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Erica McRae
Background Information

 Female
 15 years old
 Caucasian
 Scotland County
 Been in foster care
Problem Statement

– Grandmother took client in because mother was on drugs, client was violent
towards grandmother so she sent her to foster care.
– Diagnosed with major depressive disorder and disruptive mood dysregulation
– Stayed in foster care for awhile and now living back with grandmother, who is
an elderly lady and she feels like her grandmother doesn’t understand her and
that her grandmother holds her back from doing a lot of things.
– Impedes her ability to attend school regularly.

– 504 accommodation plan which helps with absences and making up work when
she returns.
– Weekly meetings to talk with school social worker or meetings with school
based mental health counselor when needed.
– Child and Family Support Team meetings (CFST)
– Referral to mental health provider
Strengths and Limitations

– Strengths
– Student has good grades when she does her work, good student when she
isn’t having a bad day. Capable of doing the work when/if she comes to

– Limitations-
– Lack of strong support system
– Doesn’t have a good family relationship
Assessment Goals and Specific
– Get her GPA up
– Continue passing classes to so that she can graduate and attend college
– Get her with a mental health provider, preferably a female, so she can have
someone to talk to about her personal issues
– Weekly meetings with the social worker to check up on her and see how she is
doing at school.
– Get a mentor and learn how to use coping mechanisms

1. What are some biases you had going into the interview?
– Really didn’t have any, did not feel like she would open up being that I was a
new face to her, but she didn’t have a problem talking at all.
2. What were some value differences between you and the client?
– The way we were raised. I was taught to respect my elders no matter the
situation whether I liked what they were saying or not, but the client is the total
opposite with her grandmother she is very disrespectful to her grandmother.
3. What events or life experiences have shaped them into the person they are?
– Mother being on drugs and her being placed into foster care and not having
a good relationship with family. Feeling like she isn’t loved or feeling alone
like she isn’t understand.
Questions cont’d

4. What is the staff recommendation about diagnosis, interventions or

– Regular meetings with counselors, social worker, and mental health provider.
Also a mentor and to go on outings once a month.

5. What changes do you recommend for the agency or service?

– None
What does research say on their
– Major Depressive Disorder- MDD, also – Disruptive Mood Dysregulation-
referred to as clinical depression, DMDD is a childhood condition of
medical condition that impacts mood extreme irritability, anger, and
and behavior as well as various frequent, intense temper outburst.
physical functions, such as appetite – Treatment- New diagnosis.
and sleep.. Treatment is often based on
– Treatment- Medications, what has been helpful for other
psychotherapy, and other methods disorders that share the
can effectively treat people with symptoms of irritability and
MDD and help them manage their temper tantrums. ADHD, anxiety
symptoms disorders and major depressive
depression#symptoms – Medication and psychotherapy
– www.
Competencies Used

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