Psychotherapy with Multiple Modalities

Past psychiatric history — In the scenario, mom mentioned depressive episodes, there was however no mention of medically diagnosed psychiatric conditions like depression. They denied suicidal ideations. They also denied the use of illicit drugs/ alcohol, prior serious mental or psychiatric breakdown, or mania. No prior reports of psychiatric inpatient hospitalizations to report either. Hospitalizations- No inpatient psychiatric hospitalizations reported nor are there any reports for active Pyschotherapy medications listed for these patients. Psychotherapy or previous psychiatric diagnosis — No current psychiatric diagnosis, no Psychotherapy “therapy” is documented for this patient. Note however that the patient said she “gets depressed when she is alone”. It was not reported that depression was medically diagnosed or that it is currently being managed by any medication. Pertinent substance use- Patients deny alcohol or abusing any substances at this time. They also deny any chronic substance use/abuse. Family psychiatric/substance use- Patients deny any family psychiatric/ substance use. Psychosocial history/Developmental history — These patients are 40 and 23-year-old Iranian immigrants that are currently struggling with adjusting their traditional beliefs with the Americanized way of life. They are here today for mental assessment/ possible diagnosis of trauma related issues including adjustment disorder. They were referred by their current psychiatrist who has tried multiple dimensions to manage the patient and her children. Of note, she was present for the assessment and answered pertinent questions as it relates to the patients, their past and their overall issues. Mom is currently living on disability but her daughter that came with her for the evaluation lives by herself. Of note, it was reported that she is currently in school, but her social life was not discussed during assessment. It is always vital to know your patients, for this evaluation., there was no concrete data collected or reported. For example, knowing what school the daughter attends, her sexual orientation, understanding her full social life is important in N treatment plan. Questions like does she have a boyfriend and does she live with him? Is she bisexual? What kind of friends does she have?