Premium Essay

Treatment Plan 4: Adrian

In:

Submitted By goldencat
Words 1330
Pages 6
plan #3: Adrian
March 19, 2011
1. Problem Statement:
Adrian Holdsworth, a 39-­‐year-­‐old woman, has come to counseling because of her problems with concentration and memory. She has already seen a medical professional regarding these concerns, and he suggested counseling after finding no medical basis for her complaints. She struggles with persistent anxiety, which has been present since the age of 14 years. She also reports troubles with sleeping.
2. Manifestation of the problem:
This client presents excessive worry about a variety of problems, including school (in the past), work performance, dating, and her childrens well-­‐being. She has difficulty making decisions, which often leads her to avoidance of decision-­‐making. She becomes increasingly forgetful when her worry is elevated. Adrian reports feeling irritable, having problems falling asleep and staying asleep, having muscle tension and headaches, and feeling on the edge.
3. Assessments:
The Hamilton Rating Scales for Anxiety (HAM-­‐A) should be administered at the beginning, middle, and end of treatment to track progress.
4. Diagnosis:
I. 300.02 Generalized Anxiety Disorder
II. V71.09, Deferred
III. Migraine headaches, Moderately elevated blood pressure
IV. Asked to take a vacation by supervisor at work; problems with memory and concentration; strained relationship with children, as evidenced by their statements that Adrian is always in a bad mood; divorced; single mother
V. 51
5. Current functioning:
This client shows moderate-­‐severe symptoms and has moderate-­‐severe difficulty in work and family relations. Although she is currently employed, her supervisor has suggested she take a vacation.
6. Psychosocial stressors:
Refer to Axis IV in above diagnosis
7. Short-­‐term goals:
1. Describe current and past experiences with the worry and anxiety symptoms, complete with

Similar Documents

Free Essay

Baldrige National Quality Award for Health Care Organizations

...Baldrige National Quality Award for Health Care Organizations Elaine Reeves HCA 375 – Ashford University Paula Arceneaux December 5, 2011 Quality Improvement in Healthcare Health care is something commonly visited with my family and me. Having three children in the last seven years, my family and I have had our share of hospital and medical office visits. The quality in care does not go unnoticed as I see many areas that need improvement, as well as other areas that are exemplary. One measure that many organizations utilize is continuous quality improvement (CQI). It is a structured organizational process by which personnel plans and executes a constant flow of improvements in order to provide exceptional quality healthcare (McLaughlin & Kaluzny, 2006). CQI is an approach to quality management, where traditional quality assurance is implemented and emphasizes on the systems of the organization. Aside from gaining satisfaction and confidence from patients, quality improvements of a healthcare organization (if applied successfully) can earn prestigious awards. When quality in healthcare meets government regulations and standards, and when satisfactory is met with the public and/or patients, many organizations are recognized for their achievements in quality. Some organizations are rewarded, along with their recognition, with awards reflecting their success. One such award is the Malcolm Baldrige National Quality Award. Stated in the article Four U. S...

Words: 2350 - Pages: 10

Premium Essay

Proactive Murderers Research Paper

...Reactive murderers are more emotional and unregulated than proactive murderers. Proactive murderers are classified as predatory in that they tend to plan out their violent acts. Brain scans indicate that reactive murderers show less activity in their prefrontal cortex which is the reasoning center of the brain and controls executive functioning of the brain such as problem-solving, planning and self-control. Brain scans of proactive murderers show an increase in the functioning of the prefrontal cortex that allows for the skillful lying and manipulation in their actions. Proactive murderers also possess greater language skills and have “more than a 22% increase in white matter in prefrontal cortex (synaptic connections)”. (Murderous Brains)...

