32

32
Aprils 3 Raven 9
Adrienne Venet DOB 7/1/1982
Vanessa McClain, MA, LAPC
Psychotherapy Note
A.V. reports that “my dead grandmother keeps coming to visit.” Client explains that this causes her great distress as she is fearful of such delusion. Records indicate that client has a history of various delusions in which she hears the voice of her grandmother along with a woman’s voice she calls Lorinda. Client states that it is the voices of Lorinda that tell her to “cut myself all over and to kill myself.” A.V. reports that the hallucinations of her grandmother and Lorinda speak to her simultaneously. A client report measure was used to further asses the depth and breadth of the client’s phobic responses. The Measures for Specific Phobias (Antony) was used to asses client’s phobic responses. The client report measures indicated that the client’s phobic fear is extreme and severely interferes with her life. It was acknowledged that both real and delusional experiences cause anxiety. The client was provided with support regarding her anxieties and worries, which are related to both the real experiences and the delusional experiences. The client was assisted in identifying specific diagnostic classification for her anxiety symptoms. Utilizing a description of anxiety symptoms such as found in Bourne’s The Anxiety and Phobia Workbook, the client was taken through a detailed review of her anxiety symptoms, diagnosis, and treatment needs. The client has failed to clearly understand and classify her anxiety symptoms and was given additional feedback in this area. A referral to psychiatrist was made for the purpose of evaluating the client for a prescription of psychotropic medications. Follow up session TBA.