Client Assessment
Brief Description of Client and Presenting Concerns
The following assessment is being done in an inpatient drug and rehabilitation treatment facility. S.R. is a 35-year-old Hispanic male who comes from a gang/drug related background. He voiced his traumatic past as encompassed within the gang/drug atmosphere. S.R. said due to his background in drugs and violence he constantly feels irritability, anger, and at the most extreme hostility towards his peers in treatment. These urges to use violence in social conflicts worries him. He does not have confidence he will be able to ever have a positive/normal place in society.
During his assessment, S.R. often raged outwardly when asked questions. This is a primary concern. His anger may be a roadblock …show more content…
is close with his mother. His father has been absent with no contact since S.R. was 3 years old. S.R.’s mother was the primary caregiver for him and his siblings. S.R. reports having a good relationship with his siblings. He has one younger sister, A.R., and two brothers, P.R. and R.R. all are currently in prison or treatment. S.R. is engaged and his fiancé is one year sober. He shows great affection for his fiance and direct family. The client reports no instances of childhood sexual abuse, but hints there was physical abuse by adults in the extended family towards him and his siblings. The client attended primary schooling off and on with no regular parental supervision and left school at grade …show more content…
has a positive personality and believes he can be helped. He has always been self-sustaining and talks about planning to use this by finding a legal job (not drug dealing) when he leaves treatment. S.R. wants to work on his tendency to talk negatively to himself about his life, which leads to catastrophic thinking. He acknowledges when this happens he abandons hope for a happy future. There is a familial component, a lack of information. S.R. does not wish to talk about anyone in his family except his uncle, he says his childhood/family are not relevant to his treatment. He also refuses to talk about his sobriety, as he is not committing to quitting his
The following assessment is being done in an inpatient drug and rehabilitation treatment facility. S.R. is a 35-year-old Hispanic male who comes from a gang/drug related background. He voiced his traumatic past as encompassed within the gang/drug atmosphere. S.R. said due to his background in drugs and violence he constantly feels irritability, anger, and at the most extreme hostility towards his peers in treatment. These urges to use violence in social conflicts worries him. He does not have confidence he will be able to ever have a positive/normal place in society.
During his assessment, S.R. often raged outwardly when asked questions. This is a primary concern. His anger may be a roadblock …show more content…
is close with his mother. His father has been absent with no contact since S.R. was 3 years old. S.R.’s mother was the primary caregiver for him and his siblings. S.R. reports having a good relationship with his siblings. He has one younger sister, A.R., and two brothers, P.R. and R.R. all are currently in prison or treatment. S.R. is engaged and his fiancé is one year sober. He shows great affection for his fiance and direct family. The client reports no instances of childhood sexual abuse, but hints there was physical abuse by adults in the extended family towards him and his siblings. The client attended primary schooling off and on with no regular parental supervision and left school at grade …show more content…
has a positive personality and believes he can be helped. He has always been self-sustaining and talks about planning to use this by finding a legal job (not drug dealing) when he leaves treatment. S.R. wants to work on his tendency to talk negatively to himself about his life, which leads to catastrophic thinking. He acknowledges when this happens he abandons hope for a happy future. There is a familial component, a lack of information. S.R. does not wish to talk about anyone in his family except his uncle, he says his childhood/family are not relevant to his treatment. He also refuses to talk about his sobriety, as he is not committing to quitting his