Social Work Psychosocial Assessment

APRILS PSYCHOSOCIAL ASSESSMENT Referral April was non a referral client rather she did her own research afterward disembo sinkd spirit unsupported by her previous therapist. She found this practice on the Pratt set listserv as she was looking for a psychologist soaked to school. According to April, she received a diagnosing of stage three Non-Hodgkin Lymphoma five weeks past and had not told anyone c discharge to her. She wanted to talk to someone objective to figure out what go to take next. Client IdentificationDemographics April is a 23 year-old woman who currently lives on campus at Pratt Institute studying architecture and urban externalisening. Her pargonnts ar cook married and she has a 21 year-old familiar, Daniel, who has a diagnosing of Down syndrome. Her father utilise to be in the army and now works for the US surgical incision of Veterans Affairs, her mother cares for her brother. Employment/Education April is in her second year at Pratt and give ins to ove rwhelmed with current workload, yet managing to get by.She seems focused and undeterred by her presenting cater to complete her education. It is unclear if April is employed, she did not mention it. Income and Source As verbalize above, it is unclear if April is currently working, receiving financial help from her parents, or receiving government loans and bursaries. come along schooling on her sources of income may need to be clarified to attend as this could project an impact on the care avail adapted to her in the near future. However, her interest in alternating(a) medicine could mean she is not worried round finances.Living Environment The specifics of Aprils living environment are unknown. She has not tell any concerns rough her living situation. Sources of Information The information contained in this assessment was acquired in an in person appointment with April that she scheduled. No information was obtained from any other sources. Problem Definition April was di agnosed five weeks ago with stage three Non-Hodgkin Lymphoma. April stated she looking ats tired and has been experiencing iniquity sweats lately.Although, she states that she knows she has raisecer, she seems to be in denial about the severity of her illness. April has a hard fourth dimension talking about her diagnosis (she had to write it down), and seemed to be avoiding what she came to talk about although she express wanting to talk with someone objective who was not in person invested in her headspring- creation. April was previously seen by a Pratt therapist, which she stated did not go well though she found her old psychiatrist nice sufficiency, she mat up that she was only a good listener with nothing to assign.She seemed to be annoyed with the previous therapists attempts to contact her after she decided to plosive going, although she did not let her know she would not be returning. April became very antisubmarine when talking about her family, when this proleta rian asked if she felt that her brother took up closely of her mothers cartridge clip, she quickly shot the idea down. She presents as being exceedingly fencesitter, yet extremely loyal to her family. April communicated that she is falling behind on her schoolwork, she seems particularly concerned with maintaining her current life and does not appear to be fetching her diagnosis seriously.April expressed wanting to explore her other options of acupuncture, herbal tea therapies, and meditation purge though her oncologist suggested she begin chemotherapy immediately. April appears to be experiencing an internal interlocking and seems to have a hard time trusting others or communicate for help. History/Antecedents April stated that she had a cough that would not let up, as she grew tired of coughing in class she finally went to the health look to at Pratt. She was prescribed antibiotics, which did not help her cough.She had resigned herself to wait to speak to her dad, a retir ed army official now working for the US Department of Veterans Affairs. When she began experiencing darkness sweat she returned to the health center, where she was annoyed to be accused of taking victuals pills or using cocaine. After being sent to the Brooklyn hospital for a chest x-ray, a big mass was discovered behind her spine. A bone marrow biopsy was done and she was diagnosed with stage three non-Hodgkin lymphoma. It has been five weeks since Aprils diagnosis and she has not told her parents or anyone close to her.It is unclear if April is aware of the order of her illness, though she stated she knows she has cancer, she does not appear to be taking the diagnosis seriously rather she is carrying on with her life as if nothing has changed. April expressed that perhaps she does not want treatment and mayhap she would rather die than put her life in someone elses hands. It is unclear if April authentically believes that she has cancer. Past Solutions As indicated previously, April received her diagnosis five weeks ago and presents as being in denial as to the distressfulness it entails.She previously was seeing another therapist, however she did not like her and stop going after only two sessions. It is not clear as to what was discussed in these sessions, as April only said that her previous therapist was not much former(a) that her, had nothing to say, and told her the same story twice. She stated that she stopped going without telling her therapist she would not be returning and was overtly annoyed when the therapist tried to reach her many generation after, which she felt was over the top.April stated she has not yet began seeking medical examination treatment, nor has she confided in her family as to her situation for their support. April seems overly concerned with the reaction her family lead have upon receiving the news of her illness. It is likely that she is keeping this information from her family to protect them as well as to maintain her freedom. Contributing Factors Aprils diagnosis of non-Hodgkin lymphoma was not brought on by any factors determined in the session. However, Aprils fatigue and night sweats are probable symptoms of her illness.It is likely that Aprils liberty is making it hard for her to tell her family and friends about her illness. She too stated