Words: 698 - Pages: 3

Free Essay

On Memory and Watchmen

...Kenny Ranches Lit 193.30 In dealing with trauma, people have had different perceptions of trying to handle their situation. Some people think that they tend to face things as it is. It’s as if they are boldly charging into a hurricane of feelings and memories without anything shielding them or holding them down to the ground. Mostly, these people think of things as if they just want to get things over with. Treating memories as if it’s an object, people makes the most out of memories and then simply throws it away as if it’s something useless or dilapidated. Others try to suppress whatever memory they kept as if burying a time capsule, in a place they seldom go to, hoping that the time capsule won’t resurface by itself as time passes by. Contrary to what people usually think, memory and trauma are not objects that can be disposed; memory and trauma are things that stick to us, become dormant and subtly resurfaces in different ways. From the material, ”Remembering, Repeating and Working Through,” we see concepts the repeating and working through as ways of dealing remembering memories, especially trauma. Diving into the paper, just like familiarizing one’s self with a map, it’s best to discuss the terms that are going to be the main points before using it again and again in the paper. Repression is the conscious (or unconscious) suppression of a memory. In simpler terms, we try to hide memories, bury it and try to seal it mostly because the memory being hid is a trauma that we...

Words: 1781 - Pages: 8

Premium Essay

Exam

...charitable gifts, casualty losses, and miscellaneous deductions. 3. Describe the concept of a 7.5% floor for medical deductions. Answer: The 7.5% floor means that medical expense deductions are not allowed until the total medical deductions exceed 7.5% of AGI. Thus, medical expenditures, net of insurance reimbursements, must be substantial in order to gain any tax benefit. 4. Can an individual get a medical deduction for a capital improvement to their personal residence? If so, how is it calculated? Answer: For medical capital expenditures that improve the taxpayer's property, the deduction is available only to the extent that the medical expenditure exceeds the increase in the FMV of the residence. 5. What are the general requirements for a medical expense to be considered deductible? Answer: Medical expenses are allowed as itemized deductions to the extent the expenses exceed 7.5% of adjusted gross income and are not be reimbursed. Qualified medical care expenses include amounts paid for the diagnosis, cure, mitigation, treatment, or prevention of disease or for the purpose of affecting any structure or...

Words: 5451 - Pages: 22

Premium Essay

The Darjeeling Limited: The Stages Of Suffering

...The Darjeeling Limited (2007) features Owen Wilson, Adrian Brody, and Jason Schwartzman as Francis, Peter, and Jack Whitman, three brothers who have not spoken to each other in the year following their father’s death. As a way to reconnect and experience a spiritual journey, the brothers take a train ride across India, and with this train ride, there is created a liminal space through which the brothers embark on their passage through grief. Each of the brothers has his own problem that he is unable to overcome: Francis attempted suicide by riding his motorcycle into a ditch, Peter is about to hesitantly become a father, and Jack is consumed by the thought of his ex-girlfriend. Each of these problems is only exacerbated by their evident inability...

Words: 1537 - Pages: 7

Free Essay

Developing a Public Relations Plan

...Developing a Public Relations Plan, Part 1 Candy Morris The Practice of Public Relations Professor Andrea Benjamin October 14th, 2015 The NFL 1. State the name of the organization and describe its mission and purpose. The nonprofit organization I chose to research is the National Football League. Mission To provide our fans, communities and partners the highest quality sports and entertainment in the world, and to do so in a way that is consistent with our values. (NFL – Careers) Purpose Every member of the NFL community embraces our unique leadership role in society and assumes the trust, character, and responsibility that comes with that role. We bring fans and communities from all walks of life together to celebrate a game that is constantly evolving, balancing the authenticity of tradition with the power of innovation. (NFL – Careers) 2. Explain in detail the facts of the event that generated the negative publicity and why this situation would create negative publicity. Adrian Peterson was supposed to play at Lambeau Field on Oct. 2. Instead, the running back is on the excused list following an indictment by a grand jury on a charge of negligent injury to a child. This case generated negative publicity because, in Texas, parents are entitled to discipline their children as they see fit, except when that discipline exceeds what the community would say is reasonable. The team disbands him the following weekend till further investigation. They...

