Case Of Sana Yan Take Date March 15, 2021 Identifying Demogr

Case Of Sanayaintake Date March 15 2021identifyingdemographic Data

CASE of SANAYA Intake Date: March 15, 2021 IDENTIFYING/DEMOGRAPHIC DATA: Sanaya is 22 years old and the oldest child of two Pakistani parents. Her father owns a heating and air conditioning company and her mother is a stay-at-home mom. The family immigrated from Pakistan 7 years ago. Sanaya has one younger brother, aged 9, who has been diagnosed with attention deficit hyperactivity disorder (ADHD).

CHIEF COMPLAINT/PRESENTING PROBLEM: Sanaya attended this session because her roommates finally insisted that she get some help, as she had gone from “slight” to “reel thin.” Sanaya stated that they are worried that she has an eating disorder. Sanaya denies any eating disorder, but she admitted that she often has no time for meals and at times has “no appetite.” Drinking still gets her bloated and she is just not hungry. She reports mild nausea often. Current weight was reported at 108 pounds.

HISTORY OF PRESENT ILLNESS: As a freshman, she lived off campus with three other roommates. She has been waitressing in Tampa since freshman year at a bar/restaurant to supplement her spending. She had very good grades (B+ to A) in her first year of college. The second year her grades started slipping and she began missing classes. She just could not concentrate. She reported not having interest in school at that time but wanted to graduate not to anger her parents. She had to drop at least one course (and is retaking it now) due to nonattendance. “This is because I don’t get enough sleep,” Sanaya said, and she stated that she was simply unable to wake up in time for that course. She struggled to get to sleep and woke up often. She also reported being so tired during the day that it interfered with everything. Sanaya is now a junior. She still works long hours, and she recently took a course in bartending so she can serve drinks and make more money. She managed to maintain a B grade point average while studying juvenile justice up until this year.

PAST PSYCHIATRIC HISTORY: Sanaya denied any past psychiatric history. She does not have any known psychiatric diagnoses.

SUBSTANCE USE HISTORY: Sanaya rarely used alcohol in high school, due to her status as a varsity athlete which motivated her to limit her use. She began drinking with friends at the restaurant after closing six months ago. She started having a beer or two before going home. She now drinks every weekend with her college and bar friends. When she works, staff hang around the restaurant having some drinks as well. She reports that over the last six months, she has at times been “out all night partying, dancing, and drinking.” Sanaya reports beer bloats her, so she now drinks vodka and cranberry juice mixed drinks. She admits she cannot make it to class very often because of her hangovers. She reported spending much of the last two months drinking at her workplace and at college parties. She used “hair of the dog” practices—e.g., a morning Bloody Mary—to feel better most days, as she sometimes had mild hand tremors in the morning and was strongly nauseous. She also described feeling foggy and having full memory during these issues, denying blackouts. She reports that hangovers cause headaches and sound sensitivity. She feels normal by the end of most days but struggles to sleep several nights a week without an evening beer. She has set limits, such as three cocktails per weekend evening but often does not follow these limits for other reasons.

PAST MEDICAL HISTORY: Sanaya appeared normally dressed and is 5’2” tall. There are no significant past medical conditions noted here.

FAMILY HISTORY INCLUDING MEDICAL AND PSYCHIATRIC: Sanaya’s childhood was tumultuous. She was raised the first 5 years in Pakistan, then in Saudi Arabia. They returned to Pakistan when she was 10. Her father was jailed for political reasons and, upon release, the family moved to London and then the United States. She was raised Muslim and the family actively practices their religion. She has always worked hard at school, was an “A” student in high school, and was involved in athletics and social activities. She kept secrets while dating, which was against her culture and religion.

CURRENT FAMILY ISSUES AND DYNAMICS: She reports keeping many secrets from her parents and conflicts over her decision to leave her home in New Hampshire at age 20 for college in Florida. Sanaya moved after delaying admission and working for a year.

