Mr. H
Korea
Mr. H case study
What is the client's most prominent presenting issues (that is, what seems to take priority as being wrong)?
Mr. H has shown a sharp decline in cognitive functioning. He has quit his job without warning and without consulting with his spouse (who is economically as well as emotionally affected by this decision), has shown difficulty remembering basic tasks and words that a man of his education and background should be able to retrieve easily, and is exhibiting signs of disorientation. Despite being an accomplished outdoorsman he has gotten lost while hiking; has difficulty reading; and although he was a science teacher has difficulty doing basic math. He also has trouble performing basic acts of self-care and memory exercises.
Q2. What else do you feel you need to know (or, what might be some areas you may ask about in order to determine what is going on and how severe the problem may be)?
Alzheimer's disease can have a genetic component, so inquiring into the history of Mr. H's family might be useful, particularly if the dementia of the family members was early-onset in nature (early -- onset Alzheimer's disease is defined as occurring before the age of 65 and tends to have a stronger heritable component than other forms of Alzheimer's). Also, other disorders need to be eliminated as the source of his dementia -- both psychological and physical --...
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