that her brothers autism took up a lot of her mothers time and that no one talks about her this could show where her independence certain from. April spoke about her new-fashioned break up with her boyfriend who she trunk good friends with but has a new girlfriend from a well off family. April stated that she has not told her boyfriend or friends about her diagnosis April may be believing her denial of her diagnosis and keeping it to herself, makes it little real.Her inability to talk about her diagnosis may be a factor of her need to control her life as an independent unripened woman and not wanting to ask for support with her illness shoul d be further explored. The Client System Functioning April became defensive several times during this interview. She stated that she did not want to talk about her cancer diagnosis many times during the session. She expressed that she has been feeling tired and having trouble sleeping, experiencing night sweats and waking up in a soaked bed. some other than the above April appears to be still functioning at a naughty level nd is able to get to school and besides her recent assignments is doing fine at school. It should be noted that April appears physically to be in good health, she is a well-dressed, attractive young woman. She appears to be well speak and intelligent, yet she is in denial about her illness. Strengths/Coping Skills During this interview April was commended for her independence, too her loyalty towards her family was also a strength brought to her attention. April seems to have a brawny support system, although she is not using it at the moment. She has family and friends who care about her.Aprils ability to remain in school and continue on with her studies is also a strength to be noted. Her communication skills are well developed, even though she was unable to express herself in this meeting there is potential for it in the future. Relationships and Social Support It is unclear what the extent of Aprils kind with her family, friends, or community is. As stated earlier, April is a very independent young woman and though she did mention her family in the interview, she has not told them about her illness as she does not want to put any taste on them.Further exploration regarding the depth and quality of her relationship is needed. During the interview, April expressed that she and her ex-boyfriend are still good friends and that they get along great. He however is unsuspecting of her diagnosis. April mentioned she has other friends but no other details were provided. April seemed to take a liking to this worker, and expressed being ha ppy that this worker was older than she had expected. She seemed to have an easy time talking as long as she was steer the conversation but closed up upon being asked questions she did not feel like answering.Resources/Obstacles April acknowledged that she does not like to ask for help, she stated that she was able to go see a therapist at school. Though the sessions were quickly terminated they lead to her finding this practice and setting up an appointment. Although, she finds them inefficient, April determine the schools health center and her oncologist as a present resource available to her. April mentioned her family but it is unclear if she sees them as a resource. She stated her brother suffers from autism and takes a lot of her mothers time, and father is very much busy.April also mentioned she has a good relationship with ex-boyfriend but acknowledged that she does not confide in him or her other friends. This suggests that April is used to fending for herself and her in dependence is an fundamental resource to her. Aprils need to control a situation presents as a obstacle for her, as she seems to close people off when they get too close to asking information she is not countersink to share. This may have been the case with her previous therapist who she stopped seeing, claiming she was incompetent. April did not mention any other support systems.It is unclear if she has other individuals she can rely on and appears to have issues with relatedness. Professional Opinion April appears to be in denial about her diagnosis of stage three non-Hodgkin lymphoma and what it entails. April appears to be taking the diagnosis as a big inconvenience rather than recognizing the seriousness if holds. April has not began treatment, although her oncologist has recommended that she begin immediately. She appears to be an intelligent, independent, young woman it is possible her apprehensions on sharing her diagnosis with family are related to her not wanting to lose her independence.April appears to be more concerned with what her familys reactions to diagnosis will be and the stress it may cause them, rather than what the diagnosis means for her health. It is this workers suasion that April is used to taking care of herself and is fearful that her parents will not be there to support to her if she puts herself out there. Aprils having chosen to look into alternative medical treatment, even with her oncologists advice to begin immediate treatment, shows her need to be in control of her life.It is this workers opinion that April is fearful of cock-a-hoop up the one thing she has depended on her entire life her independence and ability to care for her. During the interview, April mentioned other relationships her ex-boyfriend, his new girlfriend, and friends. While these people maybe able to provide support to her in the future, April is currently not ready to share her diagnosis or ask them for help. Plan An intervention architectural plan w as not created as April left without formulating a plan or plan a second session.However, it is this workers opinion that the following go need to be taken April postulate to recognize that there is no shame in asking for help or relying on others in her time of need, April should talk to her oncologist about her considering alternative medicine and see how she thinks she should proceed, and April needs to tell her parents about her diagnosis. As she left without scheduling an appointment and this worker is unaware if she will call to schedule one, it is unclear of what will transpire. However, this plan will be further discussed with April if she does make a second appointment.