He is an 18 year-old, heterosexual, single, American, male at C. This is his first year at C. He moved to the US just before Fall 2015 started.
PRESENTING CONCERN (Reason for seeking services and related history):
He presented with anxiety, depression, and relational problems with peers. He reported increased depressed mood, anxiety, isolation, and anhedonia in the past few weeks. He reported that some days he stays in the bed all day. He noted that his appetite diminished with an increased anxiety. He indicated that his anxiety and depression gradually increased since the mid-Winter quarter.
He reported that an incident last week worsened his symptoms that they are starting to interfere with daily activities. He reported that one of his …show more content…
He noted that he hoped to do better socially when he came to the US. Therefore, according to him, the latest interaction with the peer greatly disappointed him.
THERAPEUTIC IMPRESSIONS (e.g., Grooming, oriented X4, affect, insight, engagement):
He came to the appointment on time. He dressed appropriate to the weather. He was Ox4. He made eye contact throughout the session. He was engaging. He appeared to be anxious in the beginning of the session. He seemed to relax after finding out that we could conduct the intake in Japanese. He smiled and laughed more toward the end of the session. His speech was congruent. He had good observations about his experiences and symptoms; however, his insight about them were limited.
ACADEMIC FUNCTIONING (e.g., Educational history, Current functioning, Employment):
He is a student from Japan. He attends the school full time and is taking 15 credits this quarter. Prior to attending C, he reported attending a high school in Japan and dropped out of the school later partially due to interpersonal problems with