Capstone Assignment 1 Biopsychosocial Assessment

Capstone Assignment 1: Biopsychosocial Assessment
Identifying Information
The client is a 10 year old, heterosexual, cisgender, black, male, student who is unemployed and unmarried. The client lives in an urban community with his mother, stepfather, and younger sisters. The assessment is informed by the client and his mother.
Referral Source and Presenting Problem
The client is very intelligent receives high grades on work when he is given the proper resources. The client is empathic, he connects to classmates very easily and often processes how things may feel for others in his family. The client is friendly, he is always talking to someone, meeting a new child who is impressed by his jokes and consistent smile. The client is kind and thoughtful,
Those immediate family members have been consistently faced with the effects of homelessness and financial instability. The client is functioning fairly, symptoms have improved from the time he entered treatment, but the client is still progressing in his ability to express his emotions in appropriate moments, operate with proper social skills. The client appears in fair health, his clothes appear larger than him, appears overweight, keeps fairly consistent eye contact with moments of inattention, and maintains a dynamic affect. The client speaks at a normal speed and volume with no apparent impediment. The client is content as evidenced by his constant smiling and affection shown toward those in the room. The client’ affect was consistently dynamic as evidenced by his consistent smile with moments of frowning and expressionlessness. The clients affect was not labile, but remained consistent with the content of the interview. The client has tangential thought occasionally in the interview as evidenced by his gaze shifting and his conversation changing to focus on other items within the room. The client appears to have no issues with sensory perception. The client is oriented to time, place, and person. The client appears at average intelligence, concentrates poorly for longer periods of time, and appears to have good memory. The client is very
The client lives in an urban community with his mother, stepfather, and younger sisters. There are no genetic predispositions reported. The diagnosis is Adjustment Disorder, persistent with anxiety. The client has developed antisocial behavior, physical aggression, consistent encopresis, anxious thoughts, inability to concentrate, hyperactivity, insomnia, and attached behavior towards adults within three months of his homelessness, his parent’s unemployment and consequent displacement to an urban area with a high level of community violence. The symptoms have become an impairment to his social functioning with other children at his referring school and siblings, and impedes his ability to be educated in a mainstream classroom setting. The initial stressors have not been eradicated in order to meet criteria E, the stress-related disturbance does not meet the criteria for another mental disorder and is not merely an exacerbation of a preexisting mental disorder, and the symptoms do not represent normal bereavement. The client is experiencing the current troubles because there have been two major stressors, unemployment and homelessness that have affected his family. These changes have caused the client to become anxious and unsure of the consistency of resources he and his family will have. The client also internalizes an unhealthy self-talk, believing that his