Case Study June

‘June’, an 18-year-old girl, was referred to the centre by children services on turning 18. June presented in a state of acute anxiety, depression, stating that she was concerned she might accidentally kill herself when she hurt herself. June had been hospitalized before on numerous occasions after cutting herself with a razor. During her hospitalization, she experienced unexpected cardiac problems, which was as a result of an eating disorder. She has been diagnosed with Emotionally Unstable Personality Disorder (EUPD). Upon moving from children services to adult service, June began to feel increasingly depressed, had nightmares about her childhood, and reported recurrent thoughts about hurting herself, including hearing voices that told her to harm herself.

During the time of the abuse, June made two suicide gestures, including overdosing on pills and an attempt to cut her wrists with a razor. At that time, June was taken to an Accident and Emergence room, but she did not receive any treatment for depression. At the age of 13 she was put into a residential facility for young people with mental health illnesses where she lived until the age of 18 when she transitioned to adult service where I worked with her. Below are some of the question I asked myself about my intervention on this case

1. How would the I engage June and conduct mental status exam, including exploration of depression and suicidality?

2. How would I assess and intervene in relation to the effect of past trauma and current stressors on June 's functioning?

3. How would I determine the need for a psychiatric evaluation? What factors must be considered?

4. How would l develop a concrete plan for safety as well as a plan for June to receive ongoing mental health