Reference no: EM133731912

Question

Mr. B is a 46-year-old man who comes into clinic to follow-up on multiple uncontrolled medical problems including diabetes, hypertension, obesity, depression and sleep apnea. He is unemployed and is currently homeless, though had been sleeping regularly on a friend's couch. He and the friend have been getting into some arguments and he does not feel comfortable staying there anymore, so is sleeping in his car. On further discussion the patient shares that he lost his last job due to recurrent conflict with a co-worker. He shares his frustration that "everyone is out for me because they're racist." On several occasions he has yelled at the personnel at the front desk when he was unable to get the assistance or appointment he needed. He was seen by a counselor in clinic for his depression, but this also ended in an episode of Mr. B becoming angry and security being called. He has been banned from one of the specialty clinics where he had been referred after a confrontation with staff there. He wonders why he is always getting kicked out of places and feels he has cause and a "right" to be angry. Though he seeks ongoing care, he does.