Intake InformationGloria Suarez is a 31-year-old single mother whocontacted the Gulf Coast Counseling Center con-cerning therapy for herself. She told the intakeworker that she was feeling very down and ex-hausted and needed to see someone soon. The in-take worker scheduled an appointment for her withyou, her counselor, in 2 days. Gloria arrived ontime for her appointment with you.Intake InterviewGloria presents as a quiet, young woman whosmiles shyly and shakes hands with you in thewaiting room. She says that she doesn't reallyknow why she came today except that she's beenso tired recently. Gloria indicates that she worksas a cashier for Ding Dong Discount and has beenseparated for the past 3 years because she can'tafford a divorce. She feels that since her separationher life has been spinning out of control.A year ago, her older sister died of hepatitis aftera long battle with drugs and alcohol. Gloria des-cribes her as a sweet but completely crazy sister.She hasn't had any contact with her parents sinceshe left home at 18 years old. She states that her fa-ther was also an abusive alcoholic and her mothernever protected Gloria or her sister from the abuse.When you ask her about her mood, she tells youit's generally been "blue." "I seem to be exhaustedall the time. Between trying to take care of my kidsand working shifts at Ding Dong, I barely knowwhether its night or day.Do you ever have times when you feel okay ormore like you did before the separation?" you ask.Gloria sighs deeply and says, "Actually, yes, everyonce in a while I have times when I have a lot moreenergy, but I also get extremely irritable. I scream atmy kids and feel very frustrated with my job, but I'mnot so tired and down in the dumps. I even go outdancing and enjoy hanging out with my friends.""How often do you feel that way over a periodof a year?" you ask."Like I said, it's every once in a while. Most ofthe time I'm exhausted. I'd say maybe 2 or 3 timesa year.""How long has this feeling of exhaustion beengoing on this time?" you query."Probably for the past 3 months," Gloria res-ponds. "I begin to feel real hopeless about my lifeand feel like I have nothing to look forward to.""Do you ever think about suicide?" you ques-tion carefully."To be perfectly honest, I have thought aboutjust taking a bunch of pills and going to sleep for-ever, but my kids keep me from doing it.""Have you seen a doctor and gotten a physicalexam recently?" you ask."I took my kids for shots before school startedbut I don't have much money," she responds as shestares out the window."Have you been feeling suicidal recently?" youask."No, it's been quite a while since I've been thatdown but I try not to think about it. I know mykids need me and that's what keeps me going.""What about your appetite?" you ask."I don't feel like eating when I get so down butwhen I'm feeling better, I make up for it," she sayswith a smile."And how well have you been sleeping?" youask.Gloria seems to relax a bit and says, "I couldsleep all the time if I didn't have to work and getup with my children.""It sounds like you've been coping with all theseemotional ups and downs for quite a while. Tell meabout how you've handled all of this. It sounds likea whole lot to deal with as a single parent.""Well, I'll tell you one thing for sure. After mysister died, I wouldn't touch drugs, and alcohol justreminds me of my dad and how abusive he was.""You know, you've told me a lot about yourselftoday and it sounds like you could really use some-one to talk to further about how to begin feeling better. But, rst, I'd really like you to see a doctorfor a complete physical and I know someone youcould see for a very low cost. Would you be willingto start by going to the doctor?" you ask."You're probably right. It's been a long timesince I've had a physical," Gloria responds. "But I'd like to see you again, too.""Absolutely, we will schedule another appoint-ment for next week and I will give you a card soyou can call the doctor's ofce and make an ap-pointment with her."Gloria looks relieved and says, "I'm glad I camein today. I almost skipped it.""I'm really glad you came today, too," yourespond. "I think I can help you with some ofthese challenges you've been dealing with onyour own. There's times when we all need someextra help.

Can i have a thorough case conceptualization that explains the issues, symptoms, and diagnosis framed in a theoretical lens?

And also, a discussion Summarizing the presenting problem and symptoms, along with any pertinent history and social factors that lead to a diagnosis. This section justifies your diagnosis; include any differential diagnoses here