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Case Vignette 1 : Julia Lopez is a 34 year old Hispanic female who is experiencing bouts of sadness after losing her job of 12 years four months ago,...

Case Vignette 1:

Julia Lopez is a 34 year old Hispanic female who is experiencing bouts of sadness after losing her job of 12 years four months ago, she was an accountant assistant. Julia reported, "Nothing is going well for me, I cry all the time and I am so tired." Julia lives with her second husband, Mark, who is a truck driver and is rarely home, and their three children. Julia's mother has been ill and Julia has been taking care of her as well, commuting 30 minutes one way twice a day. Julia has given up looking for a new job, and aside from taking care of her sick mother she does not leave her home. She has gained weight recently and worries that her husband "will hate her" and "cheat on her." Julia has lost all energy to care about her appearance, and most days she will be in her pajamas when her children get home from school. Julia's oldest daughter helps out around the house, washing clothes and cleaning the house. Julia was active in the church, she also participated in community functions and volunteered at the school, however she has not done so since losing her job. Julia's first marriage was violent, she reported, "Yeah, he like hit me and yelled at me all the time." Julia shared that the abuse lasted for several years, until one day she left her abuser because he went to jail. Julia has a history of drinking alcohol and she recently began using marijuana, "but only after my kids are sleeping." Julia has diabetes and has been prescribed a mood stabilizer, which she takes with a swig of wine. Julia is facing one criminal charge of possession with the intent to distribute, yet she blames the driver of the car for getting pulled over. This referral came from Child Protective Services (CPS), after a teacher reported to CPS that Julia's youngest child, Susie age 6 reported having nothing to eat at home.e

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