Ms. Miller Case Study

Lester is a 40-year-old man referred to me for counselling by his doctor. He is currently married and lives with his wife, Carolyn, and their 16-year-old daughter Jane. He is employed as a fast food attendant (Cohen, Jinks & Mendes, 1999). At the initial examination Lester dresses untidily and unshaven, and avoids eye contact. Lester reports an overall feeling of unhappiness (Cohen, Jinks & Mendes, 1999). He stated that he has become reckless and self-destructive and worried about some of his recent life decisions.

31 y/o AA male patient seen today for psychiatric-mental health assessment. He is awake, alert and oriented x4. He is calm, cooperative and follows commands during assessment. The patient reports he is depressed, difficulty sleeping and nightmares at night. The patient explained his depression is as a result of deep thinking from a news he received two days ago from his elder brother that his mother is ill. Stressors identified by the patient include losing his job a week ago before the news about his mother; his wife is 6-months pregnant with their first child, who currently works part-time at her present job; patient relates difficulty paying monthly bills and inability to provide adequately for his family as a man. The patient denies mood swings, suicidal/homicidal thoughts and ideation. Patient reports his spouse is at work at the moment and he does not want to put stress on his wife due to her current condition. Patient denies been hospitalized for depression or psychiatric illness; and denies family history of mental illness. Patient reports he is seeking help because he does not like feeling this way using terms of “helpless and loss of worth from his spouse”. Patient reports he needs help with his depression and nightmares before his current condition get out of hands and ruined his marriage.

1. Four symptoms of anxiety/panic that Josephine is experiencing are, fear, urination, tremors and trouble concentrating. These symptoms are evident through the way Josephine is behaving at home and at the hospital. These four symptoms are usually found in people who are actually diagnosed with an anxiety disorder and panic attacks, cognate to Josephine.

There are challenges that Dr. Correia goes through on occasion. One problem he has is working with the patient’s provider and figuring out what exactly the provider wants him to do. Sometimes it’s difficult to figure out what specific tests the provider wants to have Dr. Correia do. Another problem Dr. Correia comes across is when all the tests show nothing wrong so he has to figure out the puzzle of what’s going on with the patient. After figuring out what is wrong with the patient, it also might to difficult to tell the patient if the test results came out bad.

Dafonte Miller, a 19-year-old black youth, was attacked last December in Whitby, Ontario by Toronto constable Michael Theriault, leaving him with broken bones and a serious eye injury.  Theriault was out of his jurisdiction and off-duty when he attacked Miller. Theraiult was charged Tuesday with aggravated assault, assault with a weapon, and public mischief, and suspended with pay.

Using a symptom checklist the client is currently experiencing the following: sad moods, crying, easily irritated, feeling sluggish, feeling on edge, difficulty concentrating and making decisions, loss of interest in things she once

This is a complex medication visit. This is a young woman who I have treated for (lipastimea) and depression last seen a year ago. She returns now complaining of increasing depression over the past several months culminating an emergency room visit.

On this date worker received a call from Ms. Val Wilson, RN at Alacare HH. Ms. Wilson has been Mrs. Brown’s nurse and been in the home multiple times. During Ms. Tara Brown time as caregiver the home was clean, food cooked, and Ms. Brown received her medication. According to Ms. Wilson Tara moved in during the summer after Larry Brown, son of Ms. Brown locked Ms. Brown out of her home. Tara told Ms. Wilson that her father, Larry Brown was MR and suffered from Schizophrenia. She also reported seeing bruises on Mrs. Brown’s arm where Mr. Brown would grab her. According to Tara Mrs. Brown received money after the passing of her husband Mr. Brown. However, Mr. Larry Brown got the money, spent it, and is now talking about filing bankruptcy. Due

This patient has been referred to me by her primary care physician. Patient states she has been suffering from irritability. She states that she has been very irritable for short periods of time. She associates these feelings with her depression.

Kelly Miller was born on July 18, 1863. He was born in Winnsboro, South Carolina. He was the sixth of 10 children. His father name was Kelly Miller Sr. He was a Confederate soldier. His mother name was Elizabeth Roberts. She was a former slave. As a child, he went to a grammar school that had been founded during the Reconstruction era following the Civil War. A local minister noticed his curiosity for math and organized for Miller to attend the Fairfield Institute. His journey there eventually earned him a scholarship to Howard University. He graduated Howard University in 1886. In 1887, his professors recommended him to go to Johns Hopkins University. He became the first black man to be admitted to go to Johns Hopkins University.

Ms. Green shows signs of depression. She does not express much interest in much activities and seems to keep her self busy through her children. Ms. Green shared how she has lost a tremendous amount of weight and is trying to maintain her weight and remain healthy. Ms. Green had a difficult marriage which ended in divorce. While married she experienced verbal, emotional and physical abuse. Ms. Green still suffers from that experience and is working to process and move forward from that experience.

The Sarah self-referred for assessment at am outpatient clinic. She subsequently requested a referral to a psychologist in Chicago, IL. Sarah is a 24-year-old adult Caucasian female who identified as a lesbian. She reported a history of depressive symptoms that have worsened in the last few months. She is seeking treatment for these intensified depressive symptoms. She described having “depression” many years ago, but became evasive when asked to clarify. In addition, she noted a concern with experiencing anger and hostility towards others; she stated that these emotions are “uncomfortable” for her. She clarified that in the past three months she has perceived herself as “grumpier than usual.” She reported having experienced anhedonia, fatigue, and insomnia.

Lanesha is a 12 year old girl that has been having trouble with her temper and her anger in almost every aspect of her daily life. Her medicine and compliance to her treatment plan are no different. As a teenager, she does not want to continually be hassled and bothered. So to avoid this she constantly is telling the providers lies, or in her mind, “what they want to hear.” (http://support.mchtraining.net/national_ccce/case1/Flash/activity1.html). Lanesha has a sense of neglect from her grandmother because she states that she want to act like everything is fine as to appease her Grandmothers temperament. Marietta, also shares in frustration but also has a great deal of added stress as she also cares for her 10 year old grandchild and also her older ailing mother. Marietta exudes many of the qualities spoken by Dr. Horky in her presentation; her own age is taking a toll on her ability to care for Lanesha, she is worried about Lanesha. Due to Lanesha’s age and behavior however, Marietta is experiencing depression and grief. Almost portrays a sense that she has given up, like she has done all that she can. (Horky, n.d.). Other socioeconomic issues are in Marietta’s forefront.

The case of Kathryn Mc Neil deals with the issue of separation in the workplace regarding the nonperformance of a single mother whose work was suffering because of the tremendous additional burden of raising a child. The case was written in 1994 but in the intervening years significant decisions have been made by the law (in the US) protecting the rights of the single mother. The debate is no longer exclusively about professionalism versus corporate responsibility but the new phenomenon of a third gender in the workplace.

Mei Ling had seen her general practitioner (GP) for lack of energy and vague gastrointestinal symptoms. But her medical examination result found no physical cause. Through discussion with the GP discovered she has been feelings of depression for the past four months. Mei Ling’s GP suggested her to seek counselling.