March 16, 2007.
Biography of Client
The client is a 44-year-old Caucasian female, from a rural Southern Ontario background. The client is well educated and has worked as a teacher in the Elementary school system. At present, she is employed as a tutor for the adult learning center. The client identifies with no identifiable cultural or ethnic background, and firmly states, “I am a Canadian.” The client denies any religious affiliation or particular spiritual belief at the initial interview. The client resides with her adult son, aged 20. The client also has two adult daughters that each live over two hours away. The setting in which the sessions were held, dates and length of client sessions The sessions were held at Dr. Hay’s Owen Sound Office, Feb 15, 2007 and Feb 21, 2007. The intake interview was 1 hour, 15 minutes, and the subsequent interview was 45 minutes in duration. The presenting issue and/or problem from the client's perspective
The client is upset because of her son’s behaviour. Her son took an overdose of her pills, and lay down in the bed to die. There was no suicide note, and he picked a time when no one would be home for quite a while. The son researched what would be a lethal dose of the mother’s medication, and then ingested twice the lethal amount. However the mother come home unexpectedly and found the son in his room unconscious. The son was transported to the hospital and expected to die. Fortunately, the son had also ingested Lasix with the sleeping pills (unnamed) and therefore a lethal dose was washed from his system (CPS, 2006). The patient’s son recovered with no known physical effects from the overdose.
The second and most trouble difficulty for the client is the son’s behaviour since recovering from the overdose. The son has refused to discuss the attempt with any caregivers from the unit within which he now resides. He participates in group therapy, but only insomuch as to talk to people about their own behaviours. When asked about his feelings or behaviours, he refuses to discuss his thoughts, beliefs or emotions. This is very troubling to the mother, as she believes that he is waiting to exit the lockdown unit to attempt suicide again. She also described a confrontational meeting with the mental health team. She believes that the team told her that she was the cause of his problems and her parentage of the child lead to the son’s attempt and his subsequent behaviour. The client alternatively rejects this idea and then agrees with the notion that she is the root cause of the son’s behaviour. The client believes if the son returns home without the root cause of the suicide attempt revealed or treated, then it will ‘be a death sentence’ for the son. The presenting problem from my perspective
The presenting problem is not the son’s behaviour, but the mother’s reaction to the adult son’s behaviour. The mother believes that she alone is to blame for the son attempting suicide, and his subsequent behaviour towards the caregivers at the London Hospital. The client is also blaming herself for her daughters’ reaction to the son’s behaviour. This self-blame is reinforced by the daughters who tell her that she caused the son’s suicide attempt by not being ‘emotionally available’ and by ‘not recognizing the signs because she was too busy with work’. In short the presenting problem is related to the behaviours of the offspring and the interactions between generations in the aftermath of the suicide attempt. The mutually agreed-upon counseling goals and strategies
•The client will like to get some community care for her son after his return home. A great deal of her stress is related to the idea that the son will not be followed or has any resources available to him once he leaves the hospital. •The client would like to live without the constant guilt that she currently feels for the son’s situation. The client’s “Stage of Change...