Read the following material, and then write a paragraph of no more than six sentences that covers the following:
1. The focus of the interview
2. Your assessment based on a concise summary of behavior, appearance, and affect
3. Any resolution that takes place
4. The reason for the next contact or the follow-up that will occur
Mrs. Pell is seen in the emergency room, after which you are called by the ER
physician. He tells you that her friend brought her in and that she arrived complaining of chest pains and shortness of breath. She was extremely anxious, and during her physical examination, she confided in him that she is suffering physical abuse at home and is afraid. He is uncomfortable with discharging her from the ER until you have seen her. She is about 26 years old, intelligent, and a bit unkempt. You notice old bruises on her arms. 

you: How are you?
mrs. p.: I guess Dr. Ingram told you—a little scared.
you (sitting down beside her): He said that you were facing some problems at home.
mrs. p. (avoids looking at you): I am.
you: Can you tell me a little bit about that?
mrs. p. (nods): —
you: I can see how difficult this is. Where would you like to start?
mrs.p. (speaking just above a whisper): Well, I, I can’t seem to get along with my husband. We’ve had some really bad fights lately. Really bad. I seem to be on the losing end of those fights.
you: So things are pretty rough at home right now.
mrs. p.: Well, we seem to fight all the time (tears well up). I love him. I really do, but he doesn’t believe me! He accuses me of seeing other men or being attracted to other men, and when I deny that he blows up.
you: Do you feel like you could talk a little more about some of those fights?
mrs. p. (nods and reaches for a tissue): Yeah. I’m going to have to. I just don’t know how to begin. It’s gone on so long.
you: Maybe you’d like to start with what’s been going on recently.
mrs. p.: Well, recently things have gotten so much worse. I feel as though it’s something I’m doing. I think my husband has a short fuse. He had a head injury as a child, and he blames his temper and his moods on that.
you: So he can be pretty moody.
mrs. p.: Oh yes! And I get the brunt of it. I try to remember that and be careful—not upset him. I just feel like I’m walking on eggshells all the time lately. He just goes off at me at the least little thing. I try to please him. I tell myself that I know what it is he likes and what he dislikes, but no matter how hard I try, there is a fight because I didn’t do something or I did it but I didn’t do it right.
you (gently): Can you give me some examples?
mrs. p.: Well, 2 days ago I forgot to get a roast