Comprehensive Mental Health

Running head: COMPREHENSIVE MENTAL HEALTH
Comprehensive Mental Health
Name
Institution Affiliation
Date

COMPREHENSIVE MENTAL HEALTH 2
Presenting Complaint
Sheryl Davis is a 25-year old white female who was admitted to the facility on
12/01/2019. She came with a chief complain of being irritable with low moods. The patient
further stated that she had hallucinations. However, she could not discern whether what she was
seeing and hearing was existent or imaginary. The patient provided assessment information. The
interview was held in a secluded room along with a therapist and senior clinician. Documents
from her previous placements were also used to gather more information for this assessment. The
patient was referred to this facility from California Developmental Training Center due to her
development through treatment, amended behaviors, and being able to function at a developed
level than maximum patients at her previous placement. She was cleared from state hospice and
moved to this facility. The patient would probably stay here until the time comes for her
transitioning into a group home. The treatment personnel trusts that the program here could
possibly improve her current state. Additionally, the staff believes that she may get maximum
benefit from a more group-oriented, and less restricting setting.
History of Presenting Complaint
The information acquired in the evaluation, and former records made me conclude that
the patient has had a very intricate history. Documents obtained paint Sheryl as being notorious
for irrational suspicion of others. She has also been incapable of fostering relationships or run
regular errands. Through the interview, she was regularly intense and detailed when she started
to pronounce facts.
Similarly, as she told her story resending was often necessary to stay absorbed on the
question deliberated. She inclined to want to respond to questions with others and appeared to

COMPREHENSIVE MENTAL HEALTH 3
choose expounding on certain subjects, rather than headway and finish the interview. Sheryl was
approaching with information testifying that she repeatedly messed herself up by harming herself
when she opens up to someone. She then rolled up her sleeve and exposed a lot of clear cuts on
her left limb. She appears to be a good narrator but a pitiable historian. Through the evaluation
course, the treatment workforce was somewhat confused as to if sure of the historical particulars
presented were gotten from Sheryl herself, prior documents, or family members.
Current medications
She is prescribed orlistat (Xenical), liraglutide (Saxenda) and Angiotensin II receptor
blockers. Upon admittance, she was ordered CMP, CBC with diff, and given a TB skin test. All
outcomes were unexceptional. The patient is booked to have vision analysis.
Relevant psychiatric history including risk
Sheryl has historical diagnoses of major anxiety made at the age of twelve. She,
therefore, started taking psychotropic drugs at an early age. At thirteen she was seen in the
emergency room for a 30-pound weight loss maintained in three weeks. At this period Sheryl
informed physical abuse by her stepmother. The patient's mother had been formerly probed for
child abuse.
Consequently, the patient and her sisters were detached from the home and made wards
of the state. It was also established that the patient's father was older compared to her biological
mother. At a certain point, they were taken back to their home then Sheryl’s sisters made claims
that she was extremely irritable and acted weirdly. From then, her conduct has been problematic
to cope. She has a documented history of self-harm, anger, insomnia, and rebelliousness.

COMPREHENSIVE MENTAL HEALTH 4
Therefore, Sheryl has had numerous psychiatric hospitalizations in several places all over the
state of California.
Relevant medical history
She has no identified drug sensitivities, a surgical history of thyroidectomy, and attained
progressive markers on time. The patient has a medical history of thyroidectomy and presently
suffers from high blood pressure, and obesity.
Family history
The patient has three younger sisters, one being non-biological. Her biological mother is
said to have had a history of significant substance abuse. Her father is older as compared to her
mother. Sheryl's stepmother is currently on punishment for alleged child abuse. In 2015, Sheryl's
judge ordered that the family should cut interaction owing to continuously trying to interrupt
treatment, telling her not to conform, and making promises that not ever happened. In the course
of the interview, she evaded eye contact as she spoke gently on her family, and it appeared to be
uncomfortable for her.
Personal and social history
As stated earlier, the patient was physically abused by her stepmother and was removed
from her home at a very early age. Most of her public interface has been in an official
background. Former records designate that she has an account of poor affiliations with peers and
workforce at several placements. She is labeled as unable to stomach having other peers get
attention from the team. She confessed to having physically interrupted, made up tales, and
forged ailments so people would give her attention. While at the California Development and