Showing Page:
1/4
Walden University NUR 6650 Week 5
The HM Family
The family of HM is made of up five individuals, which are Mr. HM. Mrs. HM, LZ the first daughter who is
23 years, Nm, the first son who is 21 years, and ZO, the last son who is 19 years old. Do was diagnosed
with neurodevelopmental disorder at the age of three, and was noted to have low functioning autism.
Taking care of him was stressful to all the family members as he sometimes becomes aggressive to the
family members and destroys family properties. ZO has been in and out of the hospital due to his
disorder, which has taking a toll on the family’s finance. He is sometimes placed on restrictions for his
safety. The family situation got worst when Mrs. HM lost her nursing job, she became depressed as a
result of that and resorted to drinking alcohol as a coping skills. Her condition devastated her husband
and her children who has been looking up on to her. Her husband tried to make her seek for help but
she was so much into her depression and drinking, and could not understand that she is swimming away
from reality. The gap between her and the other family members began to grow wider and wider. At
about six months of losing her job, she also lost her 19 year old son ZO. Though ZO is autistic, he also has
a history of intermittent seizures, on a certain day, he had the seizure with no one around to help him,
except his drunken mother who was sleeping in another room. He was found death in the room, which
was presumed to be due to aspiration. Mr. HM was so devastated on the death of his son that he
blames his wife for the cause of their son’s death as she was so depressed to realize that the boy has not
been taking his seizure medications as supposed. Her husband and her other two children hated her for
that reason. They distanced themselves from her, which made her resort more into drinking, and due to
the fear of losing her family, she decided to take her life. Fortunately she was stopped from hanging
herself by her husband who walked in on her, and later brought her to the hospital, where she was
placed in the psychiatric unit of the hospital.
Mrs. HM
Mrs. HM is a 55 year old Caucasian woman who was referred for family therapy due to the incessant
family conflict with the other members of her family. Mrs. HM is a nurse and has been working at the
community clinic for about 11 years. He is married to Mr. HM for 25 years and they have three children
together, a girl and two boys. Their names are LZ who is 23 year, NM, who is 21 years and ZO who is 19
years and diagnosed with low functioning autism and seizure disorder. The family live together in the
city, and has been peaceful until last year when Mrs. HM lost her job due to patient negligent, which led
to the suspension of her nursing license. She became depressed as a result of that and resorted to
drinking as a coping skill for her depression; an action that brought a big gap among the members of her
family as she was not fully able to take care of the family affairs. Her husband and children felt
disappointed at her sudden change of behavior and all attempt to make her seek for help proved
abortive. In the cause of her inability to run the home as usual, she lost her 19 year old son to the cold
hand of death. She was blamed by her husband and her children for the death of ZO because they felt it
was due do her carelessness. She could not monitor her son to know that she has not been taking his
seizure medication as supposed. Besides, she was the only one at home the day ZO died of aspiration
due to seizure attack. She was drunk on that day and was sleeping when ZO began seizing and was
found dead afterwards. Her family distanced themselves for that and even hated her the more. The fear
of losing her family made her attempt killing herself but was intercepted by her husband who walked in
Showing Page:
2/4
on her, and he brought her to the hospital. Hence the family was referred for family counseling. Mrs.
HM has no known allergies; however, she has a history of cigarette smoking, and consumes a pack of
cigarette per day. She has no history of illicit drug use. Mrs. HM was diagnosed with increased
cholesterol four years ago and has been placed on simvastatin 20 mg daily. There is no known history of
any other medical problems. She has no previous history of psychiatric problems, so this is her first
inpatient hospitalization. She attends the nearby Baptist church, and has developed some friends from
the church.
