PSY 606 Module 4 Assignment _Madi Case Consultation Letter
Read the case study below then write a 2 page consultation letter. In this letter, please include:
• A case conceptualization theory to understand what is being presented (such as Erikson’s stages of development, Person-Centered theory, cognitive-behavioral, etc.).
• Identify at least two psychological disorders you think this could be and why.
• Assess whether there is enough information for a diagnosis and what other information you need to collect.
• Discuss what the two next steps are for this client with respect to assessment and treatment.
You have been asked to consult on a case with a colleague, Dr. Jones. The colleague contacted you to get your clinical opinion about the following case.
Madi is a 13-year-old Caucasian female, who is in the 7th grade. Her parents have been divorced since she was five and her mom has sole custody. Her mom brought her in because she was concerned with her recent behavior, which included being caught drinking and sneaking out. When I first met Madi, she looked slightly older than her stated age, a bit taller than average, 5’5”, average build. She was open with me when her mom wasn’t in the room. The client stated that her mom puts a lot of pressure on her and has a lot of rules and she doesn’t feel as though she has a great relationship with her.
Madi opened up about her friends starting to get boyfriends and that she also wanted a boyfriend, but no one seemed interested. She stated that she often will do things to get attention from boys, such as sneaking out, drinking alcohol, and once she smoked marijuana with them. Even though she tries to fit in, they only call her when they are wanting to drink. She stated about two months ago some of the boys have commented on her body and her softness. Madi stated this made her feel a bit self-conscious and uncomfortable. After that, she stated she could feel the fat on her body, she felt like a stick of butter.
After that, Madi lessened the time she spent with her friends and boys and started going to the gym and watching what she was eating. She stated she felt really good about herself when she could get a good, hard work out in. She made a goal that she would exercise five days a week, which eventually became seven. She works out three hours a day. She states she has cut out carbs, sugar, and tries to eat less than 1200 calories a day. If there is a day that she eats more, she increases her workouts. She said that her mom hasn’t noticed her eating decreasing. She states if she knows she has to eat around her mom, she will eat very little rest of the day., so she can eat more regularly around her mom. Last week was her mom’s birthday, and she tried to avoid eating cake but was pressured into it. She said she ended up eating a quarter of the cake and feeling awful. She snuck away and threw up the cake. She said it was the one and only time she has done that.
Madi stated she started to get a bit more attention from boys and now has a boyfriend, who she snuck out one weekend night to see because her mom will not allow her to have a boyfriend until she is 16. When she was sneaking back in, her mom caught her and smelled alcohol on her breath.
