Client Intake Report- Comprehensive Assessment and Therapy Goals
Biological Assessment
The client is physically okay. She reports that she experienced chest heaviness and breathing difficulties and sought medical help. A series of tests, such as blood pressure screening, were done. All tests turned out to be negative. This suggests that the client’s problem would be psychological rather than physical. Furthermore, the client maintains an upright posture, answers questions promptly, and uses facial expressions and gestures during the interview. All these features support the hospital’s findings of being physically healthy.
Psychological Assessment
The client suffers from panic attacks. Accordingly, these panics occur at schools, concerts, and other crowded palaces. Her main concern is always getting out of those places. The consequences of not getting out of these places also worry her. These panic attacks are manifested through chest heaviness and difficulty in breathing. Further, these manifestations were her presenting complaint when she visited the hospital.
Social Assessment
The client reports that her parents filed for divorce when she was four years old. Since then, she has barely contacted her father. He has been absent in her life; thus, there lacks a personal connection. Her mother, a nurse, has been present ever since her childhood. She describes her mother as a hardworking and supportive person. Also, despite her tight schedule as a nurse, she always provided proper parental care. Her relationship with her mother is good. She is protective of the mother and avoids telling her things that would hurt her. She has two brothers, one in the Navy and the other in school. She points out that they are away, and she is detached from them. However, she reports that interaction with her brother revealed that he has an anxiety disorder and is on medication.
Potential Risks
The client’s drug and alcohol history reveals some potential risks. She reports that she has been smoking marijuana since she was 11 or 12 years old. She admits that she stopped smoking six to seven months ago. However, her boyfriend remains an active smoker. Marijuana use is associated with cardiovascular, respiratory, and central nervous system health complications. Common complications include lung cancer, hyperemesis, psychosis, and worsening of other cognitive disorders such as anxiety (Kerr et al., 2019). Therefore, marijuana could be one of the etiologies of her panic disorder. In addition, the client uses coffee and caffeinated drinks frequently. She admits that she takes three to four cups of coffee in the morning and at least one soda during the day. Caffeine exacerbates the manifestations of cognitive disorders such as panic and anxiety disorders (Klevebrant & Frick, 2022). Caffeine could worsen the client’s panic disorder.
Client’s Overall Goals
The client aims to gain control of her panic disorder. This will include proper response to aggravating factors and avoiding the accompanying manifestations such as difficulty in breathing. She aims at averting social withdrawal that could accompany her efforts to fight the panic disorder. The client also hopes to find a way to help her boyfriend stop smoking marijuana., which is a stressor in her life. She has been with her boyfriend for about four years. She is worried that it could distort her reputation and career if her boyfriend is apprehended.
Current Client Strengths
The client is actively involved in activities to help fight her panic disorder. She reports that she engages in activities such as swimming. Physical exercise activities such as swimming are vital as they help avert panic attacks (Machado et al., 2019). Furthermore, she reports that she tries her best to avoid crowded places and other factors, such as social activities, that trigger these attacks. Additionally, she walks around to minimize her tension when she experiences an attack. The client has chosen to seek assistance from a therapist. Her therapist reports that similar cases have been handled and affirmative results achieved. Studies demonstrate that exercise, dietary modification, and support groups help to control panic attacks (Kim, 2019). Therefore, swimming and seeking support from a therapist will be beneficial to the client.
References
Kerr, W. C., Lui, C., & Ye, Y. (2019). Trends and age, period, and cohort effects for marijuana use prevalence in the 1984 to 2015 US National Alcohol Surveys. 113(3), 473–481. https://doi.org/10.1111/add.14031.Trends
Kim, Y. K. (2019). Panic disorder: Current Research and Management Approach. Psychiatry Investigation, 16(1), 1–3. https://doi.org/10.30773/pi.2019.01.08
Klevebrant, L., & Frick, A. (2022). Effects of Caffeine on Anxiety and Panic Attacks in Patients with Panic Disorder: A Systematic Review and Meta-Analysis. General Hospital Psychiatry, 74(August 2021), 22–31. https://doi.org/10.1016/j.genhosppsych.2021.11.005
Machado, S., Lima, J. L., Teixeira, D. S., Monteiro, D., Cid, L., Neto, S. R. M., Neto, G. A. M., Murillo-Rodriguez, E., & Telles-Correia, D. (2019). Impact of Aerobic Exercise on Anxiety and Neurobiological Mechanisms a Panic Disorder: A Mini-review. Journal of Physical Education and Sport, 19(3), 1612–1616. https://doi.org/10.7752/
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Question 
Observe an intake interview from the PsycTherapy link in the Topic Resources folder or one that you find.
Write a report on the client, including the following headings:
Biological assessment (current state of physical health)
Client Intake Report- Comprehensive Assessment and Therapy Goals
Psychological assessment (current state of psychological health)
Social assessment (current state of personal relationships)
Identify any potential risks for danger to self and danger to others
Identify the client’s overall goals for therapy
Document current client strengths and available resources
APA style is not required, but solid academic writing is expected.