Diagnosis for Mrs. HM
Major Depressive Disorder (MDD) 296.23 (F32.2) The criteria for the diagnosis of major depressive
disorder in DSM-5 include if the client is depressed most of the day or nearly every day. If the client has
reduced interest or pleasure in the things he or she use to enjoy, and has developed insomnia. If the
client feels worthless hopeless and helpless, and inappropriate guilt feeling. Also, if the client has
constant thought of death or suicidal ideation. Mrs. HM has met the DSM-5 criteria for the diagnosis of
MDD because she develop suicidal thought and would have almost carried out her plan if her husband
did not intercept. Besides, she is depressed daily, does not sleep well at night unless when she is drunk,
and has lost interest in her motherly role, which she once cherish.
Alcohol Use Disorder 303.90 (F10.20) Some of the criteria in DSM-5 for the diagnosis of alcohol use
disorder is when the client repeatedly takes a large amount of alcohol, which is more than the client
intended for a long time. The person tries to stop the intake of excessive alcohol but have not been able
to do so. The person develops strong desire and urge to drink all the time, and if alcohol has prevented
the client from performing his or her rales and responsibilities at home or work. Continuous use of
alcohol even when the client has had some legal or social problems as a result of alcohol use (American
Psychiatric Association, 2013). The above diagnosis is right for Mrs. HM because she has met all the
listed criterial for the diagnosis of the disorder. She drinks too much even when she knows it is
negatively affecting her family. Alcohol drinking has prevented her from effectively performing her
motherly role in the family, which has brought about the death of her 19 year old son. Also, she
developed increased craving for alcohol, and would not stop even when she desires to stop.
Mr. HM
Mr. HM is a 57 year old Caucasian man, who who was referred for family therapy due to the conflict in
his family that has brought about some psychiatric problems to his family members. Mr. HM retired
from the military service three years ago and currently volunteers with the fire fighters. He is married to
Mrs. HM for 25 years and they have three children together; two boys and a girl. There names are, LZ,
NM and ZO. He live together with his wife and children in the city, and the family has been living
peacefully together until his wife lost her nursing job, and his last son ZO died after having a severe
seizure attack. He was presumed to have died due to aspiration, and Mr. HM blames his wife for the
cause of his son's death. He believes that his death was due to the carelessness of his wife who has
resorted to excessive drinking as a coping skill for her depression and has ignored her family obligation
as a mother. He reported that his wife who as a nurse takes care of her son's medications failed to
realize that his son has not been taking his seizure medications as prescribed. Besides, she was the only
one at home with the boy on the day he died. She was drunk, and sleeping heavily when the boy started
seizing , and later died as a result. Mr. HM hated his wife for that and vows that he will never forgive her
for killing his son. He was devastated on the death of his son, he has been morning abnormally by
Showing Page:
3/4
Globally, the solution-focused brief therapy is practiced in persons with depression. In India, fewer
studies have documented about the treatment outcome of solution-focused therapy among persons
with depression. The current study was carried out with a 19-year-old girl, studying SSLC (10th Standard)
was diagnosed with moderate depression. She had difficulty in attention, concentration, memory,
irritability and sad mood, poor academic performance, guilt feelings, lethargic, anhedonia, decreased
sleep, and decreased appetite. The case worker has chosen provided 6 sessions of solution focused
therapy for depression. There was considerable improvement in her symptoms and in scholastic
performance. This study demonstrated that single session SFBT was effective in reducing depressed
mood.[2] In a study, (Pashapu et al., 2018)
The
research committee identifies active ingredients and the core processes of conversations that are
important in SFBT. These ingredients include conversations that involve a therapeutic process of
co-constructing, by altering and/or creating new meanings with clients. Co-construction is a
collaborative process in communication where speaker and listener collaborate to negotiate meanings,
and this jointly produced information in turn acts to shift meanings and social interactions
(Bavelas et al., 2013, p. 5). According to the SFBTA treatment manual, clients are specifically
asked to co-construct a vision of a preferred future and draw on their past successes, strengths,
and resources to make that vision a part of their everyday lives (Franklin et al., 2016)
SFBT, which aims to help people experiencing difficulty find tools they can use immediately to manage
symptoms and cope with challenges, is grounded in the belief that although individuals may already
have the skills to create change in their lives, they often need help identifying and developing those
skills. Similarly, SFBT recognizes that people already know, on some level, what change is needed in their
lives, and SFBT practitioners work to help the people in their care clarify their goals. Practitioners of
SFBT encourage individuals to imagine the future they desire and then work to collaboratively develop a
series of steps that will help them achieve those goals. In particular, therapists can help those in
treatment identify a time in life when a current issue was either less detrimental or more manageable
and evaluate what factors were different or what solutions may have been present in the past.
