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12/10/2015: Eugenia Clement, RD, LD request that I speak with the mother of her 3 year old patient, De Breia Oliver, a 23 year old African American, married mother and self reported to being depressed. Ms. Oliver states that she just works and sleeps and finds little pleasure in doing anything else, she has very little energy and although she gets hungry she doesn’t eat much, but this she states is not impacting her Diabetes I (although Eugenia reports that she was told that it is impacting her Diabetes). Ms. Oliver scored a 15 on the PHQ-9, indicating that she is moderately severely depressed. Eugenia Clement is concerned that her depression is impacting her choices in foods for her daughter (she is reported to eat primarily fast food). Ms.
Ms. Stevens and her child, Tjayda Stevens are receiving preventive services with Harlem Dowling Westside Center for Children and Family Services (HDWC). Ms. Stevens’ case was referred from ACS and accepted thru HDWC on 03/02/2015. The services provided to Ms. Stevens are casework counseling, community advocacy, housing advocacy, and monthly home based visits to ensure stable family functioning and child safety. Ms. Stevens has been receptive to services since the agency obtained case planning responsibility. Administration for Children’s Services recommended the following service plan for Ms. Stevens to complete parenting and anger management class, individual counseling, and domestic violence.
Phase One (Sessions 1 through 3) • The session 1 and 2 consists of the assessment of the client’s clinical problems and background information. Questions relate to her clinical problems, including (a) the nature of her problems (depression and difficulty with making decisions), (b) reason of seeking psychotherapy, and (c) previous attempts to deal with the problems. For the background information, the client’s histories are assessed in the areas of intimate/family relationship, educational/vocational activities, past history of psychological treatment, and physical condition. Session 3 primarily consists on the further functional assessment around her coping skills (e.g., avoidance) in the areas of interpersonal relationships. Phase Two
Karta is a 12 year old African American girl, who has experienced a long history of trauma. She was referred to me by her school social worker Ms. Johnson who reports that she has academic problems, severe inattention, hyperactivity, physical violent tantrums and is disrespectful to her peers and teachers. Karta was raised in a single parent household during the first few years of her life. Karta’s father died in a car accident before she was born so she never got a chance to meet him. Karta’s mother Michelle became depressed and turned to alcohol to cope with her pain.
Many people and characters experience traumatic changes or events. The book Maus written by Art Spiegelman includes the story of Anja Spiegelman. She was a mother of two with a history of depression that slowly worsened over time. The disheartening life of the young mother, somber and fearful, would slowly start to deteriorate after the birth of her first son, Richieu. Anja would go on to have postpartum depression, a depression that began after her first born son passed during the time of the Holocaust and lasted due to her survivor’s guilt.
In 2001, the nation was shocked into questioning the systems in which help the mentally ill. On June 20th, seemly picture perfect housewife, Andrea Yates, drowned her five children in the bathtub. Rusty Yates, Andrea’s husband, left for his job prior to his mother being able to arrive to the Yates household to help oversee Andrea and her children. For several years prior, after her first child, Andrea had come down with postpartum depression. With each and every pregnancy, it became far worse until she had develop postpartum psychosis.
After careful consideration of the information that has been presented for Ellen Waters, I have decided that she meets the criteria for (F34.1) Persistent Depressive Disorder Severe with atypical features: Early onset. I have come to this conclusion after considering the following information. The synopsis states that Ellen has been referred for a medication consultation by her Psychotherapist whom she has been seeing for the last two years. Criteria A states that the depressed mood has to be present for most of the day, for most days and that this depression must be indicated by “subjective account” or observed by others for at least two years.
Mr. Grape was referred by the court for a psychological evaluation to assess his psychological and emotional functioning in regard to his risk of violence and other behaviors that could compromise his ability to care for his newborn child. At the time of the evaluation, Mr. Grape was experiencing depressive symptoms that manifested as irritability and explosiveness. IV. Background Information Mr. Grape is a 52-year-old, single, African American, male who was released from prison 10 months prior to this evaluation. Mr. Grape’s primary language is English.
Throughout my life, I have always had an interest in mental health and helping others who are struggling with a mental illness. As a sophomore in high school, I was lucky enough to have the opportunity to attend a course provided by the organization teen Mental Health First Aid (tMHFA) which culminated with my certification in teen mental health aid. After this training, I have been able to support and
Of the top five conditions driving overall health cost, depression is number one. There are financial benefits of integrated care (Korff , Katon, Unützer, Wells , Wagner (2001). The platform for this model is important to be in clinics where patients visit the most and supervised with a collaborative team of patient educators, social workers, nurses, physicians, and consultant psychiatrist (Hunter, Goodie, Oordit, & Dobmeye, (2009). The team should be available to the patient for a first encounter the same day to identify the patient’s needs. Each appointment is concise except the evaluation by the Social Worker.
Context. Postnatal depression is one of the most frequent difficulties viewed as behavioral issues and mental sickness/problems in women about four to six weeks after giving birth. It’s a major public health issue given its prevalence and impact not only on mothers and babies but also to their households as well. However, untreated postnatal depression is well-known to suffer adverse results such as unfavorable parenting practices and impaired mother-baby bonding, which in return is known to affect rationale and emotional growth of the baby. The gravest, of course, is maternal suicide and infanticide.
Working with case scenario 1, it is quite evident that Simone is suffering depression and anxiety. When working with depression, there are two basic interventions; one is increasing a valued activity, the other is changing the thoughts that keep the depression going (Otto, 2011). From previous sessions with Simone and exploring what has recently been causing negative thinking, her automated thoughts have been revealed. We can assume her recurring thoughts of feeling like a failure and her thought of having nothing to offer in life are perpetuating her low mood, loss of interest in activities, and procrastination in looking for a new job. “Negative automated thoughts, when unchallenged, often become self fulfilling prophecies during the
Charlotte Perkins Gilman’s “The Yellow Wallpaper,” the narrator, Jane, has postpartum depression. In order to cure this depression, John, Jane’s husband and a doctor, administer the rest treatment on her. Gilman wrote “The Yellow Wallpaper” through her personal experience. Along with writing “The Yellow Wallpaper” she wrote an explanation for why she wrote “The Yellow Wallpaper.”
Healthy Pregnant or Postpartum Women. Centers for Disease Control and Prevention. (2015). Healthy Pregnant or Postpartum Women. Retrieved from http://www.cdc.gov/physicalactivity/basics/pregnancy/index.htm
Often the patients are in denial, defensive and lack insight. It took her husband and children leaving and the convincing of her mother for her to realize that she might need help, and even then her first appointment she states” I lost my husband because my house was a mess”. Cognitive-behavioral approach produces the most improvement. This is a long lengthy process that cannot be resolved by throwing away the clutter. Jenny had to come to terms with her disorder and discover how her thought process brought her to this point in her life.
