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dutchie1

general psych pmp is anyone here????

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from Rcpsych website

in o/p clinic

25yr old married woman symptoms of depressed mood and anxiety over 2 year period. her marriage is under stress. She discloses to you that she was repeatedly abused by her stepfather between the ages of 8 and 12. She has never told anyone and insists that this info is confidential.

How would you assess and manage/.

::) ::)

does this pmp need an assessment of mood and anxiety symptoms or is it straight into disclosure child protection and marriage guidance?

it doesnt even state if her stepfather is alive or not/

any ideas how one would answer this pmp/

tx

?

#

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WHY CHILD PROTECTION?

HOW ABOUT REFERAL TO SW.

ENCOURAGE TO SPEAK TO THE POLICE.

MOST IMPORTANT -- WHY SHE IS DISCLOSING THIS NOW.

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There are two main aspects to this PMP:

- Management of the young woman (not just her symptoms)

- Child protection issues

You'd have to mention both. The examiners may want you to focus on a particular aspect, but you do need to cover it all.

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WHY CHILD PROTECTION?

HOW ABOUT REFERAL TO SW.

ENCOURAGE TO SPEAK TO THE POLICE.

MOST IMPORTANT -- WHY SHE IS DISCLOSING THIS NOW.

Why child protection? If this is genuine case then stepfather is vulnerable to other children (esp if they are still living with the children?)

Agreed with most important point - if disclosing at psychodynamic / hypnotherapy then answers need to focus on psychological defenses / mechanisms etc.

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perhaps the abuse is a false memory and this is false memory syndrome..

just be to nasty..

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