9

Nine
January 23 Grael 28
Adrienne Venet
DOB: 7-1-1982
Vanessa McClain, MA, LAPC
Psychotherapy Note
Client displayed a pattern of indifference toward the emotional needs of her partner. Client reports that her partner has complained about her pattern of indifference toward the partner’s emotional needs. A.V. reports a history of hypersexual behavior. She reports having multiple partners at the same time. Records indicate that the client self identifies as bisexual. Records indicate that A.V. has multiple male partners at the same time that she has a female partner. When the client’s partner expresses emotional needs, the client becomes critical, frustrated, and overly reactive. A.V. described a pattern of consistent distrust of her partner. Client offered no sufficient basis for her pattern of distrust of her partner. A.V. described a pattern of repeated discontinuation of relationships due to personal deficiencies in problem solving, social skills, and assertion. The client described a pattern of impulsive sexual involvement outside of the committed relationship. A.V. reports incidents of verbal abuse that occur within the relationship. She also described incidents of physical abuse that occur within the relationship. A.V.’s history of intimate relationships was explored. She was assisted in identifying the positive and negative outcomes of her history of intimate relationships. Client was provided with positive feedback as she displayed insight into her pattern of intimate relationships. A graphic time line display was used to help A.V. chart her pattern of interpersonal relationship conflicts. Client was assisted in identifying her precursors, triggers, intimate relationship conflicts, and outcomes on a timeline to review how she experienced and was affected by the relationship conflicts. A.V. was monitored for compliance with, effectiveness of, and side effects of her psychotropic medication regimen. Concerns about the client’s medication effectiveness and side effects were communicated to the psychiatrist. Follow up session TBA.