Words: 1492 - Pages: 6

Premium Essay

Eliminating Malaria

...Eliminating Malaria Brown 1 Malaria was first discovered in ancient times. The cause of Malaria was discovered by French scientist Alphonse Laveran in 1880 and 20 years later the type of mosquito responsible for the transmission was discovered by scientists in Italy and India. There is no malaria vaccine that has been proven to be effective and researchers all over the world are working to find a vaccine that will eventually eliminate malaria. Despite the obstacles, they are optimistic that a vaccine is in reach. Malaria is caused by a parasite called Plasmodium and it is transmitted by certain types of mosquitos. Once bitten, the parasite targets liver cells and then proceeds to target red blood cells (RBCs). According to the U.S. Department of Health and Human Services (USDHHS), “Because the malaria parasite is found in RBCs, malaria can also be transmitted through blood transfusion, organ transplant, or the shared use of needles or syringes contaminated with blood. Malaria also may be transmitted from a mother to her fetus before or during delivery” (U.S. Department of Health and Human Services 12). Malaria is very uncommon in the United States; however, it is still widespread in tropical and subtropical countries. It is mainly a problem in Central and South America, Africa, Asia, and the Indo-Pacific regions. According to Dr. Ananya Mandal: In 2010, according to the World Health Organization, there were 216 million episodes of malaria and 655,000 deaths worldwide...

Words: 2229 - Pages: 9

Premium Essay

Jobs in Science

...requirements Training Career development Employers and vacancy … Related jobs Print all pages in this section Case studies Biomedical scientist: Ann Thomas Biomedical scientist: Kathryn Owen Biomedical scientist: Roslyn Cooke Biomedical scientists work in healthcare and carry out a range of laboratory tests and techniques on tissue samples and fluids to help clinicians diagnose diseases. They also evaluate the effectiveness of treatments. Their work is extremely important for many hospital departments and the functions they carry out are wide ranging. For example, they may work on medical conditions, such as cancer, diabetes, AIDS, malaria, food poisoning or anaemia, or carry out tests for emergency blood transfusions or to see if someone has had a heart attack. Biomedical scientists can work in three areas: infection sciences; blood sciences; and cellular sciences. Infection sciences include: •medical microbiology - identification of micro-organisms causing disease and their antibiotic treatment; •virology - identification of viruses, associated diseases and monitoring the effectiveness of vaccines. Blood sciences include: •clinical chemistry - analysis of body fluids and toxicology studies; •transfusion science - determination of donor/recipient blood compatibility, ensuring blood banks are sufficient; •haematology - form and functions of blood and related diseases; •immunology - understanding the immune system and its role in combating...

Words: 9745 - Pages: 39

Premium Essay

Chemical Bed Nets

...DIVINE WORD UNIVERSITY Page | 3 Contents Title Page… ………………………………………………………………………………...........……….3 Table of Contents…………………………………………………………………………………………...4 Map of West Sepik Province……………………………………………………………………………….5 Lateral View of the study site……………………………………………………………………………....6 Acknowledgements………………………………………………………………………………………....7 Glossary and Abbreviations………………………………………………………………….......................8 Summary…………………………………………………………………………………………………....9 Introduction…………………………………………………………………………………………….10-11 Background……………………………………………………………………………….….....................11 Provincial & District Profile…………………………………………...........................................11 Aims and Objectives of the study…………………………………………………………………………12 Methods and Materials………………………………………………………………………………...12-13 Study population and sites…………………………………………………………......................12 Data collection tools……………………………………………………………………………....12 Verbal interview questionnaires…………………………………………………………………..13 Results……………………………………………………………………………………….................14-17 Figure 1-Simple & Treatment Failure malaria cases in table…………………………………….14 Figure 2- Severe Malaria & Deaths arising from in tables……………………………………….14 Figure 3-Line graph showing simple malaria cases, 2001 to 2007……………….........................15 Figure 4-Line graph showing Treatment Failure cases, 2001 to 2007………………………..15-16 Figure 5 Line graph showing Deaths arising from malaria, 2001 to 2007………....................16-17 Figure 6-Line graph...

Words: 6445 - Pages: 26

Free Essay

Coporate Social Responsibility

...The Corporate Social Responsibility: A Review of Literature Yassin H. Yassin UNDP, Riyadh, Saudi Arabia November 2005 Introduction Business organisations strive to survive by the efficient use of the factors of production and other facilities of the society. This process puts organizations in an interdependent relation with the government, the community at large and the environment. Such interdependence gives rise to a series of broader responsibilities to society in general (Mullins, 2005). Mullins further illustrates that the social responsibilities are both internal and external to the organisations. Presently, there is an increasing concern with the social responsibilities of organisations. This is reflected in part by the extent of government action and legislation on such matters as, for instance, employment protection, equal opportunities, company’s acts, consumer law, product liability and safeguarding the environment (Mullins, 2005). Based on this the social responsibilities of organisations have turned into a legal requirement. Business Stakeholders Palmer and Hartley (2002) argue that business organisations should act in a socially responsible manner for two self-evident reasons: one philosophic and the other pragmatic. Philosophically, models of a responsible society require organisations to do their part along with the family and other social institutions (the schools, the religious institutions, etc.). Pragmatically, organisations...

