Mental Health Assessment and Case Formulation

Mental Health Assessment and Case Formulation Student’s Name Institution of Affiliation Course Instructor Date Mental Health Assessment and Case Formulation In this mental health assessment and case formulation, an integrative model of a client-centered approach will be adopted to assess and conceptualize the mental health of a young adult patient, Mark, 19. Mark has been an inpatient in a mental health facility after he began exhibiting severe symptoms of depression, social isolation, and self-pitying behavior. He also suffers from an anxiety state, which has become more often in the past six months; he lost his close friend. This case formulation aims to provide a biopsychosocial history that includes Mark's medical and psychological profile, past and current psychosocial functioning, and Mental State Examination and Risk. In addition to the above goals and objectives, the assessment will incorporate aspects related to youth and young adults in Mark's age bracket. Overview of the Presenting Problems Mark is a 19-year-old young man who has been admitted into the inpatient mental health facility due to rising concerns about his mental health. These are increasing depression, increased social isolation, anxiety attacks, and episodes of self-harm that have been worse in recent months. Such problems emerged more actively after the death of a close friend six months ago, the death of which was a significant turning point for the worsening of Mark's condition. His deep feelings of sadness and persistent low mood, together with hopelessness, are indicative of MDD that is worsened by grief and loss, as defined by Marx et al. (2023). Depression in Mark can be described by signs such as low energy, apathy, and withdrawal from hobbies as well as friends. He has cut off ties with his friends and family members and does not socialize or participate in social events, and this has worsened his loneliness and hopelessness. Biopsychosocial History Biological Factors As far as Mark's physical health is concerned, he has not reported significant medical issues in his life yet; as for his genealogy, one has to be concerned about severe mental problems. Both his parents have encountered anxiety and depression issues; his mother has had occasional depressive episodes during her whole life. His maternal grandfather had also been a substance abuser who later on suffered from critical problems such as liver disease and was admitted to the hospital severally. Mark has developed sleep disturbances as a significant concern in the last few months. Moreover, Mark also developed alterations in appetite, which resulted in weight loss in the previous two months, which he reported. He started having a regular practice of self-harming after the death of a friend, which he attempted to use to manage an overwhelming feeling of emotional pain. Psychological Factors Psychologically, Mark has been under much stress, mainly due to the fate of losing his close friend. The loss has caused a grief process majored by major depressive disorder (MDD). According to Perrotta (2019), Mark is diagnosed with Major Depressive Disorder manifested by depression, hopelessness, low self-esteem, and anhedonia, illustrated by his withdrawal from playing video games, social interactions, and university outings. This has been compounded by the fact that he has been experiencing episodes of anxiety fits, which include greatly exaggerated feelings of fear and an increase in pulse rate. Mark also feels quite guilty and worthless, especially over the death of his friend. Social Factors Self-isolating from his family and peer group are some of the social impacts unveiled in Mark. Before he developed mental illness, he was social and had many friends. Nevertheless, it is regrettable that after the death of his friend, Mark retreats into himself and does not go to parties or attend friend's invitations. Mark's family members have also pointed out that they have been mostly confined to their rooms, with Mark mostly found alone. He is even emotionally disconnected from many of his friends and family, which has added to his feelings of loneliness. Structured Mental State Examination (MSE) Appearance and Behavior Mark looks as though he has not groomed himself in days and probably has not consumed food that has not come from a jug or bottle for weeks. Mark also has a poor body posture, a drooped head, and seldom looks directly into other people's eyes. These are all symptoms of major depression, which include symptom...