English III-H
Mr. Howard
25 January 2013
Lady Macbeth’s Psychological Profile
Presenting problem:
Lady Macbeth is a married 45-year-old Caucasian female. She reports that she is experiencing hallucinations, depressed mood, and anxiety. She reported decreased appetite, and difficulties sleeping. She is also experiencing visual and auditory hallucinations. She reported occasional suicidal ideation, but denied current thoughts of suicide at the time of interview. She reported a history of violent fantasies and urges, but denied acting on these impulses herself, but did explain that she often manipulated her husband to act out these fantasies for her. She reported experiencing feelings of guilt for the death of the former king, as well as for those who lost their lives in the Civil war. She sought out psychological services to improve her mood, decrease her anxiety, and to stop hallucinations.
Behavioral Observations:
Lady Macbeth arrived to initial interview wearing a very torn up gown. She appeared disheveled as her clothes were stained, her hair was unkempt, and makeup was smeared. She made poor eye contact, and appeared to be talking to herself or a hallucination for most of the interview. Her speech was slow in rate and tone, and she repeated phrases over and over to herself. She rocked back and forth in her chair, and incessantly rubbed her hands together in an attempt to get them clean, however, there was no noticeable stains on her hands. She reported her mood as depressed, and she was tearful in session.
Background information:
Lady Macbeth is married, but currently has no children. She was drawn to power, and was willing to do anything to obtain it. Once she heard of the prophecy that her husband would be king, she convinced her husband to murder the current king. Lady Macbeth manipulates her husband with remarkable effectiveness, overriding all his objections; when he hesitates to murder; she repeatedly questions his