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Client I use in week 3 practicum Assignment:
A 14 year old male African American came in with his mum. He was alert and oriented x3. He was dressed appropriately for the weather and was observed as being hyperactive, restless and irritable. He exhibits symptoms of agitation, feeling of worthlessness, worry, and lack of focus and concentration. Client denies suicidal or homicide ideations, no drug or alcohol abuse, he never been arrested and is not involved in gang activity. He further denies any physical, sexual, or emotional abuse, had never been arrested, and is not involved in gang activity. He further denies any physical sexual or emotional abuse . Client reported that he had an altercation with his mother concerning his disrespected behavior towards her because he rejects any authoritative control and engaged in a disruptive altercation with his mother . He subquently left the home seeking the local police for assistance
Diagnosis:
Part 1: Progress Note
Using the client family from your Week 3 Practicum Assignment, address in a progress note (without violating HIPAA regulations) the following:
Note: Be sure to exclude any information that should not be found in a discoverable progress note.
Part 2: Privileged Note
Based on this week’s readings, prepare a privileged psychotherapy note that you would use to document your impressions of therapeutic progress/therapy sessions for your client family from the Week 3 Practicum Assignment.
In your progress note, address the following:
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