WK10Assign2xxxx.edited.docx - Existential-Humanistic Therapy NURS-6640 Psychotherapy with Individuals Week Eight Journal Entry Assignment Two Practicum

WK10Assign2xxxx.edited.docx - Existential-Humanistic...

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Existential-Humanistic Therapy NURS-6640: Psychotherapy with Individuals Week Eight Journal Entry: Assignment Two Practicum Client Background and Formulated Diagnosis
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TM is an Asian-American man aged 64. He visits the care facility for psychotherapy due to depression. The depression has been intensifying following his move to a new home. The patient likewise expressed drinking and reports that sometimes he takes a 12 pack alcohol. The patient has been imprisoned before but was released in the year 2018. The patient does not perceive himself as suicidal though he scored 9 out of 10 on the depression scale. The patient accepts the assessment, he manifests clear thought processes, and times 4 oriented. The patient reports that his depression has been intensifying for one month now, regardless of him adhering to the medication plan. The patient has undergone alcohol relapse in the past week and has been drinking a 12-pack beer every day over the past week. According to the patient, this relapse is the since 10/2016. The patient expressed that it has been a challenge to find a steady home, getting on his feet and that commuting is his main concern. The patient expressed that he is experiencing depression, has been unable to stay asleep, a reduced appetite that has resulted in a loss of weight, a decline in cognitive ability, weariness, hopelessness, psychomotor agitation, and nihilistic thought process. The patient refuted mania manifestations or those of psychosis. He also expressed fast racing thoughts, easily gets distracted, and an increment in hypervigilance; will react when at the moment when individuals slam the door at home and aggressive. The patient did not acknowledge suicidal thoughts, however, he perceives himself ambivalent regarding life and also that he is likely to have a nervous breakdown. He expressed that he does not abuse substances. The patient established various contributing factors; one of them is his daughter whose he has no knowledge of her whereabouts over the last three year, the demise of his brother in the year 2016, the need to have a pin extracted out of his knee, the need to have a replacement surgical operation, challenges in finding group home to facilitate him attend medical/psychological appointments, and administration drugs as expected with no abatement in the manifestations of depression, alcohol relapse, failing to take food daily. At present, the client is currently under 80mg Prozac daily, 25 mg Vistaril ae required, 10 mg Buspar two times a day
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according to his previous presentation on 06/21/2017. Besides, the patient has liquor use history since he was aged 18. The longest span the patient has stayed sober is 4 years. The patient has been accused of driving three times under the influence of alcohol and has been treated for alcohol especially in the 1980s, at the same time taking part in alcohol anonymous. The client has experimented with marijuana before. He is a high school graduate but has no academic or social concerns. He had a spouse but they separated and is a father of 3 kids. The patient is not
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  • Summer '18
  • rogena

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