Question Answered step-by-step CC (chief complaint): “HPI: Past Psychiatric HistoryPsychotherapy or Previous Psychiatric Diagnosis: I like to learn to live on my own and not depend on the kids.” A 40-year-old female (Patti) and her five children (Sheela age 24, Sharleen aged 23 and present today, Shireen age 21 recently reunited with family, Armin Jr. age 18, and Sam age 15), of Iranian descent, has been in individual and family therapy for the last 18 months. Patti came to the clinic related to chaos in the home after her daughter was finally reunited with the family after ten years. The family initially had rejoiced and celebrated, and after a few weeks, Shireen began to tell her mother and siblings the emotional, physical, and sexual abuse at the hands of her father. She blamed and felt abandoned by her mother. Patti needed necessary surgery to both her feet after an injury, that has now left her disabled and with chronic pain. The additional burden of surgery and disability has increased tension and stress in the home. Patti lives with her two sons; her daughters live on their own. Shireen recently moved out, marrying someone the family does not know, with little contact. Mother speaks and sees Sheela and Sharleen daily. Patti has increasingly felt alone, depressed, hopeless, and helpless wanting her daughters to stay and help her at her home. A psychiatric provider has been referred for a medication evaluation. : General Statement: Patti and her family began therapy 18 months ago after daughter Shireen reunited with the family after 12 years of separation. Shireen shared significant abuse she experienced, learning the trauma she went through brought on many emotions of the family including blame, guilt, shame increasing stress on the family.Patti has been receiving individual and participated in family therapy over the last 18 months. Shireen came once and has stopped attending and refuses to continue at this time. The family has come to therapy together five times, to heal and move on together. Patti had surgery in the last 6 months and is no longer able to work related to the deteriorating condition of her feet that arthritis has caused. This has led to being unable to work at home often alone. She is experiencing being independent and providing, what she has done for so long. This has caused stress, increased anxiety, and depression for Patti. Therapy over the last several months has also uncovered differences in the bicultural situations. Patti is wanting the care provided to her as in the Iranian culture, where she is dependent on her children. The children living in America for the last 12 years are more Americanized and have adapted to the culture, with their own lives leaving less time for Patti.=========================================================================• Differential diagnoses—Include a minimum of three differential diagnoses and include how you derived at each diagnosis in accordance with DSM-5 diagnostic criteriaCase formulation • Treatment plan that includes psychotherapy interventions A psychotherapy genogram for the family Health Science Science Nursing NRNP 6645 Share QuestionEmailCopy link Comments (0)

Question Answered step-by-step CC (chief complaint): “HPI: Past Psychiatric HistoryPsychotherapy or Previous Psychiatric Diagnosis: I like to learn to live on my own and not depend on the kids.” A 40-year-old female (Patti) and her five children (Sheela age 24, Sharleen aged 23 and present today, Shireen age 21 recently reunited with family, Armin Jr. age 18, and Sam age 15), of Iranian descent, has been in individual and family therapy for the last 18 months. Patti came to the clinic related to chaos in the home after her daughter was finally reunited with the family after ten years. The family initially had rejoiced and celebrated, and after a few weeks, Shireen began to tell her mother and siblings the emotional, physical, and sexual abuse at the hands of her father. She blamed and felt abandoned by her mother. Patti needed necessary surgery to both her feet after an injury, that has now left her disabled and with chronic pain. The additional burden of surgery and disability has increased tension and stress in the home. Patti lives with her two sons; her daughters live on their own. Shireen recently moved out, marrying someone the family does not know, with little contact. Mother speaks and sees Sheela and Sharleen daily. Patti has increasingly felt alone, depressed, hopeless, and helpless wanting her daughters to stay and help her at her home. A psychiatric provider has been referred for a medication evaluation. : General Statement: Patti and her family began therapy 18 months ago after daughter Shireen reunited with the family after 12 years of separation. Shireen shared significant abuse she experienced, learning the trauma she went through brought on many emotions of the family including blame, guilt, shame increasing stress on the family.Patti has been receiving individual and participated in family therapy over the last 18 months. Shireen came once and has stopped attending and refuses to continue at this time. The family has come to therapy together five times, to heal and move on together. Patti had surgery in the last 6 months and is no longer able to work related to the deteriorating condition of her feet that arthritis has caused. This has led to being unable to work at home often alone. She is experiencing being independent and providing, what she has done for so long. This has caused stress, increased anxiety, and depression for Patti. Therapy over the last several months has also uncovered differences in the bicultural situations. Patti is wanting the care provided to her as in the Iranian culture, where she is dependent on her children. The children living in America for the last 12 years are more Americanized and have adapted to the culture, with their own lives leaving less time for Patti.=========================================================================• Differential diagnoses—Include a minimum of three differential diagnoses and include how you derived at each diagnosis in accordance with DSM-5 diagnostic criteriaCase formulation • Treatment plan that includes psychotherapy interventions A psychotherapy genogram for the family Health Science Science Nursing NRNP 6645 Share QuestionEmailCopy link Comments (0)