Question
compose soap note on, using references and citing them from last 10 years: Alejandro is a 12-year-old Mexican boy who lives with his father and
compose soap note on, using references and citing them from last 10 years: Alejandro is a 12-year-old Mexican boy who lives with his father and younger brother. About a week ago, his mother passed away. His teacher, Mr. Kombs, reported that he went from a fun-loving boy to a boy with "sad eyes." Mr. Kombs also reported that Alejandro falls asleep in class, has a hard time focusing, and doesn't speak much. He tends to stare into space and doesn't go outside to recess at the appointed time. He has asked Alejandro a few times if he is OK, and Alejandro shrugs his shoulders. For the last two days, he has been tearful in class out of nowhere and asked to go to the restroom. Unfortunately, the teacher doesn't know how the mother passed. He has reached out to Alejandro's father, who has not returned any phone calls. using the following information based off the case study of Alejandro:
Problem:Grief and mourning related to the recent loss of Alejandro's mother, leading to symptoms such as difficulty focusing, tearfulness, and disengagement in school activities.
Long-term Goal:Alejandro will be able to effectively process and cope with his grief related to his mother's death, as evidenced by improved focus and engagement in school, decreased tearfulness, and improved overall emotional regulation, with consideration of his Mexican culture and potential cultural differences in grief expression.
Short-term Goals:
- Alejandro will be able to identify and express his feelings related to his mother's death in a safe and supportive environment, as evidenced by verbalizing his feelings during therapy sessions and completing therapeutic activities related to grief. Target date: 03/20/2023
- Alejandro will be able to participate in class activities and engage with his peers without excessive distraction or disengagement, as evidenced by increased class participation and improved focus during class. Target date:04/04/2023
- Techniques/Interventions:
- Grief and loss counseling, utilizing the Kubler-Ross model of grief and incorporating cultural considerations for Mexican individuals.
- Cognitive-behavioral therapy (CBT) techniques, such as thought-stopping and positive self-talk, to improve emotional regulation and engagement in school activities.
Fill out this SOAP note using SMART goals
SOAP NOTE
Client: Alejandro
Date of Session: 03/01/2023
Subjective:
Objective:
Assessment:
Plan:
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