Mrs. Shermer is a 33-year-old female who presented to the ED for Detox treatment and alleged sexual assault. Mrs. Shermer stated: "I was picked up by a stranger taken to his house, smoked some crack with the man and was forced to have sex with him." Per nursing staff Mrs. Shermer story changed multiple times about the sexual assault. At the time of assessment, Mrs. Shermer denies suicidal ideation, homicidal ideation, and symptoms of psychosis. She reports reports substance abuse and homelessness as the primary stressors contributing to her current distress. When confronted about admitting being suicidal and having a plan to the nursing staff and to this clinician, patient reports at time she is not on drugs, then reports she has been using meth, cocaine, Adderall, alcohol, bathsalt's, Xanax, and Klonopin in the past 10 days. The patient reports a few years ago she has lost her child to S.I.D.S. Mrs. Shermer denies having a history of suicide attempts or mental health history. Mrs. Shermer does not appear to be exhibiting signs of agitation, aggression, or responding to internal stimuli.

Mrs. Shermer reports she began smoking …show more content…
SHermer grandmother and boyfriend were contacted. Her grandmother reports Mrs. Shermer called yesterday morning with bizarre speech. Grandmother reports Mrs. Shermer has a history of drug abuse and she felt Mrs. Shermer was "Strung out on drugs." The grandmother reports Mrs. Shermer told her she had been walking the street and had no where to go. The boyfriend reports he has been looking for Mrs. Shermer fro the past 10 days. He reports out of the 3 year relationship Mrs. Shermer has behaved this way 3 times before when using meth. The boyfriend reports Mrs. Shermer reported to him she went to "The Hill" to use drugs. He reports she expressed sleeping with having consensual sex with a man there while using drugs. The boyfriend reports this is not Mrs. Shermer normal behavior. He believe she most have been using meth or bath