Home Work Assignment
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George Lopez
Problem Identification
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Nervousness |
Stressed |
Irritable |
Work problems |
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Withdrawn from family |
Poor mood |
Drinking |
Financial concerns
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Fatigue |
Acculturation |
Distractible |
HX of Alcohol abuse |
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Thematic Groupings
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Descriptive Diagnosis |
Clinical Targets |
Function/Dysfunction |
Intrapsychic |
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Fatigue |
Stress |
Distractible |
Fatigue |
|
Anxious |
Financial Concerns |
Work problems |
Acculturation |
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Drinking |
Drinking/ Hx; drinking |
Irritable |
Withdrawn from family |
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Nervousness |
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Four Ds:
Distress: financials, work, family, acculturation
Danger: alcohol use, withdrawn from family
Dysfunction: stress, anxiety, irritability
Deviance: N/A
Mr. Lopez meet the diagnostic criteria for Adjustment Disorder.
Theoretical Inferences:
Theory: Cognitive Theory/ Behavior Theory
Intervention: CBT, Family Therapy.
Narrowed Inferences: Mr. Lopez is struggling to deal with changes in work and family stressors. Mr. Lopez has various symptoms such as fatigue, drinking, withdrawn, and low self-esteem. Mr. Lopez is choosing to withdrawal and drink to cope.
Goals:
Short- Term: Develop coping skills to manage stress and anxiety, communicate effectively with his wife.
Long: Refrain from isolation and drinking, eliminate stress and anxiety.
Carta, M. G., Balestrieri, M., Murru, A., & Hardoy, M. C. (2009). Adjustment Disorder: epidemiology, diagnosis and treatment. Clinical Practice and Epidemiology in Mental Health : CP & EMH, 5, 15. http://doi.org/10.1186/1745-0179-5-15
American Psychiatric Association. (2013). Trauma- and stressor-related disorders. In Diagnostic and statistical manual. (5th ed.). Arlington, VA: American Psychiatric Publishing.
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