Bio Psychosocial Assessment
Identifying information
Cynthia is a divorced 47 year old mother of two sons, Stanley age 27 and George age19. Both of her sons live at home with her. Stanley, who is trainable mentally impaired, requires a lot of Cynthia’s attention. George attends Oakland Community College with plans on transferring to a four year university in his junior year. Cynthia has a great relationship with both of her children.
Cynthia is in the middle class income range grossing $65,000 a year. She is an African American who owns her home and resides in the city of Detroit. Cynthia attended the University of Detroit and currently has 98 credit hours towards her accounting degree. She is currently employed as a protective officer working full time.
Presenting problem
Cynthia states she has not been feeling like herself lately. Her energy levels are low, unable to sleep, irritable, feels sad often, lacks interest in hanging out with friends, and is unable to recall simple things. She states she would prefer to stay in and eat her favorite foods than go out on a date or meet up with friends.
Psychological information
Cynthia has become withdrawn, displays shifts in her mood with the inability to sleep, low energy, changes in her eating habits, and a pessimistic attitude towards life.
Cynthia loss her mom to cancer four years ago and has had two failed relationships since the passing of her mom. Cynthia’s loss contact with her older sister Barbara due to a conflict in regards to their mother’s estate. Cynthia’s last relationship was with a recovering drug addict and alcoholic who was verbally and physically abusive. Cynthia does not trust men and has a strong lack of trust for white people. Cynthia feels that most people are opportunists and have hidden agendas. She stated the one person she trusted the most in life is no longer with her. She views herself as a good hearted person that attracts the wrong type of people. Cynthia believes she has had to deal with a significant amount of stress and she does not understand why she has had so many hardships in life.
Cynthia was well dressed with her hair neatly combed. She wore a nice fragrance and appeared to be somewhat upbeat.
Cynthia was raised by her paternal grandparents until the age of 16. Her grandmother passed and her aunt moved into her grandparent’s home to continue raising her in an environment she was familiar and comfortable with. Cynthia’s grandparents did not believe her parents had the financial or mental capability of raising her. Yet, Cynthia had a close relationship with her mother and continues to have a close relationship with her father. Stanley’s father, an alcoholic, abandoned them just before Stanley’s second birthday. Cynthia maintains a close friendship with George’s father. Her relationship with her younger half-sister is not as close as she would like. Cynthia is unaware of any mental disorders in her family.
Cynthia speaks highly of her children and when discussing them she always had a smile on her face. She is also pleasant and takes great pride in her appearance. Cynthia has managed to maintain full time employment and has not missed a day of work in over a year. Cynthia has a deep passion for education and has taken the steps to enroll back into school to complete her degree. She is also planning on obtaining her master’s degree in accounting.
Sociological information Cynthia has two half-sisters. One sister she no longer communicates with. Cynthia does not agree with the lifestyle her younger sister has chosen which has placed a strain on their relationship. Both of her siblings live out-of-state. Cynthia maintains a strong bond with her father who she speaks to weekly; he also resides in another state.
Cynthia has three close friends and she does not attend church on a regular basis. She maintains a working relationship with several of her co-workers but she currently has a stressful relationship with her supervisors and her management team. She currently has a pending lawsuit against her company for discrimination.
Cynthia has worked as a direct care provider, a Detroit Reserve Officer, an accounts payable clerk, an accounting associate, a drug rehab counselor to her current position as a protective officer.
Cynthia has lived in her neighborhood for twenty years and is well known amongst her neighbors. Between Cynthia has loving and caring neighbors and friends to assist her in times of need. Cynthia is unable to rely on family for immediate support due to the amount of distant between them.
Biological
Cynthia is in excellent physical condition. There is no family history of illness or substance abuse.
Environmental Factors
Cynthia owns her home which is clean, well-organized, and equipped with an alarm system. She owns two vehicles and she allows her 19 year old son to drive one. She cooks dinner regularly throughout the week. Her neighborhood appears to be clean and quiet with every home on the block occupied and well kept.
Strengths of the client
Cynthia has a strong will and great determination to follow through on tasks. She is an excellent care giver and mom who wishes the best for her children. She has a generous heart and is open to criticism. Cynthia maintains an immaculate home and pays her bills on time. She is a dependable employee and despite the large amount of stress on the job still continues to show-up for work. Recently, Cynthia was acknowledged nationally for saving the life of an infant while on the job.
Despite life’s downs there will always be something positive to look forward to. Having a positive attitude in life and not allowing anyone to still your joy will help you to have a better outlook at life and the people in your life. We all have a purpose. We may not understand what that purpose may be but clearly Cynthia has met some of hers by saving an infant’s life, caring for her son, and helping her elderly neighbors. These are the things that should be focused on and not the curve balls that are thrown occasionally in our direction.
Mutually agreed upon Problems
Cynthia agrees that she has been feeling depressed from the difficulties she has been having with work and family issues. Some of the goals established are for Cynthia to share what she is going through with the people she love and trust who are positive thinkers. Knowing she may have retreated from her most treasured relationships, but they can get her through this tough time. She needs to reward herself for each accomplishment. Cynthia agreed she will begin attending social functions; being around others may help her feel less depressed. The thought of reaching out to even close family members and friends can be overwhelming and she may feel ashamed, too exhausted to talk, or guilty for neglecting the relationship. However, this is the depression talking. Her loved ones care about her and want to help.
