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George Lopez

Problem Identification

Nervousness

Stressed

Irritable

Work problems

Withdrawn from family

Poor mood

Drinking

Financial concerns

 

Fatigue

Acculturation

Distractible

HX of Alcohol abuse

 

 

 

 

 

Thematic Groupings

Descriptive Diagnosis

Clinical Targets

Function/Dysfunction

Intrapsychic

Fatigue

Stress

Distractible

Fatigue

Anxious

Financial Concerns

Work problems

Acculturation

Drinking

Drinking/ Hx; drinking

Irritable

Withdrawn from family

Nervousness

 

 

 

 

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Danger: alcohol use, withdrawn from family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 Lopez has various symptoms such as fatigue, drinking, withdrawn, and low self-esteem.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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