Filling out a template questions by reading all the files provided. In total there are four documents to read( in order to answer the template) . One template for questions to answer. It is really easy since all the answers can be found in the four documents!

Be The Teacher Project on Type 2 diabetes. Discuss the prevalence of the disease, including mortality rates, in the United States.Explains the pathophysiology of the disorderDiscusses the clinical manifestations (signs and symptoms) and relate to the pathophysiology

Assignment 1: Practicum – Assessing Client FamiliesLearning ObjectivesStudents will:Assess client families presenting for psychotherapyDevelop genograms for client families presenting for psychotherapyTo prepare:Select a client family that you have observed or counseled at yourpracticum site.Review pages 137–142 of Wheeler (2014) and the Hernandez FamilyGenogram video in this week’s Learning Resources.Reflect on elements of writing a comprehensive client assessment andcreating a genogram for the client you selected.The AssignmentPart 1: Comprehensive Client Family AssessmentCreate a comprehensive client assessment for your selected clientfamily that addresses (without violating HIPAA regulations) thefollowing:Demographic informationPresenting problemHistory or present illnessPast psychiatric historyMedical historySubstance use historyDevelopmental historyFamily psychiatric historyPsychosocial historyHistory of abuse and/or traumaReview of systemsPhysical assessmentMental status examDifferential diagnosisCase formulationTreatment plan.Part 2: Family GenogramDevelop a genogram for the client family you selected. The genogramshould extend back at least three generations (parents, grandparents,and great grandparents).SAMPLEPart 1: Comprehensive Client Family Assessment Demographic informationThe M.S family is a biracial family of 3, consisting of the mother and her two-mixed teenagedaughter. The mother is a Caucasian female, 35 and the daughters are mixed black and white, 17and 16 years of age. However, in this family session, the mother’s younger sister, 33 (thedaughter’s aunt) was also present for the meeting. They recently started their family therapysessions as of the beginning of the month.  Presenting problemThe family has started family therapy at the request of the two daughters who are extremelyconcerned about their mothers continued drug and alcohol habits and her new relationship. Inthese sessions they have been accompanied by their aunt (Mother’s younger sister) who alsoshares the same concerns as the children. The oldest daughter suggested they seek counselingafter her mother expressed her and her new boyfriend’s desires to have another baby. Bothdaughters agree that this is not a good idea for their mother at this time, especially due to the factthat she continues to use and abuse drugs and alcohol and neither of them are financially stable. History or present illnessM.S. (The mother) currently suffers from drug and alcohol addiction. She has an extensivehistory Past psychiatric historyThere is no reported psychiatric history with the presenting members of the family to includeM.S. M.S reports that she was supposed to have gone to check herself into a hospital forevaluation but changed her mind. She enrolled in a rehab center where she was diagnosed withCannabis abuse, unspecified. Medical historyNo noted medical history for the daughters, however MS has a medical diagnosis of EssentialHypertension, Reflux Esophagitis, and Obesity Substance use historyM.S.’s daughter’s and sister all deny any history or present substance use. M.S admits to ahistory and present use of substances to include: Cocaine, Methamphetamine, speed andMarijuana. She reports that at this time she only smokes marijuana and denies current use of anyof the other drugs. However, M. S’s daughters’ believe that she is doing more than just themarijuana. Developmental historyBoth daughters report to be progressing well in school with passing grades. The oldest has madethe principles list throughout high school and accredits her success to the fact that “I study a lotand stay after school with study groups to block out my thoughts of what’s going on at home andto avoid having to go straight home.” The sister reports graduating from high school andenrolling in college with a major in early childhood development of which she recentlygraduated from and is now teaching at an Elementary school in town. M.S. reports that shedropped out of school in the 9 th grade and never went back to obtain a GED. She has no otherschooling at this time but reports that she never attending any special-Ed classes or had anydevelopmental issues. M.S reports, “I just didn’t like going to school, it interfered with all myfun.” Family psychiatric historyM.S and her sister report that their mother was diagnosed with Major depression after separatingfrom their father and was later diagnosed with Bipolar disorder and was medicated withDepakote and Lithium. M.S also reports that her brother (29) was also diagnosed with bipolardisorder and that the last time before they lost contact he was living in California and had beenadmitted to an inpatient psychiatric hospital after coming off his medications. M.S reports thatshe has no spoken to her brother in about 3 years and is not sure of his whereabouts at this time. Psychosocial historyAll members of the family appear to be alert and oriented. In no acute distress. M.S presentscalm and cooperative at this time. She is quietly listening to the concerns of her daughters andsister, and visibly emotional as a response to their tearful emotions. However, she presentswithout any delusional thinking at this time. Her thoughts are logical, goal oriented andcongruent with the current situation, but she lacks insight and judgement on the problem at handas she feels that there should not be an issue with her wanting to have a new baby and start afamily with her new boyfriend and she believes that she does not have an addiction problem andstates “I do drugs only when I want to, not because I have to.” She denies having any delusionalthoughts or thoughts of suicide and does not exhibit any signs or behaviors that would beindicative of auditory or visual hallucinations. M.S speaks fluent English, but sometimesstruggles to find the right word to express what she is trying to say. She expresses her reason forwanting to have another baby due to the fact that she “wants