Cynthia is a divorced 47 year old mother of two sons, Stanley age 27 and George age19. Both of her sons live at home with her. Stanley, who is trainable mentally impaired, requires a lot of Cynthia’s attention. George attends Oakland Community College with plans on transferring to a four year university in his junior year. Cynthia has a great relationship with both of her children.
Cynthia is in the middle class income range grossing $65,000 a year. She is an African American who owns her home and resides in the city of Detroit. Cynthia attended the University of Detroit and currently has 98 credit hours towards her accounting degree. She is currently employed as a protective officer working full time.
Presenting problem
Cynthia states she has not been feeling like herself lately. Her energy levels are low, unable to sleep, irritable, feels sad often, lacks interest in hanging out with friends, and is unable to recall simple things. She states she would prefer to stay in and eat her favorite foods than go out on a date or meet up with friends.
Psychological information
Cynthia has become withdrawn, displays shifts in her mood with the inability to sleep, low energy, changes in her eating habits, and a pessimistic attitude towards life.
Cynthia loss her mom to cancer four years ago and has had two failed relationships since the passing of her mom. Cynthia’s loss contact with her older sister Barbara due to a conflict in regards to their mother’s estate. Cynthia’s last relationship was with a recovering drug addict and alcoholic who was verbally and physically abusive. Cynthia does not trust men and has a strong lack of trust for white people. Cynthia feels that most people are opportunists and have hidden agendas. She stated the one person she trusted the most in life is no longer with her. She views herself as a good hearted person that attracts the wrong type of people. Cynthia believes she has had to deal with a significant amount of stress and she does not understand why she has had so many hardships in life.
Cynthia was well dressed with her hair neatly combed. She wore a nice fragrance and appeared to be somewhat upbeat.
Cynthia was raised by her paternal grandparents until the age of 16. Her grandmother passed and her aunt moved into her grandparent’s home to continue raising her in an environment she was familiar and comfortable with. Cynthia’s grandparents did not believe her parents had the financial or mental capability of raising her. Yet, Cynthia had a close relationship with her mother and continues to have a close relationship with her father. Stanley’s father, an alcoholic, abandoned them just before Stanley’s second birthday. Cynthia maintains a close friendship with George’s father. Her relationship with her younger half-sister is not as close as she would like. Cynthia is unaware of any mental disorders in her family.
Cynthia speaks highly of her children and when discussing them she always had a smile on her face. She is also pleasant and takes great pride in her appearance. Cynthia has managed to maintain full time employment and has not missed a day of work in over a year. Cynthia has a deep passion for education and has taken the steps to enroll back into school to complete her degree. She is also planning on obtaining her master’s degree in accounting.
Sociological information Cynthia has two half-sisters. One sister she no longer communicates with. Cynthia does not agree with the lifestyle her younger sister has chosen which has placed a strain on their relationship. Both of her siblings live out-of-state. Cynthia maintains a strong bond with her father who she speaks to weekly; he also resides in another state.
Cynthia has three close friends and she does not attend church on a regular basis. She maintains a working relationship with several of her co-workers but she currently has a stressful relationship with her supervisors and her management team. She currently has a pending lawsuit against her company for discrimination.
Cynthia has worked as a direct care provider, a Detroit Reserve Officer, an accounts payable clerk, an accounting associate, a drug rehab counselor to her current position as a protective officer.
Cynthia has lived in her neighborhood for twenty years and is well known amongst her neighbors. Between Cynthia has loving and caring neighbors and friends to assist her in times of need. Cynthia is unable to rely on family for immediate support due to the amount of distant between them.
Biological
Cynthia is in excellent physical condition. There is no family history of illness or substance abuse.
Environmental Factors
Cynthia owns her home which is clean, well-organized, and equipped with an alarm system. She owns two vehicles and she allows her 19 year old son to drive one. She cooks dinner regularly throughout the week. Her neighborhood appears to be clean and quiet with every home on the block occupied and well kept.
Strengths of the client
Cynthia has a strong will and great determination to follow through on tasks. She is an excellent care giver and mom who wishes the best for her children. She has a generous heart and is open to criticism. Cynthia maintains an immaculate home and pays her bills on time. She is a dependable employee and despite the large amount of stress on the job still continues to show-up for work. Recently, Cynthia was acknowledged nationally for saving the life of an infant while on the job.
Despite life’s downs there will always be something positive to look forward to. Having a positive attitude in life and not allowing anyone to still your joy will help you to have a better outlook at life and the people in your life. We all have a purpose. We may not understand what that purpose may be but clearly Cynthia has met some of hers by saving an infant’s life, caring for her son, and helping her elderly neighbors. These are the things that should be focused on and not the curve balls that are thrown occasionally in our direction.
Mutually agreed upon Problems
Cynthia agrees that she has been feeling depressed from the difficulties she has been having with work and family issues. Some of the goals established are for Cynthia to share what she is going through with the people she love and trust who are positive thinkers. Knowing she may have retreated from her most treasured relationships, but they can get her through this tough time. She needs to reward herself for each accomplishment. Cynthia agreed she will begin attending social functions; being around others may help her feel less depressed. The thought of reaching out to even close family members and friends can be overwhelming and she may feel ashamed, too exhausted to talk, or guilty for neglecting the relationship. However, this is the depression talking. Her loved ones care about her and want to help.