Week 2-Family Assessment and Psychotherapeutic Approaches Please see the instructions attached. Assignment instructions Week 2 information – Family Assessment and Psychotherapeutic Approaches Rubric Please see below the required readings links and textbooks: Therapist Aid. (2012–2020). Genograms for psychotherapy. https://www.therapistaid.com/therapy-guide/genograms Nichols, M., & Davis, S. D. (2020). The essentials of family therapy (7th ed.). American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.) Videos: Gehart, D. R. (2013, August 29). Progress note [Video]. YouTube. https://www.youtube.com/watch?v=CEB1vBObUqc Masterswork Productions. (2003). Mother and daughter: A cultural tale [Video/DVD].
Week 2-Family Assessment and Psychotherapeutic Approaches
Patients: AB
Gender: Female
Ethnicity: Iranian American
Ages: 40 years
Subjective
Chief Complaint: The mother complains that she is lonely, and this has led to depression. She states that she is in pain after her surgery and wants to spend more time with her family. The daughter, however, states that she wants her mother to lower her expectations and accept children as independent beings who want to live their own lives. She complains that her mother is not allowing her to do her things. She further narrates how she hates her mother’s house because of the dogs that are there. The dogs leave hair on her body, and she does not like it. The dogs make her uncomfortable in her mother’s house.
HPI: The patient is a 40-year-old Iranian American female accompanied by her 23-year-old daughter, whom their therapist has referred for evaluation. The therapist has been treating this family for complex issues that they are facing. The reasons causing trauma to the mother are difficulty adjusting to life in America from Iran and the abusive marriage that she was in with her husband. The husband also raped her daughter, which has destroyed the relationship between her children and her husband. The mother left Iran with her four children but left one behind who was raped by her husband. The chaos started two weeks after the raped child came back from Iran. The child blamed her mothers for her woes. The daughter complains about the lack of privacy. Her mother wants to be all over her business. She wants to control her life. The mother is disabled due to illness, which makes her dependent and hence causes her trauma. The dynamics in this case study are complex. There are many inter-family conflicts present.
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Past Psychiatric History: The mother reports that she gets depression when she is lonely. However, there is no confirmed diagnosis of depression. The patient denies suicidal tendencies. There is no history of any psychiatry or psychiatry hospitalizations.
Hospitalizations: The patient denies any mental hospitalizations.
Previous psychiatric diagnosis: No current psychiatric diagnosis, but the mother is under psychotherapy due to her hopelessness.
Substance Current Use and History: The patient denies tobacco, smoking, alcohol, or illicit drug use.
Family Psychiatric/Substance Use History: There is no history of substance abuse or mental illness.
Psychosocial History: Patients immigrated from Iran 12 years ago. The mother lives with her two sons, while the daughter lives alone. The daughter does promotional jobs. The occupation and education level of the patients are not mentioned. The patient has five children. She left her husband in Iran. The patient has a history of abuse by her husband.
Medical History: The mother had two surgeries done on her foot.
Current medications: The patient is on medications for her hopelessness.
Allergies: Unknown
Reproductive: Mother lives alone. Husband is in Iran. She is not sexually active.
Review of Systems
General: The patient states that she has fatigue and tiredness. The patient denies any night sweats, fever, or chills.
HEENT: Head is autramatic and normocephalic. The patient denies double vision or changes in sight. Both patients deny ear pain, vertigo, and hearing loss. The patient denies sinusitis or nasal congestion. The patient denies throat pain or soreness of the throat.
Skin: The patient denies moles, skin rashes, or any tattoos.
Cardiovascular: Patient denies peripheral oedema or chest pain
Respiratory: Patient denies laboured breathing, wheezing, shortness of breath, and coughing.
Gastrointestinal: Denies abdominal pains, anorexia, nausea, or diarrhoea.
Genitourinary: Denies abnormal vaginal discharge, hematuria, or urinary frequency.
Musculoskeletal: Denies joint pain. The mother has limited mobility due to surgery on both legs.
Hematologic: Denies easy bruising or anaemia.
Lymphatics: Denies swollen lymph nodes.
Endocrinology: Denie