Words: 1682 - Pages: 7

Free Essay

The Corporate Social Responsibility: a Review of Literature

...The Corporate Social Responsibility: A Review of Literature Yassin H. Yassin UNDP, Riyadh, Saudi Arabia November 2005 Introduction Business organisations strive to survive by the efficient use of the factors of production and other facilities of the society. This process puts organizations in an interdependent relation with the government, the community at large and the environment. Such interdependence gives rise to a series of broader responsibilities to society in general (Mullins, 2005). Mullins further illustrates that the social responsibilities are both internal and external to the organisations. Presently, there is an increasing concern with the social responsibilities of organisations. This is reflected in part by the extent of government action and legislation on such matters as, for instance, employment protection, equal opportunities, company’s acts, consumer law, product liability and safeguarding the environment (Mullins, 2005). Based on this the social responsibilities of organisations have turned into a legal requirement. Business Stakeholders Palmer and Hartley (2002) argue that business organisations should act in a socially responsible manner for two self-evident reasons: one philosophic and the other pragmatic. Philosophically, models of a responsible society require organisations to do their part along with the family and other social institutions (the schools, the religious institutions, etc.). Pragmatically, organisations have to take account...

Words: 1682 - Pages: 7

Premium Essay

Rb Annual Report

...ttIT WO RK S! Annual Report and Financial Statements 2008 If it ain’t broke, make it better. The mark of an effective strategy and the test of the talent of your people is whether they carry on delivering the results when conditions worsen. So while 2008 was a challenging year, the results for our shareholders show that continuing with our core strategy, while flexing our execution in the changing circumstances, was the right thing to do. Bart Becht Chief Executive Contents 1 Chief Executive’s Statement 4 Portfolio strategy 6 Finish: innovation drives the Powerbrands 7 Vanish: when less is more 8 Mucinex: it’s our latest Powerbrand 9 French’s: no mess, no waste 10 Our people 11 Sustainability 12 Board of Directors and Executive Committee 14 Chairman’s Statement 15 Business Review 2008 24 Report of the Directors 30 Directors’ Remuneration Report 36 Independent auditors’ report to the members of Reckitt Benckiser Group plc 37 Group income statement 37 Group statement of recognised income and expense 38 Group balance sheet 39 Group cash flow statement 40 Notes to the accounts 71 Five year summary 72 Parent company – independent auditors’ report to the members of Reckitt Benckiser Group plc 73 Parent company accounting policies 74 Parent company balance sheet 75 Notes to the parent company accounts 80 Shareholder information 2 Reckitt Benckiser 2008 CHIEF EXECUTIVE’S STATEMENT £6,563m +25% our net revenue in 2008 growth...

Words: 50656 - Pages: 203

Free Essay

Problems of Hrm Students in Finding a Hotel Establishment

...Problems met by Our Lady of Fatima University BS-HRM students in finding a hotel establishment for Practicum 2 SY 2012-2013 A Thesis Proposal Presented to the Faculty of the College of Hospitality and Institutional Management Our Lady of Fatima University In Partial Fulfillment of the Requirements for the Degree of Bachelor of Science In Hotel and Restaurant Management Binlayo, Jhasper G. Adel, John Christian R. Sarmiento, Jeffrey P.\ Manzano, Adrian Rome Taoingan, Jan Iam Guido March 2013 CHAPTER I The Problem and Its Background 1.1 Introduction Early times were all on the job training. It would usually take an entire village to learn how to construct a shelter, when one moved one, he taught his skills to others. It can be an effective training method or it can cause many problems by not providing the skills and knowledge needed by the workers. On-the-job training program is a requirement of a student in every university. This is a stepping stone to serve as an experience for their chosen careers. The focus of this field problem is to know what problems are encountered by HRM students when finding an establishment for their practicum 2 as part of their curriculum. 1.2 Background The researchers came up with the idea of researching about the problems met by Hotel and Restaurant Management students from Our Lady of Fatima University when finding an establishment so that we, as a student who doesn’t have any experiences about field training will...

