Social Science

Topic 4: Meredith Case Study and Worksheet

Directions: This worksheet contains two parts. First, read the following case study below for Meredith. After reading the case study, answer each of the questions listed beginning on page 2.

Part 1: Case Study

Meredith is a 24-year-old female who comes to the community counseling office where you work as a newly hired mental health counselor. On her intake form, she provided the following information, which is based on her answers to the questions on this form.

Birthdate: 1/22/1980

Home: Whiting, MA

Race: Caucasian

Current job: Assistant to the activities director at a nursing home

Parents: Married, both living, Leek, MA

Father: Works full-time as a business manager

Mother: Works part-time as an office clerk

Parents’ histories: Father – heavy use of alcohol, two heart attacks; mother – use of prescription opiates for back pain.

Siblings: Meghan, 22, who is employed full-time in the publishing industry in New York City; Molly, 20, engaged to be married, still in college; Sarah, 18 (Meredith reported during her first session that this sister is “acting weird, washing her hair constantly, scared to go outside, almost seems afraid of everyone and thinks everyone is talking about her – she refuses to go to high school”), and Brian,12, who lives at home.

Medical history: Migraines? [she writes a question mark after migraines], menstrual problems [she writes in “serious cramps”]

Mental health history of patient: None

Substance use history of patient: First use of alcohol during first year of college; drinks during celebrations and weekend parties, uses alcohol to help with sleep. Medications: None, “but I think I need sleep medication” [client’s words]

Sexual History: [client left questions related to sexual activity blank]

Extended family information: Uncles on Father’s side are two “alcoholics?” [she writes the question mark after the term alcoholics]; father’s sister was hospitalized for a mental disorder for two years; “maternal grandmother – early death, question of alcohol use.”

What prompted you to make this appointment? Meredith writes: “can’t sleep, eat, and my work is suffering because I can’t think…. I am stressed out…feeling out of control.”

Part 2: Worksheet

1. [Add your answer here]Based on what the clinician has learned during the intake, what are some of the symptoms a clinician should look for, or ask about when working with this client during the initial sessions? Explain each symptom.

2. [Add your answer here]What other historical information might a counselor want to ask about?

3. [Add your answer here]What might a clinician want to know about Meredith’s alcohol use and why? Having this knowledge what might this tell the clinician about Meredith’s motivation for treatment?

4. [Add your answer here]What might a clinician want to know about her eating, sleeping, and stress, and why?

5. What biomedical, emotional, behavioral, and cognitive conditions would the clinician want to explore when working with this client? Explain why.

[Add your answer here]

6. If Meredith reported that her friends have said that she is “crazy, talking too fast, hyperactive, and unable to pay attention,” what possible diagnoses would you relate to these symptoms? Could Meredith be suffering from a substance-induced disorder? Explain.

[Add your answer here]

7. How would the clinician determine if Meredith was experiencing a co-occurring disorder or a single diagnosis?

[Add your answer here]

8. Meredith explains in a future appointment that she is in love with Andy, but is scared that her parents will not like this person. She states that she feels stressed out about someone finding out how much she loves this person. It is noticeable that Meredith is not using pronouns. What other issues might a counselor want to explore? How does this interact with the diagnosis, or does it?

[Add your answer here]

9. What are the treatment strategies that you might employ with Meredith? Why?

[Add your answer here]

© 2017. Grand Canyon University. All Rights Reserved.

© 2018. Grand Canyon University. All Rights Reserved.

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