Assignment: Clinical Plans
Assignment: Clinical Plans
Assignment: Clinical Plans
Assignment: Clinical Plans
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Clinical Assessment and Treatment Plan
Assignment: Clinical Assessment And Treatment Plan
Complete the University of Phoenix Material: College of Social Sciences Master of Science in Counseling Biopsychosocial Interview DSM-5, located on the College of Social Sciences Resources web page, based on Case 21.7, and include a case conceptualization. Your response should be a minimum of 700 words.
Research common treatment goals for the chosen diagnosis.
Complete the University of Phoenix Material: College of Social Sciences Treatment Plan, located on the College of Social Sciences Resources webpage. Your response should be a minimum of 350 words.
Include a minimum of two sources.
Format your reference page and treatment plan consistent with APA guidelines
Identifying Information
Client Name: Delores Hoffman
Age: 27 years old
Ethnicity: Caucasian
Marital Status: Never married
Occupation: Office manager
Intake Information
Delores Hoffman called to make an appointment to see a counselor due to her growing preoccupation with suicide. The intake worker screened her for suicide risk and discerned she had no history of past attempts or a present plan. Nonetheless, an initial appointment was arranged for later that day.
Initial Interview
As you meet Delores Hoffman in the waiting room, you notice that she is well dressed and attractive. Before you approached her, she had been staring out the window, virtually motionless.
As you enter your office, she says, I guess I scared everyone talking about suicide. That is why I got an appointment so fast, isnt it?
Quite probably. Was that your intent? you ask.
Not really. I forget that not everyone feels like I do. It just doesnt seem like such a big deal to me, she explains.
Well, based on what you said to the intake worker, it must concern you some. Isnt that why you wanted to see someone? you clarify.
Well, yes, it is. But not in the sense that Im going to run out and do something. I think Ive been depressed my whole life. Certainly as long as I can remember. So somehow, this seems logical just more of the same.
Can you tell me exactly what feelings youve had for so long? you ask.
Sure. Ive just never been happy. Ive never really liked myself. Im just a big nothing. Always have been. No energy, no plans, no future, nothing to look forward to. I thought I was used to it and I had accepted it. Some people have lives worth living; the rest of us take up space, she observes.
And you say youve always felt this way? you prompt.
Well, thats probably an exaggeration. Certainly Ive felt this way since I was 10, maybe 12. Younger than that, I dont remember very well. I dont think I thought about much of anything. But around that age, I realized I didnt really have anything going for me. Do you know what I mean? she asks.
I hope to understand, but I need you to tell me more. How did you decide you didnt have anything going for you?
Pretty simple. Some people are really smart; Im not. Im not retarded or anything but just not brainy. Some people are beautiful; Im not. Im not ugly or anything but just not remarkable. Im not ambitious. Im not clever. Im destined to just go along, probably get married, get left by my husband after the kids are grown, and end up lonely, she explains.
That sounds pretty hopeless, you observe.
Thats right. I dont mind too much, you know. Its just the way it is, she reports.
Okay, Im starting to get a picture, but Id like to ask you some things about your childhood. Can you tell me what your family was like? you ask.
Theyre okay, I guess. Just dull people like me. I have two sisters, one older and one younger. We lived in a nice suburban neighborhood. If my parents had any problems, we kids didnt know about them. Everything was ordinary and orderly.
Did you ever tell anyone about how you felt about yourself? you ask.
Not really. We didnt talk about much in my family. We just did the things we were supposed to do, she explains. I cant tell you anything else about them really. I havent really seen them since I left home.
Okay. So if I understand you correctly, youve felt somewhat depressed or at least unhappy with yourself for most of your life. Has something changed, though, to make you concerned enough to want to see someone? you ask.
Well, yes. For the past 6 or 7 months, Ive been feeling much worse. I think its about my boyfriend. He moved in with me around the time things got worse. I know that sounds weird. Im supposed to be happy to find someone who seems to love me. Were planning on getting married in the summer. 441 442But really, my life has sorta fallen apart since he moved in, she says.
Can you tell me specifically what changes have occurred? you ask.
Well, its almost everything! As soon as he moved in, I pretty much lost interest in him sexually. Of course, he hasnt lost interest, but its just going through the motions for me. I cant sleep right either. At first, I thought it was just sharing a bed, but I dont know. When I try to go to sleep, it takes forever. Then, I wake up before my alarm goes off! Ive never had a great deal of energy, but Im really dragging now, she says.
Okay, have you lost interest in any other things in the same time frame? you ask.
Well, I used to really enjoy cooking. Now it just seems like a chore. Ive probably lost 15 pounds since he moved in just because I dont want to cook! Hell go ahead and get some fast food or something, but I just dont eat, she explains.
Any other things youve lost interest in? you persist.
I guess. I mean I dont really enjoy anything anymore. I know how strange that sounds. I really feel bad about it! Hes a nice guy, and I dont want to hurt him but
I dont know, I just feel like Im ruining his life.
Anything else? you ask.
Well, Ive sorta lost interest in my job. Ive worked for the same company for a long time. Ive been the office manager for the past 4 years. Its been a good place to work, but it just seems like a drain now. People at work keep asking me whats wrong, and I really dont have anything I want to tell them. Does this make any sense? she asks.
I think so. I need to take us back to your initial concern. Tell me about wanting to kill yourself.
Oh, thats a little strange. I daydream about it all the time. Instead of focusing on what I need to do or something, I dream up ways to end it all. Isnt that stupid? she asks.
No, I certainly wouldnt call it stupid. What youve described to me makes it clear that you are very unhappy with your life. Do you think youll act on any of these plans you dream up?
No, not really. I know that seems strange since Im so preoccupied with it, but Im afraid to die! I dont know why all these thoughts are in my head, really. Do you think I might be going crazy? she inquires.
No, I dont think youre crazy! I do think you need to take some hard looks at yourself and your life. No one can just go along being as unhappy as you are. Does that sound like something youre willing to do?
I think it is. Really, I know it is. Ive thought about seeing a therapist for a long time. I wouldnt have made this appointment if I werent ready to try something, she says.
21.71 How would you assess the threat of suicide with Delores at this point? Are there any changes you would watch for in working with her?
21.72 What strengths do you see in Delores?
21.73 What thoughts and/or behaviors would you like Delores to self-monitor?
21.74 What is your preliminary diagnosis for Delores?
Assignment: Clinical Assessment And Treatment Plan