ideation, and symptoms of psychosis to ED staff. However, after initially denying suicidal ideation, upon discharge and sobering up from several hours in the ED and being given fluids, nursing staff informed patient he was up for discharge, at which point he asked for Ativan to help with his withdrawal symptoms. He was informed he would not be prescribed this medication and reasons why, he then expressed he could not be discharged because he was now a threat to harm himself. It should be noted Mr. Farley was seen 2 weeks ago and upon discharge reported the same. He expressed he was homelessness
My client is a 16 year old Caucasian female, was admitted into Children Medical Services on July 28, 2015. She lives with her mother in a mobile home. Mother and father are divorced because her father was abusive. Since mother is now a single parent finances are a struggle. Mother also has depression and is receiving counseling. My client has Dysthmia, a chronic type of depression in which a person's moods are regularly low (cite). She was diagnosed with Obsessive Compulsive disorder is an anxiety disorder in which people have unwanted and repeated thoughts, feelings, ideas, sensations, or behaviors that make them feel driven to do something (cite). My client has a problem with inattentiveness, over-activity, impulsivity, which was diagnosed as Attention Deficit Hyperactivity Disorder. She also suffers from Posttraumatic Stress from observing father abuse towards mother when she was a child. Her previous medical history includes ADHD, Asthma, Vaginitis, Urinary Tract Infection, Sinusitis, and Otitis Media. My client is physically in normal range for her age. Based on the growth chart in the ped’s book for her weight she falls in the 75th percentile and her height she is in the 25thpercentile. She had a slim physique and no appearance of nutritional deficiencies. Skin appeared smooth, hair looks lustrous and strong, and mucous membranes appeared pick and moist. She was casually groomed in school clothing.
When the client met with therapist and psychiatrist at Pomona office, client greeted the therapist and psychiatrist and started to report about her progress since last month. Client reported that she did not experience any side effect, she takes the medication on a regular basis, and doing good at school and at home. Client reported that she did nit need to take the medication of the anxiety if needed because she doing okay. When therapist reported that client sometimes cannot manage her stress and got involved in conflicts several times, psychiatrist reported that these issues is more related to the behavior management. Client asked the psychiatrist if she will be able to stop the medication soon, but the psychiatrist reported that she cannot
 Characterized by a chronic course (i.e., seldom without symptoms), with lowered mood tone and arrange of other symptoms that may include feelings of inadequacy, loss of self-esteem, or self-deprecation; feelings of hopelessness or despair; feelings of guilt, brooding about past events, or self-pity; low energy and chronic tiredness; being less active or talkative than usual; poor concentration and indecisiveness; and inability to enjoy pleasurable activities.
The wide variety of symptoms include a distinct period of abnormally and persistently elevated, expansive or irritable mood, lasting at least one week or any duration if hospitalization if it becomes necessary. During the period of mood disturbance, three or more of the following symptoms have persisted, four if the mood is only irritable and have been present to a significant degree: inflated self-esteem or grandiosity, decreased need for sleep and only feels rested after only 3 hours of sleep. The symptoms also include the desire to be more talkative then usual or pressure to keep talking, flight of ideas or subjecti...
of disruptive mood swings on different ends of the spectrum. This is a very serious illness that is
The client, Ali, is a 15 year old white female attending high school and living in North Kingstown, Rhode Island. She lives with her biological father, but her family system also includes her brother, Larry, biological mother, Carol, and maternal grandmother, Lucinda. She is in overall good health and there was no mention of any physical health concerns. However, based on the descriptions given by her relatives and Ali herself, as well as observations from the first meeting, Ali shows signs of anxiety, depression, and some difficulties understanding social cues.
.Feeling agitated or sluggish nearly every day.Feeling worthless or excessively and or inappropriately guilty nearly every day.Diminished ability to think,concentrate or make decisions nearly every day.Recurring thoughts of death or suicide.Some other emotional effects can be,anger,diabetes perfect breeding ground for anger,starts at diagnosis “Why me?” dwelling on
Robin’s therapist understands, and connects with her. Dr. Krumboltz is in the moment with his client. These intervention strategies allowed for the client Robin, to realize other options in coping with the issues of her difficult mother-in-law. As a result of the effective session with Dr.Krumboltz, Robin realizes that she is open to change and confronting her mother-in-law. I enjoyed watching Dr. Krumboltz’s in action. He comes across as personable and