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FAMILY ASSESSMENT AND PSYCHOTHERAPEUTIC APPROACHES 1
Family Assessment and Psychotherapeutic Approaches
Walden University
NRNP – 6645 Psychotherapy with Multiple Modalities
June 13, 2021
FAMILY ASSESSMENT AND PSYCHOTHERAPEUTIC APPROACHES 2
Family Assessment and Psychotherapeutic Approaches
Historian: Mother and daughter (Self)
Language: English
Name: Non- listed
Gender: Both female (mother and daughter)
Age: 40 years old and 23 years old.
Chief complaint — “I am in so much pain, nobody can help me and nothing is helping
me manage the pain. I want my mom to be more peaceful, I want her to lower her expectations
and accept a lot of things about life, I have a sense that my mom is holding me back from all I
could be doing”. I just want them to spend time with me, I am very lonely, and I get depressed
when I am lonely. I hate spending time with my mother, I hate her house, she has two dogs and I
do not like those at all, I do not like their hair on my body and I do not like touching them. Do
you believe I cannot even eat in her house, everything smells like dog, and it is very
uncomfortable for me”.
History of present illness (HPI) — This patient is a 40-year-old Iranian American
female. She is here today to be seen for complex family dynamic issues as it relates to her and
her five children. She was seen with her 23-year-old daughter who detailed the multiple issues as
it relates to her relationship with her mom and siblings. They are here for evaluation of trauma
related issues as it relates to abuse by her husband and their father. Mom is currently struggling
with trauma related issues from being married and also struggling with adjusting to the norms
and principles of America which can be called Adjustment disorder at this time
Per self report, one of her daughters was raped and abused by her biological father and
this has left a dent in the way the family relates with their dad. There has been difficulties
FAMILY ASSESSMENT AND PSYCHOTHERAPEUTIC APPROACHES 3
relating to one another, difficulties relating to their father, difficulties relating to the issues of
traditional Iranian family becoming “Americanized”, issues with spending time with their
mother, their lack of privacy and distrust overall. Overall, this is a complex family unit and there
are multiple conflicts active and ongoing at the same time. The biggest issue has to do with the
mother of the house becoming sick, and having multiple surgeries to fix her foot which has left
her almost dependent. The second issue is the rape allegation. One of the daughters alleged that
her biolog
Genogram
Walden University
NURS 6645: Psychotherapy with Individuals
06/13/2021
Part 2: Genogram
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A genogram is a visual family mapping tool. It gives the clinician an inside knowledge of
the family history through generations. It is a vital tool used by Mental Health Providers.
(Wheeler, 2014). It provides a pathway for complete understanding of the graphical picture of
relationships, family, or life events that may have contributed to the current issues circumstance.
(Wheeler, 2014).
A genogram can serve as an empowering resource for the patient as he/she is able to
recount the medical and biological achievement of generations living or dead (Browning & Hull,
2018).
PTSD
PBMBPatient Brother
MGM
MGF
PGM
PGF
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https://www.coursehero.com/file/100001313/MY-GENOGRAMdocx/
Legend:
PGF: Paternal Grand Father
PGM: Paternal Grand Mother
MGF: Maternal Grand Father
MGM: Maternal Grand Mother
PF: Patient Father
PM: Patient Mother
MB: Maternal Brother
PB: Paternal Brother
PB: Patient Brother
P: Patient
DEAD Anxiety
DEAD
DEPRESSION
PTSD,
SUBSTANCE
ABUSE
Mother
GAD,
BipolarFather
Substance
Abuse,
Alcohol
Abuse,
Depression
Depression ADHD
Anxiety,
PTSD,
Substance
Abuse,
Bipolar
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https://www.coursehero.com/file/100001313/MY-GENOGRAMdocx/
References
Browning, S., & Hull, R. (2018). Utilizing the genogram to integrate systems and psychoanalytic
thinking. Journal of Psychotherapy Integration, 28(4), 567–583. https://doi-
org.ezp.waldenulibrary.org/10.1037/int0000115
Laureate Education (Producer). (2013b). Hernandez fa
To prepare:
· Review this week’s Learning Resources and reflect on the insights they provide on family assessment. Be sure to review the resource on psychotherapy genograms.
· Download the Comprehensive Psychiatric Evaluation Note Template and review the requirements of the documentation. There is also an exemplar provided with detailed guidance and examples.
· View the Mother and Daughter: A Cultural Tale video in the Learning Resources and consider how you might assess the family in the case study.
The Assignment
Document the following for the family in the video, using the Comprehensive Evaluation Note Template:
· Chief complaint
· History of present illness
· Past psychiatric history
· Substance use history
· Family psychiatric/substance use history
· Psychosocial history/Developmental history
· Medical history
· Review of systems (ROS)
· Physical assessment (if applicable)
· Mental status exam
· Differential diagnosis—Include a minimum of three differential diagnoses and include how you derived each diagnosis in accordance with DSM-5 diagnostic criteria
· Case formulation and treatment plan
· Include a psychotherapy genogram for the family
Note: For any item you are unable to address from the video, explain how you would gather this information and why it is important for diagnosis and treatment planning.
Teachers Memo from existing paper
Week 2 Assignment
Monica, your provide a brief case review and assessment. You did not include a case formulation or treatment recommendations. You also did not include a genogram.
Rubric Detail
Select Grid View or List View to change the rubric’s layout.
Content
Name: NRNP_6645_Week2_Assignment_Rubric
|
Excellent
90%–100% |
Good
80%–89% |
Fair
70%–79% |
Poor
0%–69% |
|
|---|---|---|---|---|
|
Document the following for the family in the video, using the Comprehensive Evaluation Note Template: • Chief complaint • History of present illness • Past psychiatric history • Substance use history • Family psychiatric/substance use history • Psychosocial history/Developmental history • Medical history • Review of systems (ROS) • Physical assessment (if applicable) |
Points: Points Range: The assignment includes an accurate, clear, and complete description of the subjective and objective information for the client family. The response addresses each of the required elements and demonstrates thoughtful consideration of the client family’s situation and culture. Feedback: |
Points: Points Range: The assignment includes an accurate, clear, and complete description of the subjective and objective information for the client family. Feedback: |
Points: Points Range: The assignment includes a description of the subjective and objective information for the client family but is somewhat general or contains small inaccuracies. Feedback: |
Points: Points Range: The assignment includes a description of the subjective and objective information for the client family but is vague or contains many inaccuracies. Or, several of the required elements are missing. Feedback: |
|
• Mental status exam • Differential diagnoses—Include a minimum of three differential diagnoses and include how you derived at each diagnosis in accordance with DSM-5 diagnostic criteria |
Points: Points Range: USW1.4032.202250 – NRNP-6645-13/NRNP-6645S-13/NRNP-6645C-13-Psychotherapy Mult Modalities-2022-Spring-QTR-Term-wks-1-thru-11-(02/28/2022-05/15/2022)-PT27SafeAssign Drafts Monica Castelao 100% highest match Submission ID: c0f9f49e-1ed3-4751-9335-3d0083a7ca04
Citations (14/14)
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