Barbara Williams Case Paper

Patient Name: Barbara Williams
Diagnoses/Symptoms: Barbara is diagnosed with major depressive disorder, anxiety, insomnia, and bipolar. Her primary symptoms include sleep disturbances, feelings of sadness, hopelessness, trouble thinking and concentrating, fear, racing thoughts, and poor decision making skills.
Formative Influences: Barbara had a difficult childhood growing up. Her mother abused alcohol and her father was never involved in her life. In Barbara’s early childhood, her mother committed suicide leaving Barbara to move away from her friends at school to live with her grandparents who took her in for raising. She believes now that she did not have adequate coping skills to deal with the death of her mother at such a young age. Her

She has struggled with making friends at the facility and does not wish to engage in many activities that are offered throughout the day. It is a new situation for her and she is having difficulty coping with the daily schedule of the center. She can no longer care for herself independently and must rely on staff members for assistance with her activities of daily living, bathing, dressing, and getting in and out of bed. She has outbursts of anger and tearfulness towards staff when they try to assist her. Barbara is now realizing she requires more assistance than prior to her admission which has left her feeling overwhelmed and anxious about her health conditions in the future. Barbara chooses not to participate in scheduled activities at the center such as bingo or cooking class due to having anxious outburst about not being accepted by the other residents. At the center, residents have the choice to take their meal in the privacy of their room or in the main dining room with all other residents. Barbara chooses to eat her meals in her room. She gets anxious and worried thinking about the crowded dining room and does not wish to sit at a table with people she does not know. She is overwhelmed with the choices available to her and does not feel like she fits in with the other

Then after the passing of her mother, she was raised in the home with her grandparents. Barbara believes that her mother struggled with bipolar herself due to the behaviors she would exhibit at home. Barbara was often fearful of her own mother while she was under the influence of alcohol and would lock herself in the bathroom until her mother passed out from too much alcohol consumption. Her mother never received substance abuse treatment or saw a psychiatrist for her mental health issues. As a teenager, Barbara struggled in school with her grades and her social life. She had very few friends and felt that she never belonged anywhere she went. In high school, Barbara became pregnant at the young age of 16 by a boy she seemed to really love. Once she told him she was pregnant with his child, he wanted nothing to do with the baby or her. Barbara had to raise this baby all on her own with the assistance of her grandparents. She eventually dropped out of high school to care for the baby and never went back to receive her diploma. Barbara worked at various local restaurants to make a little income to assist her grandparents with