Individual_Therapuetic_Session

evaluation_date

10/5/2017 12:00:00 AM

evaluation_note

This is the first session with new admit Pat #8952. Pat #8952 is a 49 Y/O African-American male. Patient reports feelings of depression and hopelessness surrounding his vocational situation. Patient has been arrested around 6-7 times throughout his life, exclusively concerning his use of illegal drugs. Although the patient has not dealt with arrest since 2007, the effects of his criminal record have dealt severe blows to his ability to obtain gainful employment. Patient began using marijuana at the age of 14 with his friends. Patient soon progressed to occasional use of cocaine by the age of 15. Patient has a 35-year history of marijuana and cocaine use. At varying times patient has veered between heavy and light use. At present patient is not using any substances at all, mainly because patient cannot afford to use. Patient’s main complaint now is his inability to find and maintain gainful employment, which is causing more and more frequent bouts of depression and restlessness. Patient reports inability to sleep for more than 4 hours at a time and inability to tightly control his weight and fitness. Patient also reports feelings of inadequacy and uselessness. The therapeutic goal I have defined for this patient is to rejoin the workforce at a level approaching his vocational abilities and to maintain said vocational goals for an extended period. Therapeutic estimate of treatment time is being initially established at 3 months. 5 sessions per week, 20 sessions per month. A total of 60 sessions of Individual Therapy. First, as primary therapist I will attempt to learn about Patient’s upbringing and childhood experiences and then therapy will progress to proactive attempts to get Patient to deal with his current situation and let go of the past setbacks and traumas to become a more fully functioning adult.