Sarah is a 38-year-old stay-at-home mom. She is requesting help for what she believes is “depression.” According to Sarah, she was first diagnosed with depression in 2007 after she had her first child. Sarah now has 5 children ranging in age from 6 months to 8 years. She states that the “feelings of hopelessness” have become gradually more intense with each child. She also reports that she is struggling to care for her 5 children and that she feels “extremely guilty” about that. Sarah describes her depression as an “inability to engage my children throughout the day” and a “constant feeling of extreme exhaustion and hopelessness.” She also states that “I have lost interest in going out and talking with friends.” According to Sarah, she is here because her husband “insisted that I get help.” He expressed concern to Sarah about how her condition is affecting her, their marriage, and their children. Their oldest daughter allegedly asked them what she did to “make mommy so sad.”
Strengths and Resources: (This is a very important section. Help the client brainstorm personal strengths and resources in their environment that will help them make the changes they desire.)
Sarah has an Associate’s degree in Early Childhood Education.
Sarah’s husband is loving and supportive of her.
Sarah has a network of friends and family who are willing to help her.
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Sarah is in good physical health.
Sarah’s husband has a good job that allows her to stay home and care for the children.
Sarah has previously attended play groups and parent support programs at an agency in her community.
Sarah recognizes that there was a time where she felt like a motivated and talented person.
Potential Barriers: (This is another critical area to explore with the client. Help them think about barriers to achieving their change goals — barriers that already exist as well as barriers that may come up as they begin to work toward their goals. You do not have to solve them here; just identify them. Explain to the client that their case manager will come back to these barriers when they work with the client on developing their individualized service plan.)
Sarah states that a potential barrier could be her lack of energy.
Sarah’s husband travels often for work and leaves her alone to care for their 5 children for days at a time.
Sarah states that she feels overwhelmed by the tasks that she has to do on a daily basis for herself and her children.
Sarah claims to feel “ashamed” of herself for not utilizing her degree.
Sarah’s husband is making the payments for “my” school loan, further claiming, “I should be paying those payments with money I make.”
Culture and Language Considerations: (Are there any particular culture or language issues or needs that the client wishes you to be aware of? These may not be apparent, so you need to ask in a supportive and welcoming way if there are special or unique things about them or their family that they want you to know. Also ask if they have any special learning issues or needs regarding written or verbal communications.)
Sarah’s 8-year-old son was diagnosed with autism at the age of 3. He receives special education services through the public school system. Sarah is requesting additional assistance in caring for him.
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