Client A Case Study

Helen Stonewall is a married 32-year-old African American female. Helen was brought into see me because she had to be removed from the middle of the street by the police where she was dancing in the middle of the city street half naked at 2am without having any sense of danger. Just before that she removed from a bar where she was dancing on the table and ignoring the bartenders request to get down. Helen had consumed only two drinks before these acts were committed her medical evaluation concludes that there was no excessive use of drugs. She said, “that she was high on life”.

I presented Esteban’s case during case consultation because I noticed that I had countertransference when doing his intake. My expectation when presenting this case was to receive feedback that would help me to provide effective treatment to Esteban without my countertransference affecting his treatment. This section of the paper will talk about the feedback I received about my countertransference and how to support Esteban.

My client is a 3-year-old boy that has a diagnosis of Autism Spectrum Disorder. Occupation-based problems typically seen in toddlers with a diagnosis of Autism Spectrum Disorder includes difficulty with dressing, toileting, bathing, self-feeding, socialization, interacting, and make eye contact with adults and other children.

D- Client arrived on time with his appointment. When asked by the writer about his morning thus far, he reported his morning is going well. The client appeared to be pleased to meet with his new assigned clinician. During the course of the one hour session, the client was aware about completing his first initial TX plan, at which he was open to discuss and complete. This writer asked the client about his drug of choice and the length of time of his use. The client reported that his only drug of choice is heroin and his length of time is about a year. When asked by the writer about how he was introduced, the client mentioned his significant other, who is also a client at the clinic. His significant other name is Lucy Dannelley. The client mentioned his relationship will not hinder his recovery process because according to the client, he and his significant other want to recover from illicit drugs.

On September 3, 2015, I was assigned this case to follow up. This case involves Ms Miranda Maria Celia a seventeen year old runaway female. I contacted Maria Miranda (parent) who reported that they moved to Baltimore, but that her daughter was back. Ms. Miranda agreed to call me back on Spetember 4, 2015, while she obtains a permanent address. I received no futher calls back.

Client M.E.’s laboratory values are all within defined limits except for her WBC. Her WBC is elevated; this is known as leukocytosis (Pagana & Pagana, 2014). An elevated WBC could be caused due to several reasons such as infection, myeloproliferative disorders, malignancies, trauma, stress, hemorrhage, inflammation, dehydration, thyroid storm and even steroid use (Pagana & Pagana, 2014). However, in the case of patient M.E. the most probable cause of her elevated WBC would be because of infection caused by the pathophysiologic process of cholecystitis. White blood cells function as part of the body’s immune system and work by fighting infection and reacting against foreign bodies or tissues Pagana & Pagana, 2014). So with this being said, during

Prior to reading this article, I did not have a clue what mandated clients were. Coming into this article all I knew about mandated clients were, that it revolved around those who need help. But of course, my understanding of mandated clients grew after reading the article. I personally feel like I would not mind working with a mandated client. The reason why I wouldn’t mind is, even though mandated clients “rarely desire the service we have to offer” it would make our experience while working with them even better. Why? It states that mandated clients “don’t care what you know until they know you care”. It may sound funny or a little crazy right? I would also consider it a beautiful thing because, you can have a chance to grow with this client.

- She then finds out the reasons for the client's call so that she can formulate an action plan.

On 7/23/ 2015, client attended to her ILP meeting and cm reminded her that HOH Mr. Martinez must attend to the meeting every week. Client attended that her husband left very early in the morning and she didn’t know where he went. Cm reminded client that HOH was reschedule for conference with the director at Boynton and he doesn’t attend to the meeting the next conference will be with DHS in down.

Client X is a college student referred to the clinic by a music professor due to concerns of possible vocal nodules. During vocal juries, X’s professor commented that her voice became very airy, especially when using her high register. Client has also described her voice as husky, breathy, tense, and hoarse.

Understand the client’s situation and consequences of their disorders/issues; and determine level of care. Example: How Frank’s PTSD is related to the stress resulting from his job; and determine the level or intensity of care he may need.

The client I used for the case presentation is a 25-year-old Hispanic female who used to live with her parents in Texas. About five months ago, she moved to PA to live with her fiancée whom she met over the internet. She is a high school graduate, but did not attend college. Her social economic status is middle class; however, she is employed at minimum wage in the Salad Works restaurant. Her strengths are that she recognizes that she cannot change her fiancée; however, she wishes that he could understand how she feels. She recognizes that the situation she is in is affecting her relationship and wants to improve it before it is too late.

Ineffective breathing pattern related to decreased strength of intercostal muscles, reflex abdominal spasms, and impairment of innervation of the diaphragm (Vera, 2014)

Also pain may start with a disease or injury that persists due to stress emotional problems, improper treatment, or persistent abdominal pain signals in the body. It is possible for chronic pain to occur any previous injury illness or known cause. Therefore, patients suffering with chronic pain significantly benefit from a comprehensive multidisciplinary approach to treatment. Often you achieve optimal care several different health professionals may be involved in patient care alternative care to the traditional medical phonological could include but is not limited to traditional chiropractic care nutritional diet yoga exercise acupuncture meditation support groups soft tissue therapies and network chiropractic. Often, they cannot be cured, that it can be managed well enough through these alternative disciplines of care to improve the quality of life.

Michael Smith is a 51-year-old African American male Veteran, who served in the army during the Persian Gulf War. Currently, Mr. Smith has been employed within North Carolina’s Highway Patrol for 19 years. Mr. Smith specified his religion as Baptist. Mr. Smith married his current wife three months ago, after having a relationship with her for the duration of two years. Mr. Smith stated he has two biological children, ages 21 and 17, and two stepchildren ages 23 and 27. Mr. Smith stated he has safe and secure housing. Currently, Mr. Smith has two children living in the household with he and his wife. Mr. Smith stated one of his children is relocating from Maryland to Fayetteville, North Carolina and he is excited about them moving home, because that child has his only two grandchildren. Mr. Smith stated both of his parents are deceased. He stated the relationships that he has with his wife, siblings, and co-workers is good. He stated he has one deceased sister and two living brothers. He stated currently the relationship he has with his friends is strained and he has refrained from communicating with them.