Reference no: EM133681423
CASE: Marsha
Marsha is a 32-year-old client that you are seeing for the first time. She presents unkempt in appearance and says, "I don't usually look like this, but I haven't slept." Her eye contact is poor, she sits with her head down, and wrings her hands.
Client history includes physical & emotional abuse by stepfather during her childhood. Suicide attempt at age 12 and ongoing treatment through age 17 with varied response to medications.
Marsha was previously seen once 6 weeks ago and was treated at that time by another clinician who is no longer at the clinic. Previous records indicate that she had sought treatment for panic and insomnia, had not taken medications for several years prior to the intake date, and was started on the follow medications: Lexapro 10mg, mirtazapine 15mg, melatonin 5mg, and Risperdal 2mg.
Marsha reports that she has not been sleeping well and feeling more anxious than before she started taking the medications. She relates that she has stopped all the medicine and is having a hard time coping. She reports she is not able to sleep and is anxious all of the time with increasing bouts of panic which has increased over the last week. She reports that she had been helped in the past by a medication that starts with a "k".
Towards the end of the session you become aware of a bandage around her left arm. When she is asked about the bandage, she offers the following information: " We don't live in the best place. Last week our house was broke into by a man with a knife...I was finally able to push him out the door but he cut me with the knife...I was so scared for my kids and me...We have everything packed up in boxes and are trying to find someplace else to go."
Based on this case study respond to the following questions:
- List the pertinent information/data from the assessment in each paragraph.
- Identify 2 top priority treatment issues for this client.
- Discuss appropriate treatment options including psychosocial, psychopharmacological as well as psychotherapeutic treatment plan to address these 2 priority problems for this client.
- Support your responses with a minimum of 2 evidence-based articles.
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: List the pertinent information/data from the assessment in each paragraph. Identify 2 top priority treatment issues for this client.
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