Identify the Biological, Psychological, and Social variables impacting the client
Biopsychosocial #4
Utilizing the information learned from this week’s chapters and reviewing the case examples in the text for practice, review the case below to:
a) Identify the Biological, Psychological, and Social variables impacting the client
b) Assess for Competence
Case Vignette:
“I know it’s not forever, and I know I’m overreacting! I don’t want to overreact, but I’m just feeling very upset!”
Melissa is talking about her partner’s new work schedule. Samantha, her partner, is a foreman for a road-paving crew whose current job is a few miles from the couple’s home. Since the job requires work on a busy interstate highway that interchanges with another major highway, the work has to be done in the evening.
For the past 2 months, Samantha has slept during the day and worked in the evening. Melissa works days as a secretary for a medical office. Except on weekends when Samantha tries to change to a normal sleep schedule so she can be with Melissa, they hardly see one another. “I feel like I’ve been abandoned,” states Melissa.
Melissa and Samantha have been living together for 3 years, and they have no children and are in their mid-30s. Neither drink nor use drugs. Melissa’s only experience with the mental health system occurred 7 years ago when her previous partner had left her.
Melissa’s symptoms now are much than they had been then. Most of the time when she is at work, she feels “normal” and maintains good interest in what she is doing. But when alone at home in the evenings, she gets overwhelmed by waves of sadness. These leave her virtually immobilized, unable even to turn on the tv for company. She often cries to herself and feels guilty for giving in to her emotions. “It’s not as if someone has died, after all.” Although she has some difficulty getting to sleep at night, she sleeps soundly in the morning. Her weight is constant, her appetite is good, and she has no suicidal ideations or death wishes. She does not report any issues with her concentration and denies ever having mania symptoms.
The previous time Melissa had sought help, she had remained depressed and upset until a few weeks after her relationship ended. Then she seemed suddenly able to put it behind her and begin dating again. “I know I’ll feel better once Samantha gets off that schedule,” she says. “I guess it just makes me feel worthless, playing second fiddle to an overpass.”
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