Unformatted Attachment Preview
Student’s Name: Sara R.
Student Signature: _________________________________________________
Date of Interview: 3/15/12
Field Instructor Signature: __________________________________________
Identifying Information: Clients is a 23 year old Caucasian female. She has been admitted into a local community mental health center due to a
recent suicide attempt. This is her first hospitalization, though she has suffered from depression for quite a while. She lives with her parents.
C=Client; S= Student
Interview Content: (Description
of what happened – verbal
exchange as well as any action or
Student’s Feelings: (Include
unspoken emotional reactions of
student that occurred during
interview for each interaction
between student and client.)
S: Good Morning, My name is
Sara and I am a social work intern Nervous. I am always nervous
here at _________. My job is as
when I begin with a client.
an intake worker so I will be
asking you some questions to help
us decide how best to help you
with your current concerns. If you
feel uncomfortable at any time or
Student’s Thoughts: (Analytical
thoughts which occurred during
the interview for each interaction
between student and client. They
can be thoughts about self or
She looks so sad, so worn-out.
Field Instructor’s Comments
Nervous is ok. Maybe you are
excited too. Fear and excitement
are close relatives. Depression is
in the body as well as the mind.
do not want to answer a question,
please let me know. Is that ok
C: Sure, I guess so. How long will
this take? I have group at 2.
S: I will make sure that you make
group. Shall we begin?
Scared I will make her mad.
She doesn’t want to be here.
I like this. Good for her selfdetermination.
Maybe I don’t want to be here.
Does she seem agitated or
S: So I read from the night notes
that you have been feeling
depressed and 3 nights ago you
took a whole lot of Tylenol pm
C: Yeah. It was a big bottle and a
little bottle, but I got sick and my
mother found me and so here I
S: had you planned to take the
pills or was it more of a
C: I just lost it, you know. My
boyfriend said I was too much
work and I lost my job and I just
didn’t want to deal with it all.
S: So you felt really sad? Angry?
More in control.
Glad that she admits it so freely.
Am I moving too fast? She is not
giving me much so far.
You task is to get information
about her reason for being here.
Now she seems brave to me.
Brave because she admits what
she did? What is her affect like
when she says this?
Motivation is important in suicide
Sad (for her I think)
That was a mean thing for him to
say. It is a sad story.
Is this her feeling or your own
feeling getting in the way? It is
important to know the difference.
Angry (at him I think)
He is awful.
Confident in my question
You do not know him!
What would you say were the
feelings that you had just before
you decided to take all those pills.
C: Yeah. Both of those. Just mixed
up and hopeless. I felt like I would
never get better.
S: You felt sad and angry about
Her story is not my story
Why am I so emotional right now?
Good question. As she shares
more you find yourself emotional.
Confused a bit
Am I going too deep with her?
Is she telling you to be careful
with her or is she asking you to
treat her like the adult she is?
S: How long have you had a
problem with depression?
Good assessment question.
Yes, but a rather abrupt transition
it seems to me.
C: It all kinda stated when I was
14 or 15, you know right around
puberty- when I began my period.
I think I heard something about
this type of depression.
Yes. Could be hormonal trigger.
C: Yes. Everyone treats me like I’m
some sort of basket case.
S: I see- so there was a change
around that age when you
noticed that you were not as
happy as before?
C: Other’s noticed first maybe.
Then I realized that I felt different. I feel close to client.
I look at pictures of myself as a kid
you know and I can see when the
Fairly nice re-phrase.
That is so amazing that she can
see it like that.
She just went a little deeper with
you. Remember your purpose.
S: You look different to yourself
form that age on?
C: Yes. It is like obvious!
S: Ok. How often are you
C: It starts a week before my
period and lasts until a week
S: So most of the month you feel
depressed. Is it always at one
level, or does it vary in that time?
C: It kind of gets worse and then
better slowly. The middle is the
S: I see. Ok. When it is really bad
how intense is it. What is your
C: I usually cry a lot. I don’t want
to leave the house. I don’t want
S: And did you ever before have
an urge to take pills or otherwise
I am thinking of pictures of myself
at 14 or 15.
You have slipped into your own
Whoa- she sounded angry.
Is she angry at you or herself?
That sounds like an awful burden!
Take yourself out of the equation.
Sad for her
I can’t imagine living like that.
It just really sounds difficult.
And yet she has survived. Find her
Back to assessment.
That sounds like depression
Looking for history to assess for
You do not need to diagnose. Just
C: No. This was the first time. I
know it was stupid. I just wanted
to turn off the pain.
She knows it was a mistake- good.
S: So things were even worse this
C: Yeah, I guess.
S: Ok so I think I have a good idea Calm
of the nature of your concern now
I want to ask you about coping
and support, Ok?
She must have some coping skills
to make it this far.
That is how she feels right now.
Depression always brings with it a
risk for self-harm.
It sounds like you are hoping for
S: So how do you cope with your
depression symptoms? What do
you do to feel better?
