Hello,

my questions are in regard to this assemet below.

Psychological Intake Assessment

Client Legal Name:	Samantha Jones	Client preferred name:	Sam
Client Pronouns:	She/Her	Client DOB:	1/1/2004

IDENTIFYING INFO:

CT is a 19 year old cisgender lesbian female that uses she/her pronouns. Client identifies as Afrolatina (Dominican). Client is a first year student in college. She is a first generation college student.

PRESENTING PROBLEM:

CT presented to the counseling center stating that since moving to college she has been experiencing an increase in anxiety. Client reported that she often feels worried, isolated, has chest tightness, and racing thoughts. She shared that the culture of the college is not what she expected. She stated that she feels isolated and not "sure she fits in" with other students. She reported that it felt hard to make friends because "friend groups are already being established". She also noted that she is one of "a few" people of color on campus. She reported that there are not many opportunities to connect with students who look like her or share the same interests such as dance, music, and poetry. She reported that she is also missing home, particularly her partner, Natalie.

PAST CLINICAL HISTORY:

Inpatient treatment:

No; client has not been hospitalized for previous mental health concerns.

Outpatient treatment:

No; client stated that she has not been in previous mental health treatment. She reported that during high school she wanted to try therapy, but when she told her parents, they said that she was being "dramatic" and that she "was fine". This seems to be culturally informed. Client stated that in her family mental health is stigmatized and reflective of a person "not praying enough". At the time she was wanting to talk to a therapist about her sexuality.

MEDICAL HISTORY/CONCERNS/MEDICATION:

CT reported that there are no salient medical concerns. She denied a history of psychotropic medication use.

CURRENT FUNCTIONING:

Academic:

The client reported that she did well academically throughout high school. She stated that she focused much of her attention on getting good grades. She reported that, generally, she was an A/B student. She described the college application process as challenging. She reported that there were many steps that she and her family were unfamiliar with. She reported that her high school guidance counselor was helpful. She reported that she selected an out-of-state school with the best financial aid package available. Currently, the client is studying Math. She reported that the curriculum is challenging, but manageable. She reported that she is one of the only students of color in most of her classes, which reportedly makes speaking in class intimidating.

Social relationships/support:

Client reported that she is having trouble making friends on campus. She reported that she spends much of her free time on the phone with friends back home and her partner. She reported that her partner has been a large source of support, although her partner isn't always accessible due to the time difference. She reportedly tried to join a few clubs on campus, but reportedly didn't feel welcomed or included so she reportedly stopped attending.

Family relationships:

Client reported that her immediate family consists of her biological mother, father, and sister (age 15). Client stated that her family lives in New York. She stated that her family migrated to the United States in the 1980's. She reported that she grew up in a mostly Latinx community. She stated that her family is bilingual. She reported that her father works at a hotel, and her mother works at a restaurant. She stated that the relationship with her parents is "good". She reported that her parents are loving and "old school". She stated that their mindset tends to be traditional and reflective of conservative values. She reported that although she is close with her parents, she doesn't share "emotional things" with them because they reportedly aren't helpful in the way that the client is needing. She reported that she is not out to her family. She reported that she is unsure of how they will react to her identifying as lesbian. She stated that her family isn't explicitly homophobic, but makes comments about her "future husband" which makes her question their openness to the LGBTQIA community.

FAMILY HISTORY OF MENTAL ILLNESS:

CT reported that mental health "isn't a thing" in her family. She suspects that her mother has anxiety and her father has symptoms of depression but these aren't formally diagnosed due to mental health stigma in her family.

ABUSE HISTORY:

No; client denied a history of mental, emotional, physical, or sexual abuse.

SUBSTANCE USE:

Not a concern

Alchohol:	Client denied	Cannabis:	Client denied
Tobacco:	Client denied	Other:	N/A

MENTAL STATUS (observed):

Good

Appearance:	Good Hygiene, Appropriately dressed for college setting
Speech:	Clear, normal rate, rhythm, volume, and productivity.
Thought Process:	Linear, Goal directed
Oriented x4:	Yes
Eye Contact (if applicable)	Good
Cooperative:	Yes, answered questions easily, freely volunteered information.
Judgement:	Intact
Insight:	Age Appropriate
Affect:	Appropriate to content
Mood:	Euthymic
Interest/ anhedonia:	WNL
Sleep:	WNL
Appetite:	WNL
Energy:	WNL
Concentration/focus:	WNL
Psychomotor:	WNL
Worthlessness/Guilt:	WNL

RISK ASSESSMENT:

Suicidal Ideation:

Student denied current and previous suicidal ideation.

Self-Injury:

Student denied engaging in current and previous self-injurious behaviors.

Homicidal Ideation:

Student denied current and previous homicidal ideation.

Hallucinations and/or Delusions:

Student reported no auditory or visual hallucinations. Student reported no grandiose, paranoid, or bizarre delusional beliefs.

ASSESSMENT:

Client seems to be experiencing anxiety related to college adjustment. She is away from her primary support group and feeling distant from the larger campus community seemingly due to cultural differences. Therapist and client will meet for weekly therapy sessions to reduce symptoms of anxiety and explore ways that client can feel more connected to campus.

QUESTIONS

1. What worldviews exist for the client and in the society they live in?
2. What challenges exist in navigating the worldviews in the client's home, school/work, and community?
3. what are some possible interventions and strategies for the client in the case study?
4. What other considerations or questions should we be asking to form an intervention and strategies recommendations? what is a good question for each contributing factor?
   1. School environment and acclimation
   2. Familial, cultural values and beliefs
   3. Client comfortability with sexual identity
   4. Client's sense of belonging
5. What are the psychological theoretical frameworks, models, and practical skills that support the client's needs?
6. Why would these interventions and strategies best fit the needs of this client? Can you please explain the rationale?

`