Comprehensive Client Family Assessment Essay.
Comprehensive Client Family Assessment Essay.
Comprehensive Client Family Assessment
A comphrensive assessment and genogram. is a review of a cleints clinical manifestations, that are either physicological or psychological. A thorough clinical evaluation, includes a client’s medical history including the illnesses that have occurred in previous generations of the patient’s family. The Clinical assessment will provide a blueprint, for the genogram which is the graphical representation of the client’s relationships with his family. The genogram includes the psychiatric history of each of the members related to the client. The purpose of this comprehensive assessment is mapping the client, while in family therapy with his spouse and his in law
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Demographic information: SPC Li twenty seven years-old Asian American living with wife of 12 months Feng Mian twenty five years of age. SPC Li mother in law Fei Hong fifty one-years old, moved in six months ago. The couple does not have any children.
Presenting problem: SPC Li Curtis reports expereicing difficulty sleeping, eating and concentrating since his mother in law moved in; he feels depressed and was anxious all the time. “my wife wants a divorce” His wife sits and looks at her husband. The mother in law has accused the SPC of “adultery” and wants her daughter to divorce the SPC. The SPC has admitted prior to his engagement he was dating and had a girlfriend, however aftger meeting his wife, he stopped dating and never interacted with any other females other than co workers. SPC met his wife through his parents, the wife is an immigrant from China. SPC is a communications specialist and linguist with the United State Army. SPC and wife both admits, they love each other and want to stay together, however the mother in law is interfering and causing friction in the couples relationship.
History or present illness: SPC Li started feeling depressed 5 months ago, after the mother announced she was staying indefinitely. He did not want to acknowledge the issue, and having trouble working, missed several formation, received a counselling statement regarding lateness and not meeting work deadlines. The problem worsens with threat of divorce from the mother in law, due to adultery. The mother is aggressive and quarrels with the SPC, daily about “anything and everything”. SPC reports difficulty with sleeping and feeling anxious all the time.
Past psychiatric history: SPC Li diagnosis with Adjustment Disorder with Depressed Mood . Mrs. Li denies any pscychaitric history
Medical history: neither reports any medical history
Medication: SPC Li is on Prozac 10mg daily by mouth.
Substance use history: SPC Li reports drinking a glass wine occasionally. Mrs Li drinks beer nightly, neither denies illicit or prescription drug use.
Developmental history: Both graduated from high school, no failures, Mrs. Li is attending community college.for nursimg. The husband E/4 in the US Army. SM is single, lives in off post housing. SM does not have any criminal or civil issues .
Family psychiatric history: SPC Li father has history of anxiety Mrs Li’s grandmother has history of depression.
Psychosocial history: denies any legal issues past or present. The couple met each through their parents who are childhood friends
History of abuse and/or trauma: The couple denies any physical or sexual abuse, neither reports neglect, Mrs Li did report her mother is often angry “for no reason”, since childhood.
Review of systems: SPC and wife speaks with fluent english, both agree, they want to stay married, mother is the primary barrier. General: Both are alert and oriented x 4 spheres
Review of Systems:
Comprehensive Client Family Assessment Essay.