Biopsychosocial Assessment Case Study
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My client’s name is Luna S.L, a female born on 20th February of 1988 and is aged 32. Luna is happily married and Caucasian, living in the USA. She fluently speaks English and is agnostic. She might be perhaps making about $30,000 in a year. She is surrounded by a mixed-race community, with the majority being US citizen blacks. Luna lives with her wife in a rented room in her in-law’s house.
Luna Shumate was referred to Wholesome Minds office following her request to start talking to someone by her doctor. Our client came in for assistance to be able to control her anxiety. She states that she gets anxious, and her face reddening physically displays this, and her hands become so sweaty. She also points out that her heart begins to race whenever she feels like she is put on the spot with anything. A few years ago, the client had a history of mental illness after being hospitalized for suicidal thoughts. Luna has received treatment for anxiety and depression, and occasionally she uses alcohol.
Using Erickson’s theory of development, for instance, in the sixth stage, intimacy vs. isolation, Luna is a young adult who might have various conflicts with life. The Intimacy vs. Isolation stage explains that avoiding intimacy and being afraid to commit in relationships or marriage can cause isolation, loneliness, and depression. This stage happens in young adults ages 19 to 40. Luna is 32 years; though she is happily married, she has a lot of challenges. Luna has a strained relationship with her family. Her father left them when she was one year old, and her mother never communicates with her since she moved and settled with her wife. Her cousin sexually assaulted her. Luna does not have close and loving relationships, especially with her family. She feels isolated and withdrawn.
According to Erickson’s theory, people with intimacy have positive and strong relationships with family and friends. They also endure connecting with people and have deep and meaningful connections. Luna lacks this type of relationship. Despite having a wife, she feels neglected by her biological father and mother. Her family has never visited her in New York, and due to financial constraints, she has not been able to visit them in three years. Luna has strained relationships with her step-father and half-sisters; hence she only has her wife. The fact that she has joined social anonymous groups for the voiceless proves that she feels lonely and without a voice.
Luna lives with extended family, and she feels that it’s a cultural shock because there are too many rules to follow. She feels like the environment is negative for her family and marriage. Though she was a Christian, she feels lost in terms of religion, and this can be attributed to a choice of partner and lifestyle. According to Erickson’s theory, intimacy requires one to share with others and be able to listen and support other people. These relationships must be reciprocal. Luna lacks social support system; hence she is suffering from depression and anxiety. Lack of intimacy has caused Luna to have low self-esteem and low confidence. Luna also lacks self-awareness since she doesn’t have a lasting relationship. She wants to build her family because but she is financially constrained. She needs to develop a strong sense of who she is and forge social connections that are durable.
Luna needs to overcome isolation by building a stronger support system. Clearly, smoothing has triggered her social anxiety, and it’s a problem that can be solved. Her environment has also caused cultural shock. To build a long-lasting relationship with her wife, she needs to look for an environment that encourages intimacy and family growth. According to Erickson’s theory, she can overcome isolation by avoiding negative self-talk, building skills, determining what she likes, practicing self-disclosure, and carefully evaluating her situation. If one can carefully figure out what they need, they can foster and build exactly what they want.
References
Cherry, K. (2020, November 04). Intimacy vs. Isolation: Forming Intimate Relationships With Others. Retrieved November 15, 2020, from https://www.verywellmind.com/intimacy-versus-isolation-2795739
Gross, Y. (2020). Erikson’s Stages of Psychosocial Development. The Wiley Encyclopedia of Personality and Individual Differences: Models and Theories, 179-184.