Question
shelby is a 35 year old caucasian female who presented to the clinic for alcohol abuse. The patient is recently lost her job and struggling
shelby is a 35 year old caucasian female who presented to the clinic for alcohol abuse. The patient is recently lost her job and struggling to cover her expenses. She indicates that her mood is poor and she has been consuming alcohol excessively. She want to consume less alcohol but ponders what she stands to lose. She claims to be apathetic about excessive drinking. She has discomfort while consuming alcohol. She had her last drink in the morning before the interview. She consumes excessive amounts of alcohol throughout the day and has alcohol by her bedside, which she drinks immediately upon waking up in the morning. The patient expresses a sense of hopelessness over her circumstances. She no longer feels shame about her excessive drinking. She ceased her job search due to the futility of maybe losing her home and possessions in the long run. She is experiencing despair on the issue. She now has a pessimistic outlook on life. The patient said that once she dies, all her issues would cease to exist. The patient expresses indifference for the emotional impact her suicide will have on her family. She claims she is devoid of value and cannot be saved. The patient acknowledges being suicidal but refuses to discuss her intentions to prevent the therapist from intervening. The patient is conscious and aware, well-presented, and dressed suitably for the appointment.
Create a SOAP Note as if you were the psychotherapist in the video. Then write summary that highlights the warning signs of suicidality in the patient and why you chose the treatment plan you choose in your SOAP Note.
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