Submit your diagnosis for the client in the case. Follow the guidelines below. The diagnosis should appear on one line in the following order.? No

Week :8 Case of ZURI 

Intake Date: August xxxx 

DEMOGRAPHIC DATA: This was a voluntary intake for this 28-years-old single African American female. Zuri lives with a 24-years-old female roommate in New York City. She has a bachelor's degee in art history and is employed by a major New York museum. Zuri was born and raised in Virginia and moved to New York 4 years ago for employment.   

CHIEF COMPLAINT: “My roommate suggested I go to therapy.  I do not agree. I can handle my life, but she threatened to move out and I cannot afford the apartment by myself.”   

HISTORY OF PRESENT ILLNESS:  Zuri admitted to purging and frequent use of laxatives to try and keep her weight down.  Zuri reported her weight was being monitored by a nutritionist and she had lab work done to be sure she remained healthy. Zuri reports that she was much heavier as a teenager and wants to confirm she doesn’t get like that again.  

Zuri reported that she has a very stressful job. She stated that approximately one month ago she started to have difficulty concentrating at work.  She had several altercations with coworkers as well. Several weeks ago Zuri reported that a coworker “said something nasty and I lost it.” Zuri reported that she was angry and “hit everything I knew I could—but that did not help.” Zuri also reported being under stress due to applying for her master’s degree in art history and difficulties with her boyfriend.  

Zuri complained of depression with insomnia and sleeping only a few hours per night, feeling confused, decreased concentration, irritability, anger, and frustration. She admitted to suicidal ideation. She complained of feeling paranoid over the past few weeks and believed the police were after her and that she heard them outside her door. This was another reason her roommate wanted her to seek treatment.  Zuri reported she was emotionally abused as a child and suffered from post-traumatic stress disorder, but she denied a history of flashbacks or nightmares or any avoidance of the person who she says emotionally abused her.  

Zuri noted that at times over the past year she has very strange experiences of being overwhelmed with fear.  At these times she begins sweating, has chest pains and chills, and thinks she is going crazy.  It concerns her terribly that these may happen at inappropriate times.   Reluctantly, Zuri admitted to bingeing several times per month since she was 17-years-old.  

PAST PSYCHIATRIC HISTORY:  Zuri denies any history of psychiatric problems in the past.  Zuri admits to using alcohol periodically but rarely to excess.   

MEDICAL HISTORY: Zuri is allergic to penicillin and has a lactose intolerance. She wears glasses for reading.  

PSYCHOSOCIAL AND DEVELOPMENTAL HISTORY: Zuri’s parents were married when her mother was 19-years-old, and Zuri was born the following year. Two years later, Zuri’s sister was born.  Zuri reports her mother stated Zuri’s personality changed; she became stubborn and difficult. Zuri’s mother said that Zuri began biting, having temper tantrums, and has been moody since then. Zuri states she “adores her father” because he was never the disciplinarian. When Zuri was 12-years-old, her parents separated for 2 weeks. Zuri reported her mother quit college after Zuri’s birth and returned to college after her sister’s birth. She said her father worked all the time, and there was a housekeeper who cared for the children.  

Zuri reports that when she was in high school, her maternal aunt, who was dying of cancer, came to live with the family and this was very stressful for the family. During those years, Zuri told the school counselor that her mother was abusive, and school officials visited the family. During the visit, Zuri had a temper tantrum and there was no further investigation.  

Zuri reports she was always an above-average student who rarely studied. She said she was always hyperactive and had difficulty sitting in school. Zuri stated that in college she had a 3.8 GPA and was on the Dean’s list. Zuri is currently applying for admission to graduate school and has taken some courses toward her master’s degree.  

Currently, Zuri is friendly with her roommate but does not have many other friends. “I don’t trust anybody.” Zuri states that when she lived in Connecticut during college, she had many friends.  

Zuri worked during summer vacation while in high school. She baby sat during college and worked as a graduate assistant. Since graduating from college, Zuri has been employed by a museum. Zuri reports she currently has financial problems due to living in New York.  

MENTAL STATUS EXAMINATION: Zuri presented as a slightly overweight, somewhat disheveled, African-American female. She was relaxed but very restless during the interview. Her facial expression was mobile. Her affect during the initial interview was constricted and her mood dysphoric. Zuri’s  speech was pressured, and she spoke in a loud voice. At times, her thinking was logical; and at other times, it was illogical. Zuri denied hallucinations but complained of hearing policemen outside her sometimes. She denied homicidal ideation. She initially admitted to suicidal ideation but then denied it.  

Zuri was oriented to person, place, and time. Her fund of knowledge was excellent. Zuri was able to calculate serial sevens easily and accurately. Zuri repeated 7 digits forward and 3 in reverse. Her recent and remote memory was intact, and she recalled 3 items after five minutes. Zuri was able to give appropriate interpretations for 3 of 3 proverbs. Her social and personal judgment was appropriate. Zuri’s three wishes were: “To be skinny, to have a big house where I can take in all the stray cats, and for a million more wishes.” When asked how she sees herself in 5 years, Zuri replied, “Hopefully graduating from graduate school.” If Zuri could change something about herself, she would “make myself thin.” 

Collepals.com Plagiarism Free Papers

Are you looking for custom essay writing service or even dissertation writing services? Just request for our write my paper service, and we'll match you with the best essay writer in your subject! With an exceptional team of professional academic experts in a wide range of subjects, we can guarantee you an unrivaled quality of custom-written papers.

Get ZERO PLAGIARISM, HUMAN WRITTEN ESSAYS

Why Hire Collepals.com writers to do your paper?

Quality- We are experienced and have access to ample research materials.

We write plagiarism Free Content

Confidential- We never share or sell your personal information to third parties.

Support-Chat with us today! We are always waiting to answer all your questions.