C: Well I try to focus on other
things. I was in school for a while
but I dropped out last year. I like
to write stuff-poetry and stories. I
wanted to be a writer but I don’t
know if I can now.
S: Have you ever tried
medication? Has it ever been
prescribed for you?
I wonder why her coping failed
She talked about losing her job
which you seem to have missed.
This doesn’t sound like enough.
How could you “reach” for more
Maybe she never has tried any.
C: My doctor had me try Prozac
about four years ago but I did not
like it. It made me feel funny in
my head and I had these horrible
dreams-nightmares you know.
Nervous that she won’t want to
try any because of this.
S: So Prozac did not seem to
work. I will make note of that. Any
C: No. I just gave up on that whole
S: I see. Well the doctors can talk
to you about different types of
medication and you can ask them
questions about side effects so
you can make an informed
C: It is OK I guess. When I stopped
going to school, I moved back
home and they are supportive
and all, but I can’t help but feel
like I am a burden. I should be on
I knew it.
I am trying to keep the door open.
You did not ask her what kind of
doctor. You did not ask her if she
had a therapist or a psychiatrist.
I am trying to sound casual.
S: I see that you live with your
parents. How is that working for
That is not the only medication.
You are getting over-involved
again. The doctor and therapist
will deal with this issue.
Better, but watch how much
responsibility you take on.
She said ok
Let it go.
Social support question
Good. Is living situation protective
She could use some cognitive
Perhaps, unless they really feel
my own by now.
S: That is a real good topic to talk
to your therapist about. Have you
met your therapist here yet?
Calm and focused
I do not need to go into this with
Good! You did not get caught this
She seems open to group and
Really? Did she say that?
C: No. That is today after group I
S: Good. I will check on that for
you and confirm it with you.
S: I am glad you have the support
of your family. Do you have
friends as well?
C: Yeah, but it is hard you know.
They get tired of me not wanting
to go out and stuff. My best friend
from high school sees me when
she is in town. She moved away
and comes by to see her parents.
We talk on the phone some.
S: I see. So it sounds like your
parents are your main support.
I want this to be true. I don’t think
I said it right.
It doesn’t sound so good actually.
You were expressing a wish. Keep
“I statements” to a minimum and
be especially careful about
expressing “gladness” when you
are not sure she is happy with the
Right. She is countering your wish
statement with reality which
actually shows some ego
Family counseling may be
You are getting back in the “zone”
S: OK. Now I want to ask about
any strengths you have.
Maybe I can get more ideas about
What are you good at or in what
ways are you OK or even better
C: Oh. Well I guess my writing is
good sometimes, and I’m not
messy or anything like that. I am a
good friend when I am not
depressed. Is that what you
S: Yes. That is good. Now how
about your goals. What do you
want to accomplish while you are
here. What do you want to
C: Oh, well I want to find out to
deal better with this depression
and I think maybe I want to find
out about a group or something
of people like me. I want to feel
like there is hope for me to be
more normal. I would like to go
back to school some day and
finish my degree.
S: Ok, so I hear you say that you
want to deal with these
depression symptoms, and you
would like to find a support group
Not sure if this is the right way to
She sounds confused too.
Happy and amazed
I want to get this finished.
Not bad actually.
She sounded more upbeat
Good awareness. This has been
an emotional interview for you.
Wow! She really nailed this one.
She certainly has some clear idea
of what needs to happen to get
I want to reinforce her goals.
You missed one.
for depression, and feel more
hopeful about your life. Is that it?
She didn’t correct you.
S: Great. I am going to give this
report to your therapist so he or
she will know where to start. Of
course you can talk to them about
anything while you are here
including if you think you are
being treated badly or if you feel
your rights are being violated. Our
first job is to keep you safe and
our second job is to help you get
better. Do you have any
C: No, not really.
S: Ok, thanks for talking with me
and for being so honest and open.
It felt good to end on an upbeat
Why do you think you missed the
goal of going back to school?
I am glad it is over.
She seems to have withdrawn a
bit at the end. Maybe she sensed
your impatience. We will discuss
how to keep our own inner
responses in check.
Summary (Student’s Assessment of Interview): Well there were good moments and moments where I lost focus or got mixed up with emotions.
At times I felt so sad and hopeless and at other times I felt distant. There were some times though when it felt just right.
Intervention Plan (Goals for further sessions): Client is referred for individual and group counseling. New assessment in 3 days.
Florida Atlantic University
School of Social Work
Field Instructor Signature: ___________________________________
Date of Interview:
Student Signature: __________________________________________
(Description of what happened
– any action or non-verbal
Student’s Feelings (Include
unspoken emotional reactions
that occurred during interview
for each interaction between
student and client.)
(Analytical thoughts which
occurred during the interview
for each interaction between
student and client.)
Field Instructor’s Comments
Summary (Worker’s Assessment of Interview):
Intervention Plan (Goals for further sessions):