MENTAL STATUS EXAM: Sanaya denies suicidal and homicidal ideation. She is oriented to time, place, and person. Her mood varies over the week, with some anxiety and a tendency to argue with roommates when sober.

Paper For Above instruction

Sanaya’s case presents a complex interplay of psychological, behavioral, and cultural factors that influence her mental health and lifestyle, emphasizing the importance of a comprehensive assessment to inform effective intervention strategies.

Introduction

Sanaya is a 22-year-old woman navigating the challenges of emerging adulthood within a context shaped by cultural expectations, academic pressures, and substance use. Her presentation includes concerns about weight loss, potential eating disorder, alcohol misuse, and underlying emotional stressors. An integrated understanding of her demographic background, medical and psychiatric history, substance use, and family dynamics is essential in formulating a tailored treatment approach.

Demographic and Cultural Context

Sanaya’s Pakistani heritage, coupled with her upbringing in Saudi Arabia and the United States, exposes her to diverse cultural norms that may influence her perceptions of health, body image, and familial expectations. Her religious background and cultural attitudes toward dating and independence have created a unique environment that impacts her emotional wellbeing. These factors may also contribute to her feelings of secrecy and conflict, especially regarding her decisions to leave her home and pursue higher education far from her family.

Psychological and Behavioral Health Factors

Sanaya’s declining academic performance, sleep disturbances, and fatigue suggest underlying mental health issues, possibly including depression and anxiety. Her difficulty concentrating and lack of interest in school are common symptoms of depression, which might be exacerbated by her substance use. Her history of social drinking, initiation into heavier alcohol consumption, and ongoing episodes of heavy drinking and hangovers point to a pattern of alcohol misuse that could escalate into dependency if not addressed.

Substance Use and Its Impacts

Her recent shift to regular alcohol consumption, especially binge drinking at college and work, has physical consequences such as hangovers, tremors, nausea, and sound sensitivity. The use of alcohol as a coping mechanism for stress, sleep issues, and emotional numbness is concerning. Her practices of “hair of the dog” drinking suggest dependence behaviors that require clinical attention to prevent progression to alcohol use disorder. Additionally, her use of alcohol to manage sleep problems and anxiety is problematic, indicating an urgent need for intervention.

Medical and Psychiatric Considerations

Sanaya’s presentation underscores the importance of considering co-occurring disorders, including potential eating disorder symptoms, substance misuse, depression, or anxiety. While she denies a formal eating disorder diagnosis, her significant weight decline, lack of appetite, and concern expressed by her roommates warrant further assessment. Her medical status appears stable, but her physical symptoms related to alcohol use — tremors, nausea — necessitate medical evaluation to rule out other underlying conditions.

Family Dynamics and Their Influence

Her tumultuous family history involves political upheaval, migration, and cultural secrecy, all of which contribute to her emotional state. Her conflicts with family over her educational choices signify the tension between cultural expectations and personal aspirations. These familial issues could contribute to feelings of isolation and stress, further influencing her mental health and substance use patterns.

Treatment Implications

Addressing Sanaya’s condition requires a multidisciplinary approach, including psychotherapy to explore underlying emotional conflicts and behavioral patterns, medical evaluation for physical health concerns, and addiction counseling for substance misuse. Culturally sensitive interventions are crucial to respect her background and facilitate engagement. Psychoeducation about the effects of alcohol, sleep hygiene, and healthy coping strategies should complement therapy. Additionally, coordination with her family, if feasible, could provide essential support while respecting her autonomy.

Conclusion

Sanaya’s case exemplifies the complex interrelation between cultural background, psychological health, and behavioral patterns among young adults. Effective intervention hinges on a comprehensive biopsychosocial assessment, culturally sensitive approaches, and collaborative care to promote her physical and emotional wellbeing. As she navigates her academic and personal life, targeted support can help her develop healthier coping mechanisms, improve her sleep and nutrition, and foster resilience.

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