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Robbie J: A 19-Year-Old Single Caucasian Male

757 Words4 Pages

Basic Information
Robbie J, a 19-year-old single Caucasian male. His income and community description is not applicable. He is living with his parents, and is a first-year college student. He has been referred because he has started drinking again and lack motivation. He is currently in family counseling with a social worker on the rehabilitation team. He stated that he suffers from a significant brain injury he received from a car accident 6 months ago caused by drinking and driving. He describes how the brain damage he endured has affected his impulse control and decreased his short-term memory and ability to concentrate.
He expressed, prior to the accident he was sociable, a good student, popular, and was on the football team. He loved …show more content…

He is currently seeking rehabilitation for a brain injury due to a car accident. The type of medication is not applicable. His impulse control is affected, and his short-term memory and ability to concentrate has decreased. He is also emotionally unstable, and has lost pleasure in leisure activities. Muscle weakness has also affected his right side, and he has a hard time remembering and expressing himself. As evidence by Robbie J, he is restless and agitated sometimes as a result of the organic aspect of his injuries. He has reported drinking nearly every weekend before his accident, and has currently been …show more content…

He reported that he has begun to hang around a younger group of friends. His parents provide his basic life necessities because of his condition. Legal concerns and other environmental or psychosocial factors are not applicable. Robbie J displays a drive to take responsibility for his care, and he is a sociable young man. Despite Robbie J’s short-term memory loss, frustration, and difficulty concentrating, he is intelligent, and he has a strong support system.
Impressions, Assessment, and Recommendations
Robbie J is a 19-year-old single Caucasian male who is in his first year of college. He suffers from a brain injury due to a car accident that happened 6 months ago. He has a past of drinking, and recently started drinking again. He lacks motivation due to limitations from his condition. He describes feelings of frustration, restlessness, and agitation. He is concerned about his future love life, and going through a big life change. Robbie J has positive behaviors and aspects that will be helpful in his treatment such as equipped to take responsibility for himself, he is sociable, and have family support.
Given Robbie J problems with drinking, lack of motivation, and physical injuries, long term rehabilitation, join an Alcoholics Anonymous group, and continue family counseling is suggested. Robbie J will come back for a follow-up to see if further

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