JamalCaseStudy

Jamal: Case Study Jamal was a 15-year-old boy who first encountered mental health treatment after he admitted to his parents that he had thoughts of hurtin" rel="nofollow">ing himself. He had been caught smokin" rel="nofollow">ing cigarettes in" rel="nofollow">in his room at home by his stepfather and in" rel="nofollow">in the verbal altercation that followed Jamal told his mother and stepfather that he “didn’t care anymore and wanted to die” Jamal’s stepfather became very angry and threw him out of the house for bein" rel="nofollow">ing disrespected and untrustworthy. The mother then became enraged at her husband and told her husband that if he kicks out Jamal, she is goin" rel="nofollow">ing, too. Jamal admitted to feelin" rel="nofollow">ing depressed for several months prior to this episode. He wanted to be an actor and said that he did not see the poin" rel="nofollow">int of studyin" rel="nofollow">ing or goin" rel="nofollow">ing to school. Although he did well academically in" rel="nofollow">in the 9th and 10th grade, his grades declin" rel="nofollow">ined significantly in" rel="nofollow">in 11th grade to the poin" rel="nofollow">int that he was in" rel="nofollow">ineligible to participate in" rel="nofollow">in extracurricular activities like the drama club. He admitted to havin" rel="nofollow">ing difficulty fittin" rel="nofollow">ing in" rel="nofollow">in and was associatin" rel="nofollow">ing with the kids who skipped class and took drugs. Jamal’s depressive symptoms in" rel="nofollow">included sad mood, decreased motivation, decreased energy, decreased concentration, and sleep difficulty. After breakin" rel="nofollow">ing up with his girlfriend, he cut himself superficially on his forearm with a razor and had fleetin" rel="nofollow">ing thoughts of suicide. Jamal’s family consists of his mother, stepfather, 18-year-old older sister, and 11-year-old sister. Jamal’s biological parents divorced when he was two years old and his mother remarried when he was six. His mother reported that his biological father was abusive toward her, but not the children. She left him after an in" rel="nofollow">incident where he struck her while she was holdin" rel="nofollow">ing Jamal when he was an in" rel="nofollow">infant and she felt Jamal’s safety was bein" rel="nofollow">ing seriously threatened. Jamal had little contact with his biological father sin" rel="nofollow">ince the divorce, but contacted him recently because he wanted to leave his current family and live with him in" rel="nofollow">in another state. To Jamal’s disappoin" rel="nofollow">intment, his biological father’s response was noncommittal. Jamal’s mother reports symptoms of posttraumatic stress disorder (PTSD) from the abuse she suffered from Jamal’s biological father as well as from a sexual assault in" rel="nofollow">in her adolescent years. She also experienced chronic headaches and fatigue, which sometimes limited her in" rel="nofollow">involvement with her children. She revealed that her family of origin" rel="nofollow">in was unstructured and that she had “too much freedom,” which she felt contributed to the sexual assault she suffered. She believed that she was allowed to “run wild” and became in" rel="nofollow">involved with alcohol at a young age. Of her children, she felt most similar in" rel="nofollow">in temperament to Jamal. She feared that without more parental supervision he could end up like her and put himself in" rel="nofollow">in dangerous situations. Jamal always had a distanced relationship with his stepfather. Jamal’s stepfather was a retired police officer who highly valued order and disciplin" rel="nofollow">ine. He did not agree with Jamal’s long hairstyle or passion for actin" rel="nofollow">ing. He forced Jamal to cut his hair and change his style of clothes after he was caught smokin" rel="nofollow">ing. Jamal admitted that sometimes he feared him when his temper ignited. The stepfather was generally suspicious of mental health providers and viewed psychiatric symptoms as an excuse or a weakness. This caused marital problems in" rel="nofollow">in relation to the mother’s PTSD symptoms as well as Jamal’s depressive symptoms. Jamal’s older sister had bipolar disorder and although she had been stable for the last two years, she had a difficult time for several years and was unable to attend a regular school. Jamal felt his order sister was not held to the same standard as he was because of her psychiatric illness, and he felt this was unfair. Jamal felt that the expectations for success were all the more potent for him due to his sister’s illness. His sister also smoked cigarettes and, as far as Jamal could remember, had never been reprimanded for this behavior. Jamal’s younger sister had no mental health diagnosis, but did have exaggerated separation anxiety when she was a young child, some of which was still evident. She got along well with her siblin" rel="nofollow">ings, but spent most of her time with her mother at the exclusion of peers. Several times a year she would complain" rel="nofollow">in of a stomachache until she was allowed to stay home from school. This was more frequent followin" rel="nofollow">ing the altercation between Jamal and his stepfather, which raised the stress level for everyone in" rel="nofollow">in the home. ASSIGNMENT REQUIREMENTS • Write a 2-1/2 page paper on the case study Jamal • Case History (Assessment- background in" rel="nofollow">information) Clients background, which should in" rel="nofollow">include factors such as ages, gender, work, health status, family mental health history, family social relationship, drug and alcohol history, life difficulties, goalsand copin" rel="nofollow">ing skills and weakness. • Description of the Problem In this section of the case study, you will describe the problem or symptoms that the client presented with. Describe any physical, emotional or sensory symptoms shown. • Thoughts, feelin" rel="nofollow">ings, and perception related to the symptoms should also be noted. Your Diagnosis • Provide your diagnosis • Explain" rel="nofollow">in how you reached your diagnosis, how the clients symptoms fit the diagnostic criteria for disorder(s), or any possible difficulties in" rel="nofollow">in reachin" rel="nofollow">ing a diagnosis. Components • This section will describe types of therapy chosen and why Conclusion Helpful in" rel="nofollow">information from class study Family Systems Therapy Approaches • Structural family therapy • Strategic family therapy • Intergenerational family therapy • Psychoanalytic approach • Cognitive-Behavioral approach • Borderlin" rel="nofollow">ine personality • Interpersonal antagonism • Codependency • Humanistic approach • Collaborative therapy • MRI therapy • Milan therapy • Narrative therapy • Experiential family therapy • Bowen (Family therapy) • Virgin" rel="nofollow">inia Satir (Family therapy) • Haley (family therapy) • Min" rel="nofollow">inuchin" rel="nofollow">in(family therapy) • Stuart (family therapy) • Liberman (family therapy) • Bell( family therapy) Class text book used for your assistance) Goldenberg, H. & Goldenberg, I. (2013).Family therapy: An overview (8thed). Belmont, CA: Brooks Cole, Cengage Learnin" rel="nofollow">ing. NOTE: If you can get possession of text book will be very helpful. However if not, I have listed above some helpful in" rel="nofollow">information to assist you. There are many more d methods and approaches in" rel="nofollow">in text book.