Marybell came to the appointment after a job interview in which she was approved to go through training and believes she has a good chance of getting the job. Marybell still filled out a referall for supported employment services and said she felt better knowing that she would have someone to help her if this job fell through. Marybell says everything seems to be on the positive and this is helping minimize the depression and anxiety symptoms and stablize her mood. Her affect in the appointment was upbeat and happy, much more engaged than previous appointments. The lessening of symptoms was also seen by her being able to get up early to get to job interview and other appointments when she had been oversleeping and also being able to ride public …show more content…
Marybell asked a stranger for a ride and got into the car with her daughter even though the man was intoxicated. We discussed her thought process in this situation and what a safer alternative could have been. She has not heard back from the referral she recieved from her PCP in regards to the lump in her breast. Marybell also got to see her son this weekend and found out that he was promoted to a specialist, which she is extrememly proud of. Marybell said that she could see that her son could see the difference in her and was proud of her for starting to "dig herself out of the hole she had put herself in" which made her feel good about herself. Marybell said that she had a bit of alcohol with her son on Sunday, but other than that she had gone almost a whole week without a drink. Marybell also has not had a cigerette in almost three weeks, which she is also proud of. Marybell was informed about the cycle of change and that relaspe is a part of the cycle and then problem solved about how to deal with relapse if it should occur in regards to her smoking. Marybell is still smoking marijuana regularly. Marybell 's biggest stressor right now is the threat of her water being shut off due to not paying the bill and we problem solved ways to deal with this until she had a source of
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R: Client presented well groomed and calm. His mood was euthymic, and his affect was within normal limits. Client’s thought processing was goal directed and coherent while being instructed on LAMP VASH referral. Client reported being worried about meeting his VA claim appeal dateline.
I responded to Troy Regional Medical Center in reference to an assault call. Upon arrival, I made contact with Roseline Jackson in room 9. Jackson stated that her and her baby daddy got into a physical altercation around 13:00 on this date. Jackson stated that she was picking their son up from Bean mother house and that’s when Bean asked to borrow her car. Bean got mad because Jackson wouldn’t let him use it.
The claimant is an 18- year old filing a continuing disability review alleging depression and anxiety. The claimant has a history of anxiety and depression. She completed the SSA 3368 on 7/18/16 and indicated on the form she had not seen anyone for mental health but had a visit scheduled on 7/19/16. The DDS was unable to obtain additional information regarding the claimant’s conditions.
He also seemed confident and showed an understanding of the seriousness of his medical problem. While the social worker can empathize with the client and has noticed some similarities in their backgrounds and life experiences, the client showed poor judgment in drinking and using alcohol to lower his stress. The counselor does not believe that counter-transference issues developed during the assessment. Patrick is a sixty-eight-year-old single, male.
D: Client was on time for intake appointment. Together, discussed the assessment recommendation and barriers to successful treatment outcomes. Client reviewed and signed of all treatment admission paperwork, including treatment agreement, ROIs, THS treatment policies, THS alcohol drug Services patient rights, THS patient responsibilities, THS health and safety information, THS counselor disclosure information, patient grievance procedures, THS HIV/AIDS information, THS notice of privacy practices, referral to Quit smoking, and marijuana policy. Treatment plan was developed, which was focused on Dim 4, 5, and 6; focusing on developing readiness to change, identifying relapse potential, and building a strong family and social support system.
Ms. Apple is unemployed and she is not service connected. She was diagnosed with Schizoaffective Disorder: Bipolar Type. Worker’s Purpose The purpose of this interaction was to inform Ms. Apple about the PRRC Program and to complete an initial screening, if she was interested in the program.
Marci presents a number of issues that are a direct result of drug and alcohol abuse. However, the two key issues that seem to have a detrimental affect on Marci’s life are her alcohol use and her marijuana use. In order of importance, Marci’s alcohol use would be the most prominent priority. Second to Marci’s alcohol use, would be her marijuana use. Marci also smokes cigarettes, which may play a key role in her vulnerability to alcohol and marijuana.
The client actually admitted that she has an issue, however she only drinks like 2 pints a day with coworkers and others. Lastly, the professional congratulates the client for quitting smoking, which it is a bigger issue. Step 2: Professional “Provides Feedback” after briefly talking about the alcohol
And although it seems that Sheila was adjusting well, something in her life might be causing her to revert to the maladaptive behavior that comes along with substance abuse that she had in the past. Sheila was already on a plan through Work First in helping her become self-sufficient, she has obtained a GED, a low-income apartment, and working on skills to keep gainful employment in addition to a part-time job. But in light of the behavior that she has recently been displaying, we may need to get other aspects of social services such as rehab and mental health to get involved in a treatment plan. Sheila has had prior sessions with county mental health professionals in the past, but this issue needs to be addressed right from the onset so that she will not be in a position where she could slip back into that maladaptive behavior and lose her children or her life. There is a lot of treatment that is offered for free with the county through social services, which is different then when Sheila first began her maladaptive behavior in the past.
A-Based on this writer 's assessment, the patient was emotional, but eventually calmed down. The patient remained well-mannered, oriented, and alert. There was no evidence of SI/HI. P-The patient will adhere to the program policy and her next scheduled appointment is scheduled on
Lewis reported using methamphetamine recreationally; however, she did not disclose when she had began using or how often she used the drug. Ms. Lewis reported that she drank two to three times a week and generally drank 3 to 4 alcoholic beverages each time. This information was endorsed on her Alcohol Use Disorders Identification Test (AUDIT) scale. Any information regarding cigarettes, caffeine, or other substances was not assessed. Previous substance abuse treatment and unsuccessful attempts to decrease substance use was not assessed
“the same” she said “he tried stopping before, but it never lasted”(Walls 18) she doesn't feel like there is ever hope in her parents change she feels like what they're doing now is going to be like that forever her father is never going to stop drinking so what's the point hoping he will because every time she put her hope in her dad hoping he would change but he always let them down so they gave up that forever her father is never going to stop drinking so what the point in hoping he
I figured I’d blow some time before their doctor’s appointment. I went in and ordered a venti caramel macchiato, my favorite drink, once I picked up my order I went to have a seat in the café area. Near where I was sitting there was a group of girls who were very diverse