Bio Assessment.docx - Running head BI0-PSYCHOSOCIAL ASSESSMENT 1 Bio-Psychosocial Assessment Sandy Ham Liberty University BIO-PSYCHOSOCIAL ASSESSMENT 2

Bio Assessment.docx - Running head BI0-PSYCHOSOCIAL...

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Running head: BI0-PSYCHOSOCIAL ASSESSMENT 1 Bio-Psychosocial Assessment Sandy Ham Liberty University
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BIO-PSYCHOSOCIAL ASSESSMENT 2 Bio-Psychosocial Assessment Identification of Client Client Andrea D. is a 16-year-old, single, unemployed, African American female. Andrea’s date of birth is March 3, 2003. Client presents for evaluation to help her with failing grades. Client was referred for services by her mother. Client evaluated by, and report prepared by, Candi Rhodes, MSW intern, on October 3, 2019, and October 6, 2019 respectively. Reason for Social Work Involvement Client has been having issues with her grades dropping. Client reports having a hard time focusing, being organized, sitting still, and starting and completing tasks. She also stated that she gets frustrated and sometimes snaps when her mom addresses her about these issues. She also reports having trouble sleeping two to three nights a week. Client says these behavioral changes started a few years ago but feels she’s always been this way. Client reports she just received her report card, and this prompted her mother to bring her to therapy. She reports her mom was very upset about her grades on the report card. Client reports she gets in trouble all the time for “stupid stuff.” Client reports that she gets in trouble for her room being unclean, not being organized, and for talking too much at school and not completing assignments. Client states that her mother always tells her, “you are all over the place.” Family Background and Situation Andrea reports living with both parents and her sister. Andrea reports having and older sister that does not live in the home. She did not give any other information relating to the sister. Andrea reports having a good relationship with her father and that he sometimes speaks up for
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BIO-PSYCHOSOCIAL ASSESSMENT 3 her when her mother is too hard on her. Andrea reports that her mother always on her about school and cleaning up. She reports she would like to have a better relationship with her mother. She indicated when she was younger, she felt better because her parents use to take several trips. They always went somewhere, but since her father has gotten a new job, the traveling has stopped, and she misses being on the go. Physical Functioning and Health Client reports that she’s in good physical health. She reports no hospitalizations or medical concerns. Client reports that she use to be more active when her parents took her places, but she’s not as active now. Client reports currently taking over the counter melatonin to help with sleeping two to three nights a week. Client denies taking any other medications. There were no other health concerns reported.
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