Intake and Assessment Role-Play Part 1 - Referral and Presenting Problems

Summary

In this video script, a client visits an agency for an intake session, referred by a concerned friend. The client acknowledges anger issues, admitting to destructive outbursts but no harm to others. They also discuss a marijuana habit and recent experimentation with snorting Xanax, expressing a desire to quit but admitting to the struggle. The conversation touches on pride and inflexibility, with the client recognizing these traits as potential problems. The session aims to identify and address emotional and behavioral concerns.

Takeaways

• 📝 The client has completed an informed consent form and is aware of the reporting obligations.
• 🤔 The client was referred to the agency by a friend who was concerned about their lifestyle.
• 🔥 The client admits to having issues with anger and sometimes physically expressing it towards inanimate objects.
• 💨 The client smokes marijuana frequently, even during work breaks, and has recently started snorting drugs like Xanax.
• 🚫 The client has experimented with cocaine in the past but has since stopped due to trouble with it.
• 🤷‍♂️ The client is not fully committed to counseling and seems to view their issues as less problematic than others might.
• 💭 The client has tried to stop using drugs before but has found it difficult to quit, indicating a struggle with substance abuse.
• 😤 The client's anger issues are a point of discussion, with a willingness to work on being less angry.
• 🌿 The client's marijuana use is described as an everyday occurrence, suggesting a high level of dependency.
• 🤝 The client's workplace is aware of their drug use but it is seemingly tolerated, which could impact their commitment to change.
• 😠 The client's pride and inflexibility are highlighted as issues, with a tendency to be stubborn even on trivial matters.

Q & A

What is the purpose of the intake session described in the transcript?

The purpose of the intake session is to understand the client's background, emotional state, and the reasons for seeking counseling, as well as to discuss any presenting problems or issues they may be facing.

How does the client feel about the informed consent process they completed?

The client is familiar with the process, having done it before, and understands their obligations, such as reporting certain things.

What is the client's attitude towards discussing sensitive topics during the intake session?

The client is open to discussing sensitive topics but has the option to avoid discussing certain issues if they are uncomfortable, with the possibility of revisiting them later.

Why was the client referred to the agency?

The client was referred by a friend who was concerned about the way the client was living their life and thought the client should seek counseling.

How does the client feel about attending counseling?

The client seems to be attending counseling as a favor to a friend and does not feel fully committed to the process.

What does the client identify as their presenting problem?

The client identifies anger as their main presenting problem, admitting to getting angry a lot and sometimes breaking things when mad.

How does the client's anger manifest?

The client's anger manifests physically by taking it out on inanimate objects, such as punching walls, but not on people.

What is the client's view on their substance use?

The client acknowledges using marijuana frequently and snorting drugs like Xanax occasionally, but seems torn about wanting to give it up.

How often does the client use marijuana and Xanax?

The client uses marijuana several times a day, even at work, and uses Xanax about twice every weekend.

What past experiences with drugs does the client mention?

The client mentions having experimented with cocaine in the past but stopped due to trouble with the drug.

What personality traits does the client identify as issues they want to work on?

The client identifies pride and inflexibility as personality traits they want to work on, as they can be stubborn and unwilling to accept they might be wrong.