**In this report I do not see the relevance of the things in which they keep talking.  Yet again it is the same thing about how I deny this or that.  I do not see that I am denying it I see it as the truth.  I do not know what some of the things in which they state are supposed to say in another lingo but I perceive them as trying to make me look bad.**

**Feel free to e-mail me at  www.injusticeinva@yahoo.com **

Treatment Plan

1)  No psychotropic medication.  Ms. **** currently shows no evidence of psychotic, affective, cognitive, or anxiety-based illness.  She denies any significant history of alcohol or drug use.

2)  Individual therapy was discussed with Ms. **** who currently does not wish to participate.  Though therapy may be beneficial to Ms. *****, it is not believed to be a necessity at the present time.

3)  Ms. **** was accompanied to today's appointment by a case worker, ***** ****.  Ms. ***** did not attend the interview and did not wish to discuss Ms. **** history specifically with the undersigned; she was offered opportunity to do so.

4)  Follow up as needed.  Ms. **** was encouraged to contact the *** at any point if problems arise.  She indicated she would do so.

Continued Psych (#1) Report

mental status examination: Ms. **** was dressed casually.  She wore a T-shirt and shorts.  Her hair was pulled back on her head.  She was easily engaged in conversation.  She appeared forthcoming about information. She made good eye contact.  No motor disturbance was noted.  Speech was at times slightly excessive, though not pressured.  She acknowledged talkativeness as a lifelong trait.  She described her mood as "happy when CPS is not bugging me.  they make me aggressive and frustrated.  I guess angry, really."  She reports an increase in depressive feelings since July 1st when she reports giving voluntary custody to her second child's father.  She states, " I have a temper problem when someone is interfering in my life and breathing down my neck.  I'm a 24-year-old and I feel like people treat me like I am 2."  Affect was of full range.  She was capable of humor at times during the interview without inappropriateness.  No paranoid or delusional material was expressed.  She referred to herself as having "a good memory" and at another point "a keen smell."  There was, however, no grandoise thinking.  She also referred to family spirituality and a belief that "someone is standing over me watching me."  She believes that her deceased grandmother may be watching over her from heaven and has the experience of feeling "hair stand up on my arms" once per several months.  She denies any suicidal or homicidal ideation.  Thought processing was logical and goal oriented.  She denied any auditory or visual perceptual disturbance.  she was able to register three of three items immediately and to recall three of three at five minutes.  She was oriented to all measures of time and geography.  Tests of attention were performed without hesitation.  When asked the meaning of people who live in glass houses shouldn't throw stones, she stated "don't bite the hand that feeds you--do good things to people who are good to you."  When asked the proper response if she were the first to smell smoke in a crowded theater, she stated, "pull down the fire alarm."

Strengths and Weaknesses: Strengths--no significant health problems, no history of substance abuse, at least average intelligence.  Weaknesses--second oldest child currently resides with father, CPS review in the home.