to enjoy being pregnant being withthe father of her child and actually being together to raise the baby”. MS feels that since she hadto raise her other two children by herself with the help of other friends and relatives, that she wasdeprived of the opportunity to have a real family. History of abuse and/or traumaM.S. has an extensive history of drug and alcohol abuse. Both daughters and sister deny any drugor alcohol usage at this time. There are no reports of abuse noted. The daughter’s voice that theyonly feel “lonely, unloved and neglected” due to their mothers overwhelming addiction to drugsand her lack of parenting and or spending time with them. Review of systemsAll systems noted to be without normal limits for all family members at this time. Physical assessmentThe family appears to be well nourished, well developed, dressed appropriately,cooperative, and no signs of physical distress noted. However, M.S was wearing an oversizedjacket that was zipped all the way up that she refused to take off. Their hygiene looks to be goodand they appear well kempt. M.S however has yellowish brown stained teeth and is missing 3teeth noted to the upper right side of her mouth. The daughters appear appropriately dressed andwell cared for as they report their aunt helps them a lot of times to get new clothes and thingswhen their mother can’t afford it. The two daughters appear to be very close to one another and“were all each other has and we just want our mother to love us like we love her enough to putthe drugs down for good.” The aunt agrees with the girls and states “My sister used to be myeverything, the one I looked up to when my mother was going through her problems until she gotin the streets and for a while I felt like I had nobody.” The sister reports however that sherecently married her boyfriend from college and is happy at home. Mental status examThe family appears to be mentally stable at this time. All members are alert and oriented tonames, place, time and current situation. All are fluent in English and seem to have logicalthought processing that is able to comprehend what is currently being asked of them as evidenceof them answering all question appropriately. The mood in the room at this time is sad anddepressing as all are expressing their feelings of hurt, worry and pain. Affects are appropriatelychanging with moods and tones fluctuate throughout the session. All members are average heightand seem to have average intellectual functioning. They appear to be independent with all ADLsand have a mindset that is able to care appropriately for themselves. Differential diagnosisSever Unknown Substance Use Disorder 304.90 [F19.20]Moderate Cocaine use disorder 304.20 [F14.20]Mild Methamphetamine use Disorder 305.70 [F5.10]Unspecified Alcohol-Related Disorder 291.9 [F10.99]  Case formulationThe M.S family is a family of 3 consisting of two teenage girls 17 and 16 and their mother M.S.(35). M.S has a long history of drug and alcohol abuse since she was a teenager including the useof cocaine, Methamphetamine, speed, marijuana and alcohol. M.S reportedly dropped out ofschool in the 9 th grade and never went back to obtain a GED. M.S got pregnant with the oldestgirl when she was 18 by a man she didn’t know, and the two girls have different fathers. As oftoday, M.S has not been able to locate and or identify her first child’s father. However, sheknows the father of her second child but has not seen him in years and he have no contact withthe second child. Both men were guys she used to have sexual relations with for drugs andmoney. In the initial interview M.S. reports that as a child she practically raised herself alonewith her younger sister and younger brother as her mother was in and out of psych hospitals afterher father and mother divorced due to her father’s infidelity and cheating with her mother’s bestfriend. She reports that her mother began drinking heavily and suffered from major depressionand that her symptoms worsened after the separation. She reports that her mother was alsodiagnosed with bipolar and took medication, occasionally causing her symptoms to exacerbate,resulting in her being admitted to the hospital. M.S reports that she can remember stealing fromconvenient stores just to get food and new clothes to wear for her and her sister and brother ataround the age of 13, and then she reports that she got with some friends who introduced her todrugs and alcohol around age 14 or 15 and she has been doing them ever since. She enrolled in arehab program in February of 2012 and was clean for about two years when she relapsed in 2016after starting to date a man who sold drugs. To make matters worse, M.S recently verbalized herdesire to want to have another baby by the current boyfriend which has brought major concern toboth of her daughters and her sister. The daughters are concerned that this idea is beinginfluenced by the boyfriend and at this time M.S is still using drugs and sometimes unable tofully care for herself without assistance from her sister. The daughters report that their motherhas fortunately been able to hold a job cleaning at a hotel and part time at McDonalds when shegoes, which they report is rarely. The daughters report that they have to ask their aunt for moneyfor food at times and are worried that if their mother is selected for a random drug screen shewill lose both jobs and the little income she has. Treatment planThe plan will consist of the family attending 12 family therapy sessions, once a week.M.S will be enrolled in another 13-week drug and alcohol program (outpatient) that she will berequired to attend twice weekly to help her with her addiction.M.S will identify behaviors displayed that the daughters verbalized as concerning and come upwith alternative measures.The family will begin to recognize M.S for utilizing positive coping skills other than thoseinvolving drug in order to reinforce these behaviors.At home the family will focus on verbalizing and showing love to one another as there is a lack.M.S will delay the idea of wanting to have another baby until she has stabilized and been cleanfor at least a year and is able to care for herself without using.Part 2: M.S. Family GenogramPlease I don’t have the Genogram, Prepare one please.ReferencesAmerican Psychiatric Association, & American Psychiatric Publishing. (2013). Deskreference to the diagnostic criteria from DSM-5. Washington, DC: AmericanPsychiatric Publishing.