Summary Of Sally Sue's Case Study

Background information: Sally Sue is an African American female in her mid-thirties. Pt has been homeless the past couple of months. She was admitted to the facility after an individual called the police because she was standing outside naked. Pt reported she has an ongoing struggle with hallucinations and delusions for many years. Pt admitted voluntarily to the facility for hallucinations, delusions, and suicidal ideation. Pt reported she has received therapeutic treatments. Pt source of income is her disability. Also, pt she does not have any legal matters. The patient’s barriers to treatment is homeless, no transportation, hallucinations, and delusions. Sally Sue’s strengths consist of support of a friend and use health care systems. On
Pt symptoms include the following: hallucinations, delusions, and disorganized speech.
Sally Sue presents in a flat affect during the interview. Pt maintained good eye contact.

I explained to the patient that I am an intern student. I would be sitting in on session from time to time.

The patient was cooperative when speaking and engaging with the intern.

The student started with small talk and asked the patient his thoughts and feelings.

The intern asked, “what is your marital status?” Pt reported, “I have never been married.”

Pt asked, what is your current living arrangements?” Pt said, “mam, I have been homeless for the past couple of months. I have been living in a hotel room.”

The intern asked, “is there any issues that needs to be address before you are discharge?” Pt said, “I need a place to go.”

At the end of the session, the intern asked, “are you having any thoughts?” Pt denied any thoughts of suicidal ideation. Also, the intern asked the pt if he had any questions for me. The pt said, “no.”

Pt presented dysphoric during the interview as evidenced by being tearful.

She had disorganized speech when speaking to the intern student.

She was cooperative and calm when answering the