Showing Page:
4/4
This form of therapy involves first developing a vision of one’s future and then determining how internal
abilities can be enhanced in order to attain the desired outcome. Therapists who practice SFBT attempt
to guide people in therapy through the process of recognizing what is working for them, help them
explore how best to continue practicing those strategies, and encourage them to acknowledge and
celebrate success. In addition, practitioners of SFBT support people in therapy as they experiment with
new problem-solving approaches.
SFBT has been used successfully in individual therapy and with both families and couples. Developed
with the primary intention of helping those in therapy to find solutions to challenges, the approach has
expanded to address issues in other areas of life, such as schools and workplaces. Individuals from
different cultures, backgrounds, and age groups have all been shown to benefit from this type of
therapy.
SFBT can be used to treat a wide range of issues. It is most often used to address challenges for which
the person in therapy already has some idea of possible solutions. In SFTB, the person seeking treatment
is considered the "expert" on their concerns, and the therapist encourages the individual to envision
their solution, or what change would look like, and then outline the steps necessary to solve problems
and achieve goals. Because this modality focuses on solutions to issues, rather than the reasons behind
them, it may be more effective at treating some concerns than others.
Research has shown SFBT may be a helpful intervention for youth who are experiencing behavioral
concerns or academic/school-related concerns. It has also proven effective as an approach to family
therapy and couples counseling. This method is often used in conjunction with other approaches.

Unformatted Attachment Preview

Walden University NUR 6650 Week 5 The HM Family The family of HM is made of up five individuals, which are Mr. HM. Mrs. HM, LZ the first daughter who is 23 years, Nm, the first son who is 21 years, and ZO, the last son who is 19 years old. Do was diagnosed with neurodevelopmental disorder at the age of three, and was noted to have low functioning autism. Taking care of him was stressful to all the family members as he sometimes becomes aggressive to the family members and destroys family properties. ZO has been in and out of the hospital due to his disorder, which has taking a toll on the family’s finance. He is sometimes placed on restrictions for his safety. The family situation got worst when Mrs. HM lost her nursing job, she became depressed as a result of that and resorted to drinking alcohol as a coping skills. Her condition devastated her husband and her children who has been looking up on to her. Her husband tried to make her seek for help but she was so much into her depression and drinking, and could not understand that she is swimming away from reality. The gap between her and the other family members began to grow wider and wider. At about six months of losing her job, she also lost her 19 year old son ZO. Though ZO is autistic, he also has a history of intermittent seizures, on a certain day, he had the seizure with no one around to help him, except his drunken mother who was sleeping in another room. He was found death in the room, which was presumed to be due to aspiration. Mr. HM was so devastated on the death of his son that he blames his wife for the cause of their son’s death as she was so depressed to realize that the boy has not been taking his seizure medications as supposed. Her husband and her other two children hated her for that reason. They distanced themselves from her, which made her resort more into drinking, and due to the fear of losing her family, she decided to take her life. Fortunately she was stopped from hanging herself by her husband who walked in on her, and later brought her to the hospital, where she was placed in the psychiatric unit of the hospital. Mrs. HM Mrs. HM is a 55 year old Caucasian woman who was referred for family therapy due to the incessant family conflict with the other members of her family. Mrs. HM is a nurse and has been working at the community clinic for about 11 years. He is married to Mr. HM for 25 years and they have three children together, a girl and two boys. Their names are LZ who is 23 year, NM, who is 21 years and ZO who is 19 years and diagnosed with low functioning autism and seizure disorder. The family live together in the city, and has been peaceful until last year when Mrs. HM lost her job due to patient negligent, which led to the suspension of her nursing license. She became depressed as a result of that and resorted to drinking as a coping skill