Assignment task: Please help me with this case study answer the question below
This is a 60-year-old white divorced male, currently employed, businessman, initiating therapy 6 weeks after the death of his 24-year-old son. He lives in the Lincolnshire, Illinois area and reported that he earned an above average income from his work as an insurance executive. The client owns his own home.
The client reported no other current medical problems, except high cholesterol for which he is taking Lipitor. He sees his primary care doctor once per year. Otherwise, he reports is in good health. He was oriented to time place and person and showed no delusional or hallucinatory symptoms. He was well groomed and dressed in formal business attire. He was coherent, open and cooperative, but tearful during the interview.
Since his divorce he had few social contacts. However, he is involved with a girlfriend whom he met at work. His wife left him confessing to an affair several years ago. She has since remarried. The client says he use to attend Catholic church with his family but stopped after his divorce. He believes the church had let him down and wondered how God could have allowed his wife to be unfaithful to him.
The man's son lived independently. He had struggled with major depression and substance abuse. The son had one earlier treatment experience -paid for by the client- but soon relapsed. He was found by the police on a wellness check, surrounded by several empty pill bottles and in incoherent suicide note. Mr. Quinn had been very close to his troubled son especially after his divorce 10 years ago. He immediately felt crushed, like his life had "lost its meaning." In the ensuing weeks he had constant images of his son and was obsessed with how he might have prevented further substance abuse and the eventual suicide.
He worried that he had been a bad father, that he had spent too much time on his own career and too little time with his son. He felt constantly sad and withdrawn from his usual social life and was unable to fully concentrate on his work. Although he had never previously drank alcohol - at least more than a few classes of wine per week - he increased his use to half a bottle of wine each night. At the time, his girlfriend told him that he was struggling with grief and that such a reaction was normal.
Now that it was six weeks after the suicide, his symptoms had worsened. Instead of thinking what he might have done differently he became preoccupied with the thought that he should have been the one to die, not his young son. He continued to have trouble falling asleep, but he also tended to awake at 4:30 AM every morning. He just stared at the ceiling feeling overwhelmed with fatigue, sadness, and feelings of worthlessness. These symptoms improved during the day, but he also felt a persistent and uncharacteristic loss of self-confidences, sexual interest and enthuiasism. He is wondering if he had normal grief or depression.
Mr. Quinn had a history of two prior depressive episodes that improved with psychotherapy and antidepressant medication. He has not had a significant depressive episode since his mid-50s when his wife had left him. He denied a history of alcoholism or substance abuse. Both of his parents had been depressive but never sought treatment. There may have been other uncles and aunts who suffered from depression. He recalls one of his now deceased aunts may have had a suicide attempt and received ECT for depression many years ago. The family was very embarrassed about this aunt and her condition. The family shame led to a paucity of details being available concerning her illness.
1. Activities of daily Lining: Eating, drinking, self-care, judgement, ambulation, etc.
2. Social Functioning: What are relationships like?
3. Family: Couple and family issues
4. Vocational Functioning: How is job going? What is occupation?
5. Recreation: How is free time spent?
6. Spirituality issues: Religious or spiritual orientation? How important?
7. Other relevant cultural issues: Member of any relevant cultural group and how this my influence treatment or resistance
8. Notable client strengths: Be sure to ask about the client's perceptions of their own strengths as well as putting forth you thoughts.
1. Summary: A brief narrative summarizing all the facts which are leading you to make the Dx and recommendations. Need Online Assistance?
2. Diagnostic Impression (DSM-5 TR): DX + Brief /abbreviated criterion and how the client meets them
3. Recommendations: Suggestions for future care