Mrs. G is an eighty-six year old Caucasian woman of Jewish descent and faith. She is approximately five feet tall and dresses impeccably. She is widowed and currently lives in an assisted living facility. Prior to retirement, Mrs. G worked as a secretary in a law firm for twenty years and experienced an upper-middle class status throughout her life. Mrs. G is articulate and insightful, but speaks slowly and without much inflection.
II.Presenting Problem or Concern
Mrs. G seeks bereavement services following the death of her husband. Mrs. G has a decrease in appetite and has reported losing seventeen pounds since her husband’s death and is currently having her weight monitored by the doctor. She has been diagnosed with ‘temporal arteritis ‘and is …show more content…
G seems to idealize those close to her. In contrast, those that do not meet her needs as “bad”. She was recently disappointed by her stepson and has rejected him, claiming that she “can’t count on him for anything.” She has had disagreements with residents, which has resulted in no further interaction with them.
In resisting the impact of her loss, Mrs. G has regressed back to earlier behaviors, such as being overly dependent on her sister and nephews, for daily living needs and transportation.
VII. Health and Biological Factors
Mrs. G has temporal arteritis, osteoarthritis and was previously hospitalized with sciatica. She has been prescribed Prednisone for the arteritis and is taking the antidepressant Zoloft.
Her older age and frail physical condition could be hindering her grieving process. In particular, her sight problems, which gives her doubled and blurred vision has prevented her from being able to drive and thus has limited her ability to be able to visit her family, as well as visiting her husband’s grave which is situated an hour away from her home.
VIII. Test Results
IX. DSM IV.TR Diagnosis
Axis I Dysthymia
Axis II No