WK4Journal2FlaskJ-NURS-6640-N.docx - 1 PRACTICUM EXPERIENCE...

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1PRACTICUM EXPERIENCE JOURNAL WEEK 2Student Name: Joseph D. Flask IIIE-mail Address: [email protected]Practicum Placement Agency's Name: Serenity CenterPreceptor’s Name: Dr. KassawatPreceptor’s Telephone: 330-965-9999Preceptor’s E-mail Address: [email protected]
2PRACTICUM EXPERIENCE JOURNAL WEEK 2The purpose of this journal entry is to evaluate a client and develop an appropriate therapeutic plan of care. The treatment plan will utilize the DSM-5 criteria and evidence-based practice. The legal and ethical implications of counseling a client will also be explored as it applies to the mental health professional. DemographicsGH is a 39-year-old married, Caucasian female who is employed at a local department store part-time, her husband is an engineer for a local manufacturing company. GH lives in a housing development with her husband and two children aged five years and six months. She speaks clearly and intelligently. She reports that she tries to attend church regularly and considersher faith and the church community as a part of her social support. Presenting ProblemsCC: Increased depressive symptoms. The client states, “I have been so sad since the birthof my youngest child, It scares me I just don’t know what to do”History of Present IllnessThe client presents with an increase in anxiety and depressed mood. The onset was around six months ago. The course of symptoms is constant. The degree of symptoms is moderate but are exacerbated when her child cries. There are no relieving factors. The client’s depressive symptoms include increased lethargy, decreased motivation, and anhedonia. She denies suicidal and homicidal ideation. GH presents to the office in appropriate attire and is well groomed but presents with a flat affect and doesn’t consistently maintain eye contact. She
3PRACTICUM EXPERIENCE JOURNAL WEEK 2informed me that she enjoys reading and sewing but lately doesn’t have the motivation to do

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