Words: 2622 - Pages: 11

Free Essay

Vampire

...PRAISE FOR AUTHORS Merline Lovelace “Merline Lovelace’s Mind Games is an exciting and skillfully told tale.” —RT Book Reviews Lori Devoti “Lori Devoti provides yet another action-packed mythological tale.” —RT Book Reviews on Wild Hunt Linda Winstead Jones “Raintree: Haunted, by Linda Winstead Jones, is nonstop action from start to finish.” —RT Book Reviews Lisa Childs “In Childs’s gripping tale…there are some surprising twists.” —RT Book Reviews Bonnie Vanak “Bonnie Vanak’s Enemy Lover offers nonstop excitement and great sexual tension.” —RT Book Reviews CHRISTMAS WITH A VAMPIRE Merline Lovelace Lori Devoti Linda Winstead Jones Lisa Childs Bonnie Vanak CONTENTS A CHRISTMAS KISS Merline Lovelace ABOUT THE AUTHOR CHAPTER ONE CHAPTER TWO CHAPTER THREE CHAPTER FOUR CHAPTER FIVE CHAPTER SIX CHAPTER SEVEN THE VAMPIRE WHO STOLE CHRISTMAS Lori Devoti ABOUT THE AUTHOR CHAPTER ONE CHAPTER TWO CHAPTER THREE CHAPTER FOUR CHAPTER FIVE CHAPTER SIX CHAPTER SEVEN CHAPTER EIGHT CHAPTER NINE CHAPTER TEN CHAPTER ELEVEN SUNDOWN Linda Winstead Jones ABOUT THE AUTHOR CHAPTER ONE CHAPTER TWO CHAPTER THREE CHAPTER FOUR CHAPTER FIVE EPILOGUE NOTHING SAYS CHRISTMAS LIKE A VAMPIRE Lisa Childs ABOUT THE AUTHOR CHAPTER ONE CHAPTER TWO CHAPTER THREE CHAPTER FOUR CHAPTER FIVE CHAPTER SIX CHAPTER SEVEN CHAPTER EIGHT CHAPTER NINE UNWRAPPED Bonnie Vanak ABOUT THE AUTHOR CHAPTER ONE CHAPTER TWO CHAPTER THREE CHAPTER FOUR CHAPTER FIVE CHAPTER SIX CHAPTER SEVEN CHAPTER EIGHT CHAPTER NINE...

Words: 112350 - Pages: 450

Premium Essay

Rb Annual Report

...Annual Report and Financial Statements 2011 Innovating for a healthier future Contents 1 Chairman’s Statement 2 Chief Executive’s Statement 10 Business Review 2011 18 Board of Directors and Executive Committee 19 Report of the Directors 22 Chairman’s Statement on Corporate Governance 23 Corporate Governance Report 28 Statement of Directors’ Responsibilities 29 Directors’ Remuneration Report 36 Independent Auditors’ Report to the members of Reckitt Benckiser Group plc 37 Group income statement 37 Group statement of comprehensive income 38 Group balance sheet 39 Group statement of changes in equity 40 Group cash flow statement 41 Notes to the financial statements 75 Five-year summary 76 Parent company – Independent Auditors’ Report to the members of Reckitt Benckiser Group plc 77 Parent company balance sheet 78 Notes to the parent company financial statements 84 Shareholder information b 2011 Chairman’s Statement The Board was unanimous in its choice of Rakesh as he has the necessary drive, strategic thinking and operational experience, coupled with an intimate understanding of and capability to continue to grow Shareholder value. His close involvement in the drivers of success at RB and significant achievements to date were reassurance that the excellent performance for which the Company has become renowned was set to continue. That has been demonstrated with the 2011 results. The Board would like to sincerely thank Bart for his outstanding leadership over all...

Words: 55667 - Pages: 223