What do you do next?

October 16, 2014

You have been asked to see a 28-year-old male client. He came in to see the medical doctor because he was depressed. Upon evaluation, the client states he has posttraumatic stress disorder, and is depressed. He also states that he stopped taking his medications several months ago. He is unable to tell you exactly what medications he was taking. He states he is not worked for the past two years since being fired from his job. He also states that he is been using synthetic marijuana as recent as three days ago, and that his wife, who lives in another state with his three children, has a restraining order against him because he got violent with her one time while he was using synthetic marijuana. He confides in you that he is living with his mother, but he is scared of her because "she is invading my mind and controlling it."  #What do you do next? #lcsw #mymswinfo

What do you do next?

You are working on an inpatient psych unit, receiving center. A 65-year-old white male named Robert enters. Drug screens indicate Robert is positive for benzodiazepines, cocaine, and marijuana. During your discussion with him you find out that he states he was diagnosed with posttraumatic stress disorder. He states that he is disabled, and receiving 100% pension from the military. He states he is here to see you because he ran out of medications two weeks ago, has had intermittent suicidal ideations and "I need my anxiety meds." He stated he also feels lonely, hopeless, and helpless to do anything about his life. He denies command hallucinations, however when asked about other hallucinations he states, "I feel like female demons are touching me and making me feel bad."  What do you do next?