Homework: Assessing Clients
Patient is 59 years old African American male who was admitted to the long term due declining in health. Patient is alert and verbally responsive. He was admitted with diagnosis of Mood disorder, depression and Bipolar disorder. Patient on the following medications: Risperdone 0.5mg 1 tab PO at bedtime. Depakote 250mg 3tabs PO at bedtime. Patient reported that he is feeling great today. Patient was seen by the psychiatrist in February and no medication reduction was recommended. Patient was encourage to not refused his medication and report any unusual feelings.
o Assess clients presenting for psychotherapy
o Develop genograms for clients presenting for psychotherapy
To prepare:
o Select a client whom you have observed or counseled at your practicum site.
o Review pages 137-142 of the Wheeler text and the Hernandez Family Genogram video in the Learning Resources. Reflect on elements of writing a Comprehensive Client Assessment and creating a genogram for the client you selected.
Task
Part I: Comprehensive Client Family Assessment
With this client in mind, address the following in a Comprehensive ClientAssessment (without violating HIPAA regulations):
• Demographic information
• Presenting problem
• History or present illness
• Past psychiatric history
• Medical history
• Substance use history
• Developmental history
• Family psychiatric history
• Psychosocial history
• History of abuse/trauma
• Review of systems
• Physical assessment
• Mental status exam
• Differential diagnosis
• Case formulation
• Treatment plan
Part II: Family Genogram
Prepare a genogram for the client you selected. The genogram should extend back by at least three generations (great grandparents, grandparents, and parents).
Format your homework according to the give formatting requirements:
• The answer must be using Times New Roman font (size 12), double spaced, typed, with one-inch margins on all sides.
• The response also includes a cover page containing the student's name, the title of the homework, the course title, and the date. The cover page is not included in the required page length.
• Also include a reference page. The references and Citations should follow APA format. The reference page is not included in the required page length.