THERAPY NOTE: Pt Name: Rikki Dombrowski Case Number: 4551 Op, 7 iy Date: 2/11/04 1 oo AMDG/PML] Length of Session: (_] 30min [X] 60 min [_] other ‘Type of Session: (<} Ind. [| Group (| Fam/Coup (_lOther: * Clinical Information/Deseription: Metiatr reporting thay Mother as been restricted supervised vss only becouse of ot Father rated to ier group, Mother hs not llowedup nse these ps, Riukeexresing stra with ti Se xpress thee Unt Mother as deierately done tes thing, nn tat woul ett tsi vstaton, cause shes een met th Rink boat mot doing corey et er main feu on the fat tat her mother no fonger attra Cir Sout etter an ot Present for various schol factions She describes being upset ese fe "ferent” eater ks have ther parents hers he {eter ming begat er mothers and sttes ety tat se dows at ike fo be there bits mesty. She compli 0 Shesees as Maer "ping abut Dal and othr situation. Rt alo expressing sone o tr antares ofsore teachers a school and inher dayare, She sve expreser ston We Teachers who uk up fr test mm; Problems Yes] No BJ Yes J No[] It ¥es explain: Sites acotd wralvement sssainst Mental Status: [Btsonienet TC] z jie ea “appropriate ‘Other: ‘Pressured Other:Animated and Griened ‘Retarded ch Boo oo q (ie a or aaa o Thinks a “By emotiona Disordered ne — [Meod (amsdous ‘Any Variable | Act SPEC p tabi Guarded Co Depressed g Crt “Agiased TY] Other: Mtoresense oF ects She —— Her emer —— page ne htemory WNL | Poor Very Poor ~~} E1| Other: aaa Consciousness Ba fe FH Biesat Fr pcre Ores Fyne conad [EL (moderate fC tpeor arial Judgment WNL 1 | Poor | varia Describe: Tenia vez situations in forms of victimization. ‘Aiention Concent | BI| Fy ates Fv Other [Steen oy | soma | Drpersoma C[ oihers Appetite: # CT inereased Decreased Others ([Socianaiy So Wiekdrawn Over involved Other Deng! AicohoT a [other [| Deserbes Other Sempioms | CT] [ED | Betsions———E) Cotter: faa sana a Gi | ddeation o aed j LD Commicto PED No Commis sapey Wataion | Safety _ at Others | Aten Dh ear Pim Po a level tye Tas 7 4 DIAGNOSIS: Axis L:Adjustment Reaction, Mixed Mood and Conducte Axis It: Change: No [&] Yes 1 Ayes, New Diagnosis: PROGRESS: (J Good [X) Fair 1] Stow (] Complications [] Poor () Regression INTERVENTIONS Helping her to process and explore her feelings about her mother. Generally trying to be nondirective, Pick up more of sense of conflict with attachmentinvestment from mother. There is a sense today that she deals with ths by seeing her comtact with Mother 5 shoring up her sense of self-esteem and social standing with athers (normal b/e she has a Mother present) and less focused on the relationship its Master therapy note D~S7703revied 75,PLAN: RTOINC]1 wk & 2wk (J 1 mo[] others, Referral: Yes 1] Nol) if Yes, so whom. D “iagihy a Licensed Psychologist or ane i Master therapy note B~S703—revised 5/08