Eliza and alcohol intake
In this case, we shall focus on a young female adult known as Eliza, who is currently undergoing counseling processes. She is finding it difficult to make friends and has been sent to treatment due to drinking alcohol on campus. Eliza’s initial intake she makes off anxiety/stress and low self-esteem as her presenting problems. This paper will discuss the client Eliza and initial treatment plan being put in place including her diagnosis, the use or two cross-cutting measures and possible referrals the professional can provide. Part One: Intake Professionals use the cross-cutting measure to measure the individual’s mental health domains, this is later used to help determine a diagnosis. The CCM-1 has 13 psychiatric domains that all focus on different areas of the person’s life including depression, anger, anxiety, suicidal ideations, sleep problems, substance use plus more (Bastiaens & Galus, 2018). This tool can help identify certain areas within the individual’s life that may need more attention in this case, it seems like. Eliza is avoiding situations that make her anxious and she is unsure what she wants out of life at this time; Eliza could use direction and coping skills to help her enter situation that would normally make her anxious. Eliza is having a decrease in motivation, troubles building outside relationships and anxiety; however, she denies and depressed mood or loneliness. From the CCM-1 one may want to consider looking into what is keeping Eliza from being depressed nor lonely since she is having the issues with relationships and sleep. One will also want to discuss what situations cause Eliza to become anxious and why she specifically chooses to avoid these certain situations. This can also lead to the conversation of coping skill and what Eliza has used already. Eliza is also not feeling close with others, which can stem from other relationship issues or history of abuse. One will want to consider having a deeper conversation about Eliza’s past relationships and her family dynamic. Lastly, the trouble sleeping can be linked to or be
ELIZA INITIAL TREATMENT 2 causing many of her problems, this is worth looking into and getting a better understanding of what is causing Eliza’s lack of sleep
Part 2: Biopsychosocial Assessment
The Psychosocial Assessment is an important document, which sets up the foundation for the future work. Through observations and clinical interview, the counselor is able to develop a descriptive assessment to understand the client’s experiences and assist the diagnostic process. Part 1: The client, Eliza, is an 18 years old, Caucasian female student at City University. At the first session, the client was provided with an intake document to complete. The client provided limited information. From the information she did provide, she revealed that she is experiencing anxiety and/or stress and has low self-esteem. She disclosed that she has an okay relationship with her mother Joan who is an elementary school teacher and that she has a good relationship with her father Burt who is a truck driver. The client is not in treatment voluntarily. In order to complete the psychosocial assessment this counselor requested that the client complete the Level-01Cross-Cutting Measure (CCM-1). The CCM-1 will be used as an initial screening tool to later assist this counselor in identifying symptoms in (a) specific diagnosis(s). The completed CCM-1 showed that the client is experiencing mild anxiety and should complete, DSM-5 Level 2 Cross-Cutting Symptom Measure-LEVEL 2-ANXIETY-Adult (PROMIS Emotional Distress- Anxiety-Short Form) (American Psychiatric Association, 2016). To assist in completing the assessment this counselor would request that both parents complete the Personality Inventory for DSM-5-Informant Form (PID-5_IRF)-Adult (American Psychiatric Association & American Psychiatric Association, 2013). Due to the client’s reluctance providing information, and not attending treatment voluntarily, this counselor believes the information provided would be beneficial in creating a clearer understanding of the client and her presenting issues.
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