Agency Info
What does GBC stand for?
What is Greater Cincinnati Behavioral.
What is the client seeking services?
Seeking services to get help with the grief of losing her husband around three years ago.
What is the primary diagnosis for this client?
F33.1 Major Depressive Disorder with Anxious Distress (Primary)
Identify one of the treatment goals Hannah has been working on with the client?
1. Learn to reduce depression, anxiety symptoms related to the loss of her husband.
2. Reduce the amount of alcohol consumption.
What is the theoretical approach that Hannah uses with this client?
Cognitive Behavioral Therapy (CBT) and some Dialectical Behavioral Therapy (DBT)
What is GCB?
A behavioral healthcare agency and is one of the largest providers in the Cincinnati area.
What symptoms did the client report experiencing at intake?
The client reports that she feels like something bad is always going to happen, struggling to fall asleep and would stay awake until 7 am.
What are the secondary diagnoses for this client?
F41.1 Generalized Anxiety Disorder (secondary)
F10.10 Alcohol Use Disorder: Mild (Secondary)
Why is the client eventually leaving Hannah's caseload?
1. Hannah is graduating with her MSW in May. (YAY!)
2. Client was referred to another agency for medication purposes and is not able to receive medication management only, so the client has to also been seen by the clinician, who happens to be her previous provider.
The client has experienced a lot of loss and grief, which close family members have passed away?
Husband
Twin Sister
Mother
Father
What type of method does Hannah use to provide therapy?
What is telehealth through Zoom
What medication did the doctor prescribe her for sleep?
What is Trazadone.
List the symptoms the client experiences in order to meet the criteria for Mild Alcohol Use Disorder?
Alcohol is often taken in larger amounts or over a longer period of time than was intended.
Continued to use alcohol despite having persistent or recurrent social or interpersonal problems caused by exacerbated by the effects of alcohol.
What is one objective that Hannah is working on with the client related to the treatment goal: learn to reduce depression and anxiety symptoms related to the loss of the client's husband?
1. Complete daily journals and report to the therapist
2. Engage in hobbies (painting, drawing, dog training)
3. Learn 2-3 healthy coping skills to reduce depressive symptoms.
Who is the person she met before her husband passed away?
That the client's husband had a son when he was a teenager that he was not aware of.
What type of services does GCB offer/provide to clients?
Counseling Services
School-based Services
Educational and Prevention Programs
Employment Services
Mental Health Services
Integrated and Psychiatry Care
Services for the homeless
Why was the client upset with Hannah once Hannah informed the client she was a student?
Because she was going to be "tossed" around again
List the symptoms the client experiences in order to meet the criteria for Generalized Anxiety Disorder?
Criteria A: excessively worrying about life events more days than not in the last six months.
Criteria B: unable to control her worries
Criteria C: restlessness and sleep disturbances
Criteria D: significant distress on social functions
Criteria E: the client reports having anxiety her entire life
What is the DBT skill opposite emotion/action mean?
In DBT, the opposite action skill is a deliberate attempt to act opposite of your emotional urge.
Name one ethical consideration Hannah discussed in her case presentation?
Competence, Hannah making sure she practices within her competence/skillset.
HIPPA (living in the same area as the client)
What is GCB's mission statement?
To ensure people with mental illness, addiction, and related challenges lead healthy and productive lives.
What did the client go to the emergency room?
Suicidal ideations, the client reported having a bad day, have been drinking throughout the day, and she cut her wrist with a knife.
List three out of the six symptoms this client experiences for meeting the criteria for Major Depressive Disorder?
Depressed mood most of the day
Diminished pleasure in most activities
Fatigue or loss of energy
Insomnia
Feeling worthlessness and excessive guilt
Thoughts of death and suicide
What skills has the client implemented?
Deep breathing
Attempting positive self-talk for herself
Painting
Drawing
Staying busy completing projects at home
Opposite Action
What positive changes has the client made as well as Hannah been noticing in sessions?
Hannah has noticed an improvement in the client's positive thoughts. The client is having less guilt for things that are out of her control, utilizing coping skills such as opposite action, and the client states she can tell things are starting to look up for her.