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Titleabc123 Version X1week Three Assignment Scenariopsych627

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Titleabc123 Version X1week Three Assignment Scenariopsych627 Version Sam was seen for evaluation at a chemical dependency center. You are members of the behavioral health team, charged with developing a biopsychosocial evaluation. This should not be a treatment plan, but an assessment of the person’s current problems and level of functioning based on the information provided. Personal Information: Sam is a 63-year old Asian American male who lives with a male roommate in an urban area. Sam has been divorced for 15 years. He has two adult children, who are both married. Current Problems: Sam has been drinking alcohol heavily for more than 30 years. He is a daily drinker, estimating that he consumes at least 1 liter of vodka each day. His pattern of drinking has extended from late afternoons and evenings to almost the entire day. He states that alcohol is the only thing that makes him feel relaxed. Sam is also a heavy cigarette smoker, smoking one to two packs per day. Medical problems include mild chronic obstructive pulmonary disease (COPD), frequent stomach upsets, and mild insomnia. Psychosocial Data: Sam was born in Vietnam and lived there until age 20, when he immigrated with his wife to the United States. He describes his upbringing in Vietnam as “hard,” with both parents working as farm laborers. His parents are deceased, and his father was an alcoholic. After arriving in the U.S., Sam attended night school to attain his GED at age 29. Over the past 30 years, he has worked sporadically as a convenience store clerk, losing his job two years ago due to absenteeism. Currently, he spends up to 12 hours daily sleeping in his apartment. He has no contact with family members and is not close to his roommate. Appearance and Behavior: Sam is a short, slender man who is not neatly dressed. He walks slowly and appears angry, based on his facial expressions and nonverbal cues. He looks older than his stated age. During the interview, Sam spoke slowly and deliberately with a strong accent. His mental status appears normal, but he exhibits notable short-term memory and word-finding difficulties. Psychological Profile: Sam has never been evaluated or treated by a mental health professional. He reports that “life is not so good” for him, and that he feels worse if he does not drink. He holds a pessimistic view of himself and the world, describing himself as a “failure at everything,” including marriage, parenting, and employment. Although he has no history of suicide attempts or active plans, he has thought about suicide numerous times.


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