for her depression; an action that brought a big gap among the members of her family as she was not fully able to take care of the family affairs. Her husband and children felt disappointed at her sudden change of behavior and all attempt to make her seek for help proved abortive. In the cause of her inability to run the home as usual, she lost her 19 year old son to the cold hand of death. She was blamed by her husband and her children for the death of ZO because they felt it was due do her carelessness. She could not monitor her son to know that she has not been taking his seizure medication as supposed. Besides, she was the only one at home the day ZO died of aspiration due to seizure attack. She was drunk on that day and was sleeping when ZO began seizing and was found dead afterwards. Her family distanced themselves for that and even hated her the more. The fear of losing her family made her attempt killing herself but was intercepted by her husband who walked in on her, and he brought her to the hospital. Hence the family was referred for family counseling. Mrs. HM has no known allergies; however, she has a history of cigarette smoking, and consumes a pack of cigarette per day. She has no history of illicit drug use. Mrs. HM was diagnosed with increased cholesterol four years ago and has been placed on simvastatin 20 mg daily. There is no known history of any other medical problems. She has no previous history of psychiatric problems, so this is her first inpatient hospitalization. She attends the nearby Baptist church, and has developed some friends from the church. Diagnosis for Mrs. HM Major Depressive Disorder (MDD) 296.23 (F32.2) – The criteria for the diagnosis of major depressive disorder in DSM-5 include if the client is depressed most of the day or nearly every day. If the client has reduced interest or pleasure in the things he or she use to enjoy, and has developed insomnia. If the client feels worthless hopeless and helpless, and inappropriate guilt feeling. Also, if the client has constant thought of death or suicidal ideation. Mrs. HM has met the DSM-5 criteria for the diagnosis of MDD because she develop suicidal thought and would have almost carried out her plan if her husband did not intercept. Besides, she is depressed daily, does not sleep well at night unless when she is drunk, and has lost interest in her motherly role, which she once cherish. Alcohol Use Disorder 303.90 (F10.20) – Some of the criteria in DSM-5 for the diagnosis of alcohol use disorder is when the client repeatedly takes a large amount of alcohol, which is more than the client intended for a long time. The person tries to stop the intake of excessive alcohol but have not been able to do so. The person develops strong desire and urge to drink all the time, and if alcohol has prevented the client from performing his or her rales and responsibilities at home or work. Continuous use of alcohol even when the client has had some legal or social problems as a result of alcohol use (American Psychiatric Association, 2013). The above diagnosis is right for Mrs. HM because she has met all the listed criterial for the diagnosis of the disorder. She drinks too much even when she knows it is negatively affecting her family. Alcohol drinking has prevented her from effectively performing her motherly role in the family, which has brought about the death of her 19 year old son. Also, she developed increased craving for alcohol, and would not stop even when she desires to stop. Mr. HM Mr. HM is a 57 year old Caucasian man, who who was referred for family therapy due to the conflict in his family that has brought about some psychiatric problems to his family members. Mr. HM retired from the military service three years ago and currently volunteers with the fire fighters. He is married to Mrs. HM for 25 years and they have three children together; two boys and a girl. There names are, LZ, NM and ZO. He live together with his wife and children in the city, and the family has been living peacefully together until his wife lost her nursing job, and his last son ZO died after having a severe seizure attack. He was presumed to have died due to aspiration, and Mr. HM blames his wife for the cause of his son's death. He believes that his death was due to the carelessness of his wife who has resorted to excessive drinking as a coping skill for her depression and has ignored her family obligation as a mother. He reported that his wife who as a nurse takes care of her son's medications failed to realize that his son has not been taking his seizure medications as prescribed. Besides, she was the only one at home with the boy on the day he died. She was drunk, and sleeping heavily when the boy started seizing , and later died as a result. Mr. HM hated his wife for that and vows that he will never forgive her for killing his son. He was devastated on the death of his son, he has been morning abnormally by Globally, the solution-focused brief therapy is practiced in persons with depression. In India, fewer studies have documented about the treatment outcome of solution-focused therapy among persons with depression. The current study was carried out with a 19-year-old girl, studying SSLC (10th Standard) was diagnosed with moderate depression. She had difficulty in attention, concentration, memory, irritability and sad mood, poor academic performance, guilt feelings, lethargic, anhedonia, decreased sleep, and decreased appetite. The case worker has chosen provided 6 sessions of solution focused therapy for depression. There was considerable improvement in her symptoms and in scholastic performance. This study demonstrated that single session SFBT was effective in reducing depressed mood.[2] In a study, (Pashapu et al., 2018) The research committee identifies active ingredients and the core processes of conversations that are important in SFBT. These ingredients include conversations that involve a therapeutic process of co-constructing, by altering and/or creating new meanings with clients. Co-construction is a collaborative process in communication where speaker and listener collaborate to negotiate meanings, and this jointly produced information in turn acts to shift meanings and social interactions (Bavelas et al., 2013, p. 5). According to the SFBTA treatment manual, clients are specifically asked to co-construct a vision of a preferred future and draw on their past successes, strengths, and resources to make that vision a part of their everyday lives (Franklin et al., 2016) SFBT, which aims to help people experiencing difficulty find tools they can use immediately to manage symptoms and cope with challenges, is grounded in the belief that although individuals may already have the skills to create change in their lives, they often need help identifying and developing those skills. Similarly, SFBT recognizes that people already know, on some level, what change is needed in their lives, and SFBT practitioners work to help the people in their care clarify their goals. Practitioners of SFBT encourage individuals to imagine the future they desire and then work to collaboratively develop a series of steps that will help them achieve those goals. In particular, therapists can help those in treatment identify a time in life when a current issue was either less detrimental or more manageable and evaluate what factors were different or what solutions may have been present in the past. This form of therapy involves first developing a vision of one’s future and then determining how internal abilities can be enhanced in order to attain the desired outcome. Therapists who practice SFBT attempt to guide people in therapy through the process of recognizing what is working for them, help them explore how best to continue practicing those strategies, and encourage them to acknowledge and celebrate success. In addition, practitioners of SFBT support people in therapy as they experiment with new problem-solving approaches. SFBT has been used successfully in individual therapy and with both families and couples. Developed with the primary intention of helping those in therapy to find solutions to challenges, the approach has expanded to address issues in other areas of life, such as schools and workplaces. Individuals from different cultures, backgrounds, and age groups have all been shown to benefit from this type of therapy. SFBT can be used to treat a wide range of issues. It is most often used to address challenges for which the person in therapy already has some idea of possible solutions. In SFTB, the person seeking treatment is considered the "expert" on their concerns, and the therapist encourages the individual to envision their solution, or what change would look like, and then outline the steps necessary to solve problems and achieve goals. Because this modality focuses on solutions to issues, rather than the reasons behind them, it may be more effective at treating some concerns than others. Research has shown SFBT may be a helpful intervention for youth who are experiencing behavioral concerns or academic/school-related concerns. It has also proven effective as an approach to family therapy and couples counseling. This method is often used in conjunction with other approaches. Name: Description: ...
User generated content is uploaded by users for the purposes of learning and should be used following Studypool's honor code & terms of service.
Studypool
4.7
Trustpilot
4.5
Sitejabber
4.4