Psychology – Counseling – Meredith Example
Based on the actual clinician offers learned throughout the intake, what are some of the symptoms a specialist should try to find, or enquire about when working with this client during the initial classes? Explain every symptom.
The clinician ought to look for or perhaps ask about indications of alcoholism, tendency toward different substance abuse, despression symptoms, anxiety disorder, obsessive-compulsive disorder, agoraphobia and locura. Alcoholism will be explored since Meredith’s background is filled with irresponsible drinking on both sides of her family, which include: two paternal uncles who have may be alcoholics; maternal mother died early on, with a query of liquor use; and her father heavily uses alcohol. In addition , Meredith uses alcohol, occasionally in order to sleeping. Tendency toward other drug abuse should be discovered because Meredith’s mother uses opiates intended for back pain and Meredith feels she requirements medication to help her rest. Depression ought to be explored since Meredith information serious interruptions of sleeping, eating and work, likely “migraines” and feeling unmanageable, all of which can be symptoms of clinical depression. Panic attacks should be investigated because the girl reports anxiety-related symptoms of failure to sleep, take in, work well, feeling out of control, “migraines” and feeling stressed out; in addition , her sis, Sarah, is definitely reportedly scared to go exterior and almost seems afraid of everybody. Obsessive-compulsive Disorder should be investigated because Meredith’s sister, Debbie, washes her hair constantly and that tendency in her family, along with Meredith’s report of depression-anxiety-related symptoms may transmission OCD. Agoraphobia should be explored because Meredith’s sister, Dorothy, is scared to go outside and will not go to institution. Finally, Systematisierter wahn should be explored because Meredith’s sister, Sarah, is worried to go exterior, almost appears afraid of everyone and considers everyone is talking about her – she will not go to secondary school. In addition , these symptoms exhibited/revealed by Meredith have the background of a familiar aunt who had been hospitalized for 2 years with an undisclosed mental illness.
2 . What other historical info might a counselor want to ask about?
The counselor would want to additional explore the mental well being history of the paternal great aunt who was in the hospital with an undisclosed mental illness for 2 years, the official cause of the maternal grandmother’s death, plus more information on the mother’s opioid use/reported prescription for back pain.
3. What might a clinician want to know about Meredith’s alcohol employ and so why?
The specialist might want to recognize how often Meredith drinks liquor, how much she drinks on each occasion, if her alcoholic beverages use has increased. Perhaps the counselor would want Meredith to keep a journal of her alcohol use to accurately gauge the frequency and extent of alcohol work with, bring that journal to her sessions and employ it to discuss her alcohol employ. Certainly Meredith’s family history of in depth alcohol work with on both sides of her family, coupled with Meredith’s individual use and reliance on alcohol to rest would matter her counselor.
4. What might a clinician wish to know about her eating, sleeping, and tension, and how come?
A clinician would want to know all the situations surrounding her disrupted sleeping, disrupted sleeping and stress: when made it happen start; what triggers it; how does that further affect her; how can she handle it; would it occur with her additional symptoms or perhaps sometimes exclusively; is it unremitting or repeated; if recurrent, when would it cease and is there anything at all connected with the cessation.
5. What circumstances would the clinician need to explore when working with this consumer? Explain how come.
If simply by “conditions” you mean conditions, the specialist would want to explore Meredith’s: human relationships with her separate members of the family and her family as a whole, including their very own relationship, function, and if and to what extent there are relevant earlier occurrences and current causes for Meredith’s symptoms; operate situation, which includes her duties, her work history generally there, her co-staffs, her manager (es), her patients, and whether and what degree there are causes for Meredith’s symptoms.
6th. If Meredith reported that her friends have said that she is “crazy, talking too fast, hyperactive, and unable to be aware, ” what diagnoses might you also check out? Could Meredith be struggling with a substance-induced disorder? Describe.
Based on the statements through this question, the counselor should also explore the potential of Attention Deficit Over activity Disorder (ADHD), as appearing “crazy, discussing too fast, hyper-active, and not able to pay attention are typical classic indications of ADHD. Meredith could undoubtedly be struggling with a substance-induced disorder, while alcohol abuse is highly associated with ATTENTION DEFICIT-HYPERACTIVITY DISORDER in adults. Naturally , there is also the chance that Meredith is no more than forthcoming about her other substance make use of, which could signify methamphetamine, cocaine or various other stimulant medication is leading to her to indicate ADHD symptoms.
7. How would the clinician see whether Meredith was experiencing a co-occurring disorder or a sole diagnosis?
The counselor could determine if Meredith is suffering from a co-occurring disorder or a single prognosis by cautiously detailing regarding each indicator: when did it start; what triggers this; how does it further impact her; how does she cope with it; will it occur with her other symptoms or perhaps sometimes by itself; is it continuous or repeated; if recurrent, when can it cease and it is there whatever connected with the cessation.. Additionally , the clinician would request Meredith to hold a record of her daily experience, including her symptoms plus the circumstances adjacent them, deliver that log with her to each session and utilize the journal to go over her experiences/symptoms
8. Meredith explains within a future scheduled appointment that
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