WK3Assgn2NamindaK.docx - Running head COMPREHENSIVE CLIENT...

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Running head: COMPREHENSIVE CLIENT FAMILY ASSESSMENT1Comprehensive Client Family AssessmentKaacha NamindaWalden UniversityPsychotherapy with Individuals-NURS 6640-6September 10, 2019
COMPREHENSIVE CLIENT FAMILY ASSESSMENT2Comprehensive Client Family AssessmentThe purpose of the assignment is to discuss a client that was assessed at a drug and alcohol rehabilitation facility. The client’s demographic information, presenting problem, history of present illness, etc., including the client’s family genogramwill be addressed as well . According to Uher and Zwicker (2017) both genetic variants as well as environment exposures contribute to mental illness. The results of gene‐environment interactions leads to psychiatric disorders such as schizophrenia, bipolar disorder and major depressive disorders. Demographic InformationYH is a 29-year old Hispanic female who partially resides at home with her mother and two sisters. The client stated that her mother sometimes asks her to leave the family house because of her drug use. The primary language spoken at the residence is Spanish, and English isspoken as a second language. When YH has a job, she would work in retail or at a call center. The longest she has been on a job is eight months. She stated she either quits the jobs because of her drug use or she gets terminated for the same reason. The current admission is the first for this facility and is voluntary. YH has a history of being admitted to a different drug rehabilitation center previously. This time around, she was admitted to this facility from a half-way home where she had been for a few days. Prior to being at the half-way home, YH was at an acute care hospital for drug overdose. YH is single but has a five year old daughter who lives with her biological father. Even though YH has been in a drug rehabilitation once before, she has no primary mental health care provider. Presenting ProblemYH stated that once she relapsed and lost her job, her mother kicked her out of the house because she was being irresponsible and being a bad example to her nieces and nephews. The
COMPREHENSIVE CLIENT FAMILY ASSESSMENT3client also stated, “I have been feeling crazy and severely depressed since I relapsed.” She admitsto overdosing on heroin because she felt she needed to use drugs to forget the problems she was having with her family. YH stated that she was having visual and auditory hallucinations telling her she was hopeless. She also admits to not filling her prescriptions for her antidepressants for the past two months.History of Present IllnessYH has a history of substance abuse, major depressive disorder and generalized anxiety disorder. She presented to the facility on September 4thstating “ I need help to get off drugs.” She, however, stated that she had been off drugs for about 8 days before she came to the drug rehabilitation facility. The longest she stayed sober was 12 months. The precipitating factor that

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