Mental Health Nursing: Case Study Analysis

Running head: MENTAL HEALTH NURSING
MENTAL HEALTH CASE STUDY ANALYSIS
Name of the student
Name of the university
Author note

1MENTAL HEALTH NURSING
Three issues of Lisa identified from the case study
While analyzing the case study of Lisa, several mental and psychological concern that
affected her mental balance and increased her need for psychological treatment were identified.
Lisa was counselled by Jenny, a local drug service under whom she was undergoing treatment
and while sharing her concern, Lisa mentioned her concerns. Within these, the three aspects,
which contributed to her problematic substance use, were her loneliness, her fear and
insecurities.
As mentioned in the case study, Lisa’s parent did not approve of her relationship with
John due to which she separated from her family and moved in with John. Due to this rejection
from her parents, she started feeling lonely and isolated. As per Lindgren et al. (2014),
loneliness and isolation are two primary concern of people suffering from psychological or
mental issues. Lisa was agitated, anxious and fidgeting constantly while communicating to the
local counsellor that indicated towards her loneliness and isolation stage, as she was unable to
make eye contact to the counsellor. The counsellor mentioned that Lisa looked untidy, rough and
does not look like her normal self as well as Lisa also mentioned herself ‘ugly’ that indicated
towards her low self-esteemed and confidence. Therefore, as per the Trauma- Informed Care
Principles, she lacked empowerment (Raja et al., 2015). Further, due to the rejection from her
family, she was not able to continue her medication as her mother used to take care of it,
therefore the only source of her empowerment, her family was not present in the situation, due to
which her substance abuse resumed.
The second issue could be identified from the fact that Lisa repeatedly mentioned her
need of protecting herself from her surrounding environment and close people. Lisa mentioned

2MENTAL HEALTH NURSING
of few voices that repeatedly asked her to protect herself from John. Further she had several
cameras in her house that constantly concerned her of continuous vigilance. This affected her
mental peace as she had to sleep in the garden shed with a knife under her pillow as she had
constant fear of being watched, threatened by some external voices and her boyfriend John that
made her sleep alone in garden at night. As per Pearson et al. (2015) fear plays an important role
in the development of psychological disorder and in case of Lisa, there were multiple stressors
that induced fear in her psychological disorder. While communicating her concerns to the local
counsellor, she mentioned that she is fearful of thinking on her won because she thinks her
boyfriend has inserted transmitter in her stomach, and her thoughts are open to everyone
surrounding. As per Sweeney et al. (2015) fear is a core process, in which discrimination, power,
and control plays an important role. After facing rejection from her family, she was completely
dependent on her boyfriend however due to continuous vigilance, stress and isolation, she
developed fear of staking, violence and threatened of death. As per the Trauma- Informed Care
Principles, trustworthiness, transparency and safety were the principles that were lacking in her
surrounding that may enhance her substance abuse and increased her psychological complication
(Muskett, 2014).
The third aspect, which could have induced her psychological and mental concerns is her
insecurity and stress. While communicating to the local counsellor, she seemed distracted and
was observed having conversation with some virtual individual. She was also distracted while
conversation and asked to repeat several question due to her lack of concentration. She
mentioned that she is unaware of medication program and has not consumed any medicine since
she has moved to her new house with John. Besides, after moving in with John, she has
unintentionally increased her cannabis and speed related substance abuse. Researcher Van der