1. Case Study of AngelaCounseling 621 Kelli Cofer November 11, 2011

2. Client Description Angela 44 year old African American female School teacher & guidance counselor Morbid obese Recommendation for gastric by-passsurgery Uses food to copy with stress Additional health problems 3. Purpose of Assessments Initial intake assessment Determine adequate support system Clarify purpose of evaluation Mental status examination (MSE) Statement of how client looks, feels, and behaves during initial examination Minnesota Multiphasic Personality Inventory Second Edition (MMPI-2) Highlights red flags in profile Assess patterns of personality and emotion disorders Million Clinical Multiaxial Inventory Third Edition (MCMI-III) Identifies predominant personality traits 4. Assessment Proceduresand Protocol Initial intake interview Performed during initial visit Notice of Privacy Practices (HIPAA form) Consent of treatment Release of information Mental Status Examination (MSE) Performed during initial visit Series of questions Minnesota Multiphasic Personality Inventory Second Edition(MMPI-2) 567 items True, False, Cannot Say answers Results evaluated using computer software Million Clinical multiaxial inventory Third Edition (MCMI-III) Distinguish psychiatric disorders Complex scoring done by computer 5. Medical/Developmental History Weight condition evident, age 16 Morbid obese, age 25 Fourth of six children Family history of obesity Two sons Divorced twice Marital history of abuse and infidelity Mother died of heart attack seven years ago 6. Familial Psychiatric History Family history of drug andalcohol abuse 7. Work History Elementary school teacher Guidance counselor No record of reported work absences Weight affects occupation 8. Home Behavior/Social Family of origin Fourth of six children Mother died about seven years ago Father still living No reference to family closeness No reference to social activities Divorced, two sons 9. Assessments Used & AppropriateInterpretations Initial intake assessment Determine support system Mental Status Examination (MSE) Organize client information Minnesota Multiphasic Personality Inventory Second Edition(MMPI-2) Personality characteristics Million Clinical multiaxial inventory Third Edition (MCMI-III) Assist in diagnostic process Differentiate psychiatric disorders 10. Summary of Findings Intake assessment Mentally alert Poor support system MCE Functions well in occupation History of binge eating Food used as stress management MMPI-2 Elevated L Scale No Cannot Say responses Defensiveness MCMI-III Evidence of panic disorder with agoraphobia No sense of hopelessness No cyncicism Unevaluated mental health disorders 11. DSM DiagnosisAxis I: 300.00 Anxiety disorder NOSAxis II: V79.01 No diagnosisAxis III High blood pressure, diabetes, orthopedic problems, obesityAxis IV: None reportedAxis V: Current GAF - 60 12. Treatment Plan & RecommendationsAngela reports symptoms of anxiety, but she seems to bemildly or moderately defensive in her test responses. Anongoing counseling relationship is recommended to help herwith her panic attacks, and will be helpful in dealing withanxiety following surgery. Angela will benefit fromparticipation in a support group with people experiencingsimilar medical concerns after gastric by-pass surgery. Familycounseling services can help with addressing issues involvingher bad relationships, eating behaviors, nutritionalguidance, and transition in self-image. 13. References Whiston, Susan C. (2008). Principles and applications ofassessment in counseling (3rd ed.). Thomson Brooks/Cole:Belmont, CA. American Psychiatric Association. (2000). Diagnostic andstatistical manual of mental disorders: DSM-IV TR.Washington, DC: American Psychiatric Association.