Clinical Interview Role-Play Part 2 - Educational, Vocational, and Legal History

Dr. Todd Grande conducts a clinical interview exploring educational, vocational, and legal history with a client facing anxiety and alcohol use challenges.

Key Takeaways

Anxiety and alcohol use are interconnected, affecting education and work performance.
Early onset of alcohol use has led to increased frequency and some legal consequences.
Support systems include family and campus housing, with a goal toward independence.
Mood and mental health symptoms fluctuate but do not currently meet criteria for depression.
Open communication in clinical interviews can reveal complex interactions between personal, educational, and legal histories.

What the video covers

The interview covers the client's educational background from elementary school through college, highlighting anxiety and academic challenges.
The client discusses vocational history including babysitting and retail work, and the impact of anxiety and alcohol use on job performance.
Alcohol use began at age 14 and has increased over time, often used to reduce anxiety and improve social comfort.
The client reports legal issues related to underage drinking and theft but no lasting criminal record or current employment interference.
Anxiety significantly affects academic performance and social experiences, with professors confronting the client about attendance and performance.
The client lives on campus with parental financial support but desires greater independence.
Sleep patterns are generally adequate, with about 10 hours per night, and appetite is reported as normal.
Mood fluctuations occur, particularly linked to anxiety, but the client denies clinical depression.
Spirituality and Catholicism are present but not strongly influential in daily life.
The client aims to reduce alcohol use and balance academic and personal responsibilities.

Chapters

How has anxiety affected the client's educational experience?

Anxiety has made schooling stressful and challenging, leading to difficulties with coursework, attendance, and academic performance.

What role does alcohol use play in the client's life?

Alcohol use began at age 14 and is used to reduce anxiety and help the client relax, though it has negatively impacted attendance and performance.

Does the client have any legal issues affecting their current life?

The client had past legal involvement related to underage drinking and theft but does not have a criminal record and reports no current employment interference.

Full Transcript — Download SRT & Markdown

Speaker A

I'm going to shift gears again, okay, little B, and I want to talk about your educational history. So can you tell me about your schooling?

Speaker A

diploma um I like school I wasn't you know I was pretty good at it good student yeah um yeah it was okay I mean the anxiety definitely made it tough um I didn't always get the grades I wanted

Speaker A

Um, went to public elementary and middle and high school.

Speaker A

how's that going it's okay um I mean I like it I like being surrounded by people and whatever um but it's really really stressful the course workor is tough M the professors are tough uh a couple of my professors have confronted

Speaker A

Mhm.

Speaker A

flying in my program so the experience is a little different what do you say when they confront you about the U performance problems I generally just say you know I have a lot of my plate and I'm trying to

Speaker A

Um, got my diploma.

Speaker A

to vocational history like the history of working okay um have you worked before yeah um well I babysat in high school that was my main thing um and then I um just worked at like a department store after school

Speaker A

Um, I like school. I wasn't, you know, I was pretty good at it. Good student.

Speaker A

to work yeah um yeah I don't mind it has the anxiety or the alcohol use had any effect in that area sometimes yeah um the anxi Y is is a lot at work usually like performance or um like the pressure of

Speaker A

Yeah.

Speaker A

it's just like all these scenarios could happen and that stressful have you ever lost employment because of the anxiety or the alcohol use um I've given up things because I've got uncomfortable or whatever so it's affected you in your

Speaker A

Um, yeah, it was okay. I mean, the anxiety definitely made it tough.

Speaker A

education and what do you want to do when you're graduate um I like kids so maybe something like a school with little kids early type of stuff okay all right so I'm going to switch gears again a little bit here okay kind move to some

Speaker A

Um, I didn't always get the grades I wanted.

Speaker A

your goal there would be to use less or to discontinue use um less use less all right and you mentioned to me earlier the Agri started drinking was it uh 14 14 how's the drinking progressed from when you started using at 14

Speaker A

And then, you know, the drinking young kind of affected my attendance at some points.

Speaker A

a like helpful gives me piece of Mind type of thing um and I would say it's probably more frequent now than it was then it's more frequent now yeah yeah does drinking reduce the anxiety it does makes it easier to just be out

Speaker A

Um, and I, I do like school.

Speaker A

or I don't know I just don't have a good time I'm so tense and confused and I just I know I end up feeling worse it wasn't an enjoyable experience and those times when you do drink it helps me relax and I get to

Speaker A

All right, so you got through elementary school, middle school, high school, and now you're in college?

Speaker A

section I want want to remind you again any of the questions you don't want to answer or if you'd rather talk about it later on or not at all just let me know that okay all right because I'm getting

Speaker A

Yeah.

Speaker A

you tell me at what age you first had consensual sex 14 14 all right how about non-consensual uh I've never never no okay in terms of legal history have you ever had any involvement with law enforcement Criminal Justice System yeah

Speaker A

How's that going?

Speaker A

issue what happened um we got caught and they called our parents and they called like the police came down and so um and cuz we were drinking and we were CH so it was like underage and stealing so and

Speaker A

It's okay.

Speaker A

well I'm probably the only one that's the only one all right were you left with any type of criminal record um I don't think so okay does your legal history ever come back to interfere with employment right now um not so far not so far all

Speaker A

Um, I mean, I like it. I like being surrounded by people and whatever.

Speaker A

Catholic would you say you're practicing Catholic um what's well no I mean yeah um I go when I need to you going need to yeah right how important is Catholicism in your life is your spirituality in your life I would say it's there it's not

Speaker A

Um, but it's really, really stressful. The coursework is tough.

Speaker A

Catholic too yeah your mother your father sister yep everybody they are I mean pretty much everybody's Catholic not everybody's like practicing like you said but yeah has that been an influence on you um I don't know maybe a little bit I mean we went

Speaker A

The professors are tough.

Speaker A

financial situation I'm shifting gears again okay uh you mentioned you're not working right now yeah that correct okay how do you support yourself now my parents help me do you live independently or with them I live on campus but I know I only

Speaker A

Uh, a couple of my professors have confronted me about not coming to class or showing up and being hungover.

Speaker A

Arrangement um I don't love it but it works for now it works yeah what would be more ideal for you um I'd like to be independent of them taking care of myself they would like that too they've made that clear so

Speaker A

Um, and I'm, you know, they're not as lenient with missed assignments like they are in high school.

Speaker A

you get more sleep than you should less or the correct amount um probably more more on average how many hours do you sleep at night uh 10 maybe what would you like to sleep seven or eight how long has this been going

Speaker A

Um, there's always like, it's okay, you know, do it again.

Speaker A

everything do you ever find yourself down like your mood down sometimes sometimes not all the time but sometimes when the anxiety gets really bad when the anxiety is bad yeah when was the last time time you fell down two weeks ago how long ago two

Speaker A

That's really not flying in my program.

Speaker A

phone off sleeping but you indicated you weren't depressed right right so that's what you were doing no that's what no I was just upset I was more like sad or frustrated about a situation and the grade and another one of my

Speaker A

So the experience is a little different.

Speaker A

not depressed I don't think I was all the way to that point no did it change anything in terms of your drinking um I tend to drink more the more upset I am is that what happened this last time

Speaker A

What do you say when they confront you about the performance problems?

Speaker A

it's grabbing what's there and getting to the next thing busy lifestyle yeah to go College J do you feel like your appetite uh is stronger or weaker than it should be or about where it should be I think it's pretty normal normal

Speaker A

I generally just say, you know, I have a lot on my plate and I'm trying to balance everything.

Topics:clinical intervieweducational historyvocational historylegal historyanxietyalcohol usecollege studentmental healthDr. Todd Grandeclinical role-play

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