I am a 52 year old Black woman with 5 children currently living with 3 of my children in an apartment.

No history of substances, no history of legal/criminal involvement. I believe my youngest son experiences some form of depression.

Major depressive disorder with psychotic symptoms.

To decrease hallucinations and decrease sadness.

My therapist and psychiatrist are working to together to go through my medical records to gather if there is a correlation between my medical condition and mental health.

I was referred for services from my medical professionals because I experience depression and hallucinations.

I have a very supportive family. Since I am limited with my mobility and memory, my children are a great support. I am close with my mother an siblings. My strength is my support system.

I have limited mobility, I am in constant pain, and I have difficulty remembering new information, I feel helpless, I experience financial burden.

Case management, psychiatry, and individual sessions

How can I better serve my client to decrease hallucinations?

What interventions do you suggest?

I am in constant fear because I am afraid of the voices and imagines I see 24hrs. I have difficulty sleeping because due to the shadows and images. I can not sleep in my room therefore I sleep on the couch. I feel sad everyday, I do not feel happy, and I do not enjoy pleasurable activities.

You just got free points

I am a fighter, I have faith in God, I have a loving support family, I am willing to do almost anything to help my situation, I am kind and sweet, I have good medical care.

I see my therapist about once a week and psychiatrist about once a month.

Sometimes my therapist soaks in the emotions I feel, hopelessness and sorrow.

I have been in an abusive relationship but did not stay long. My ex-partner had angry outburst and often took it out on my children and I.

As mentioned, I do not socialize. I do not engage in any fun activities because of my medical condition and my fear of the shadows and voices.

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My children read the guided imagery my therapist gave me and help provide me with materials suggested by therapist.

My therapist recognizes that systems are set in place to keep my people down. Therefore, my therapist encourages and instills hope to help me thrive. My therapist also empowers me to seek my own knowledge to not completely reply on systems to support me.

I have several medical conditions that limit my mobility and affect my mood. The main medical problem is muscle damage. I also have history of severe asthma which disrupted my education. I have never been hospitalized nor have I received mental health treatment.

No legal history. I am not involved in my community and I mostly stay at home. My neighborhood is relatively safe and I do not experience many problems. I currently receive SSI due to my disability thereby I am unemployed.

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My goal is try and decrease my hallucinations. My therapist instill positive words of affirmation that I practice at home. My therapist also recorded a guided imagery for me to listen to. My therapist uses components of CBT

Critical race theory (CRT), the view that race, instead of being biologically grounded and natural, is socially constructed and that race, as a socially constructed concept, functions as a means to maintain the interests of the white population that constructed it. According to CRT, racial inequality emerges from the social, economic, and legal differences that white people create between “races” to maintain elite white interest in labor markets and politics and as such create the circumstances that give rise to poverty and criminality in many minority communities.