Thanks to visit codestin.com
Credit goes to www.scribd.com

Scribd
Upload
154 views3 pages

DSP Report - Template Redacted

- The patient has a several year history of severe depression, anxiety, PTSD, insomnia, poor energy, and suicidal thoughts. He has been homeless and isolated from family support. - He meets criteria for chronic major depressive disorder, generalized anxiety disorder, PTSD, and social anxiety. His conditions severely impact his functioning and ability to trust others. - Previous treatment with antidepressants and two psychologists were unsuccessful. The current focus of therapy is on preventing further deterioration, as significant improvement is unlikely in the foreseeable future. - His chronic long-term conditions have rendered him permanently unfit for work or training now or in the future.

Uploaded by

mick
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
154 views3 pages

DSP Report - Template Redacted

- The patient has a several year history of severe depression, anxiety, PTSD, insomnia, poor energy, and suicidal thoughts. He has been homeless and isolated from family support. - He meets criteria for chronic major depressive disorder, generalized anxiety disorder, PTSD, and social anxiety. His conditions severely impact his functioning and ability to trust others. - Previous treatment with antidepressants and two psychologists were unsuccessful. The current focus of therapy is on preventing further deterioration, as significant improvement is unlikely in the foreseeable future. - His chronic long-term conditions have rendered him permanently unfit for work or training now or in the future.

Uploaded by

mick
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 3

20th January

2021

To whomever it may
concern

Re: ; DOB:

was referred to me by his GP, . I saw


for the first time on the 7th December 2020 and have seen him for 2
subsequent sessions of therapy. He is well engaged in therapy and I will be
working with him in an ongoing way to assist him in his coping.

presented to me with a several year history of symptoms of severely


depressed mood, sleep disturbance (initial insomnia), excessive worrying
thoughts, poor energy and fatigue, gastrointestinal upset, poor
concentration, anhedonia, social withdrawal, suicidal ideation (with no
current intentions or plans to act on this and severe anxiety (relating to
worrying and also in the context of social situations). He is also suffering from
a long history of post trauma symptoms (relating to the history of trauma he and his
family experienced in Iraq whereby his father was kidnapped and his cultural
group was terrorised and threatened). These post trauma symptoms include
flashbacks, further sleep disturbance and extreme social withdrawal and
avoidance behaviours.

symptoms of distress have been exacerbated in recent years due to his


ongoing homelessness (he is currently staying in a friend's garage but will need
to vacate within the next few weeks and he has nowhere else to live) and also
disengagement from family or any other supports. His parents divorced when he
was 16 years of age and both parents abandoned their children at this time (his
mother having gone to Turkey and his father remaining in Australia at an
unknown location). He and his two siblings have had to fend for themselves. His
brother is living in the city and his sister is married with a child and living with
her husband. He has no contact with his siblings and they are not willing
or able to support him.

current and long term symptoms and presentation suggest that he is


suffering from a chronic Major Depressive Disorder (severe) and a Generalised Anxiety
Disorder with post traumatic stress symptoms and social anxiety symptoms. His
conditions are severe and impact on his functioning in a severe way. He
struggles with trusting others and experiences significant anxiety when relating
with others. He spends most of his time in the garage and rarely engages with
the family he is living with.
has seen two psychologists previously. He has engaged with them for a short
period but has been unable to sustain this due to his difficulties trusting others and his
severe anxiety. He has also been treated pharmacologically for over a year with
Avanza 30 mg (an antidepressant) with little improvement in his symptoms. Whilst he is
engaged with me for therapy, the aim of my work with him is likely to involve
preventing a further deterioration in his mental health. He is unlikely to show any
significant improvement in his symptoms in the foreseeable future.

chronic long term conditions and associated symptoms have rendered


him unfit for any form of work or training now and for the foreseeable future. He is likely
to remain permanently unfit for work.

As mentioned previously, therapy sessions will focus on undertaking a cognitive


behavioural therapy approach to assist in preventing further deterioration in his mental
health.

Please let me know if you have any further queries regarding my assessment and
treatment of

Yours sincerely,

You might also like