Depressuib Abd Death Essay

2543 words - 11 pages

Present Problem
Larry is a fifteen year old, heterosexual male who has been \depressed for three months. This is the third episode of depression he has experienced in the last six years. This episode has a distinguish as it began at the time of his fathers murder three months ago. All symptoms are the same as the previous episodes, with the Personal Status
Larry is the youngest of three siblings, all male. One of his siblings’ lives at home and his oldest brothers live in town in thier own apartment. Larry has lived in Salem, Massachusetts since his birth. He has spent a good deal of time (weekends mostly) in New York City were his father lived for ten years.
Larry is very ...view middle of the document...

His mother still speaks Spanish as her primary language and speaks little to no English. Dad spoke Spanish and was fluent in English as well. Larry speaks English primarily but is fluent in Spanish as well. His family lives in a lower income neighborhood, just above the poverty line. Many of Larry's friends live in the neighborhood next to his, which is a government subsided "project". He lives with his mother and one brother. Dad left the family when Larry was five years old and lived in New York City until the time of his murder. Dad worked various jobs to support the family and Larry’s mom works as well.
Larry was close to his father, though he did not see him on a consistent basis (weekly) at the time of his father’s death. His roommate, a man Larry knew and trusted, murdered his father. Mom is involved in his life and responds when the school contacts her. She goes to school functions and all parent-teacher conferences. It is clear she loves her son and wants to be involved in his life.

Positive Support System
Larry has been coming to counseling since the beginning of the 2013 school year. He saw the middle school counselor regularly in middle school as the depression appeared even back in middle school.
Larry has said that the group of friends at the high school have been there for him the last three months and many through the previously episodes as well. His family have been supportive in the past, but with their current grief have been unable to bas supportive as in the past. When asked about the death of his father Larry states, "we don't talk about it."
Education
Larry has always been a good student with grades of B's and C's. Currently Larry is in danger of failing all his academic classes and one of his two electives. Larry states he has "given up" it is "hopeless' in regard’s to his grades. Larry had a sold start to his freshman year and has two quarters of high C's (a few B's). This quarter Larry has not been able to pull himself together to get to classes or do his work.
Readiness for Treatment
Larry is willing to come to counseling here in school and is repetitive to suggestions on how to improve his current situation. Larry is not willing to go to outside counseling and is adamant about no grief counseling. Larry does not want to talk about the murder to anyone. Larry will speak of his father and can be lead into discussion about him easily. Larry is also unwilling to involve his family in any joint counseling attempts by the school or outside sources. The family is receiving no counseling of any kind at this point.
Mental Status
Larry is appropriate in his high school dress and appearance. His is wearing blue jeans a tee shirt with a basketball player making a basket, and a color bock zip up hoodie (hood down). He has on a pair of Michael Jordon sneakers in a current style as Larry states he just got the sneakers. He is articulate but quiet young man and easily answers question when asked....

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