Fletcher is a 29-year-old male referred for court-ordered counseling.

Fletcher is a 29-year-old male referred for court-ordered counseling.

Answer:

Fletcher is a 29-year old male referred for court-ordered counseling. He has a history of repeatedly being referred for DUIs, domestic violence and battery against his partner. She states that he lies about almost everything, getting into trouble and fired from most jobs. The wife from high school state that he was well now then. During college, he became involved with a fraternity notorious for alcohol and drug abuse, which started the downhill cycle from there. He got drunk all the time which led to the abusive behavior in his current relationship. Fletcher may have been diagnosed with antisocial personality disorder (APD), but further testing is needed for a definitive diagnosis of this condition (DSM-V).

Fletcher, a 29-year-old male referred for court-ordered counseling, has a long history of repeated offenses including DUI, domestic violence, battery, and other violent acts. Fletcher?s wife describes him as being charming and engaging on the outside, but she is concerned about the lying, including lying about his employment history. Fletcher denies any physical or sexual abuse in his past. He was an alcoholic out of control in college and has been diagnosed with antisocial personality disorder (APD), moderate to severe.

Fletcher is a 29-year-old male with a long history of repeated offense. He has a history of lying about everything, and this results in poor employment history and being fired from jobs. He has been referred to court-ordered counseling. Fletcher seems likeable and he was good at soccer but started abusing alcohol in college which made him un-happy.

Even though his court-ordered counseling is not scheduled for a few days, Fletcher comes in today and starts telling the PMHNP all about the girls he has been seeing. One of them wants him to find a new apartment so she can move in, and another one just called to say how much she misses her dog and has to get it shipped here. His wife is trying to leave him, but he just can?t give up smoking pot, although he knows it is causing him a lot of trouble at work. But most of all, his wife might have cancer – that much he admits – but the rest is all lies,. Fletcher is a 29-year-old male referred for court-ordered counseling.

Fletcher presents with a long history of substance abuse, violence, and lying. He has been in court-ordered counseling for most of his life. This is why he is represented by his wife in this appointment. Fletcher’s history is quite typical for an abuser; these individuals present with a combination of substance abuse and inappropriate behavior, such as verbal abuse, aggression, and manipulative tendencies. These behaviors typically begin as early as high school and tend to escalate over time…

Well, I’ll be the first to admit that Fletcher doesn’t look good at all. His history of driving under the influence of alcohol and violence are a major concern. It looks like he is manipulative and may use others for his own gain. He also has cheated on his wife several times, and that is why she wants him to go in for counseling. Fletcher is a 29-year-old male referred for court-ordered counseling.

Mr. Fletcher is a 29-year-old man with a history of repeated alcohol and drug abuse, as well as numerous violent offenses, including domestic violence and DUI. Considering how his behavior has escalated over the years, alcohol is likely not the root cause of his behavior problems; more likely he has underlying emotional problems that have yet to be discovered or addressed.

Fletcher’s wife stated that he was always like that when they first dated, so she doesn’t believe the alcohol is the problem. Fletcher’s counselor at work said that he has a drinking problem and should go to Alcoholics Anonymous or some other self-help program. You sense that this might be a good idea, but in any case you want to address short-term safety issues before anything else.

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Mr. Fletcher has a long history of substance abuse, with a preference for alcohol followed by marijuana and hallucinogens. He has been unable to hold onto jobs and is alternately charming and terrifying to his wife. The underlying cause for his violent tendencies is the depression that has come on since he started school but became more severe when he stopped going to class.

It’s clear from this report that Fletcher is engaged in a pattern of behavior that brings him into conflict with the law and his employers. This conduct is also disruptive to his relationships as well. When he first started using drugs, it’s unlikely that he foresaw how his life would unfold; now, he is aware of what type of impact this behavior has on himself and others, but the man he was before is too distant to be able to manage his present self effectively. Focusing on the issues of alcoholism and substance abuse, then, will also prove to be beneficial for reducing all the problems Mr. Fletcher encounters.

 

Question:

Fletcher is a 29-year-old male referred for court-ordered counseling. He has a long history of repeated offenses including DUI, domestic violence, battery, and other violent acts that fortunately have not yet caused any serious injury or death to the recipients. An interview with his wife reveals that he has lied about almost everything for the last few years; he is able to get hired for jobs because he is very engaging and likeable, and then invariably he gets fired because he misses work and doesn’t do his job properly when he is there. According to the wife, they have known each other since high school, where Fletcher was very happy and well-adjusted. He was on the soccer team, liked by teachers, and never demonstrated the tendencies he does now. Apparently in college he got involved with a fraternity that was notorious for alcohol and drug abuse, and he started drinking heavily; it was ?all downhill from

there.? The PMHNP considers that:

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