Bio-Psycho-Social Assessment


Identifying Information

Susanna is a nineteen-year-old female that has been diagnosed withborderline personality disorder (Wick et al, 2000). She is a brightas well as troubled teenager that has a surprising extensiveness oflife experience. At the age of eighteen, Susanna is a school dropout,and she has had an affair with the former high school English learneras well as half-heartedly tried to take away her own life. She livesin Claymore and was born in the 1940s, and is a girl. Susanna iswhite and lives with her parents. Her relationship with her parentsis not good this is because she is a rebellious child that hasrefused to attend school. In addition, she has an affair with theparent’s friends. She lives a life of emotional detachment from herparents.

Referral Source

The client is a self-referral. Susan previously attempted to takeher own life through swallowing fifty aspirin. It is after theincidence that she commits herself to McLean Hospital, which is apsychiatric facility situated in Belmont, Massachusetts (Wick et al,2000). She stays in the facility for a period of two years. Theclient realizes that the agency is good. Bearing in mind that thesource of referral is self, this implies that Susanna had numerousoptions to choose. She carefully made an analysis of all availablealternatives from the available facilities within her location andsettled on the agency. There was no other agency that made contactwith the agency Susanna selected to seek help from, as it was theinitial time she was seeking psychiatric assistance. This means thatthere has been no previous presentation of Susanna’s problem.

Client’s Presenting Problem

The client has numerous problems that she hopes to find solutions.First, after attempting suicide, she needs to ensure that such anincidence does not happen once more. The client realizes the extremeof the move to take her own life and by seeking help, she hopes thatit will become easier to solve other life challenges that the clientfaces. Susanna is young and has already dropped out from high schoolin addition to having an affair with a teacher. She lives an unstablelife, where she deals with experiences of intense unhappiness. She issuspected to be suffering from borderline personality disorder, andto ensure that she does not become crazy she seeks help from theagency. Susanna hopes that the agency is capable of assisting herregain her meaning of life. She hopes that the agency will assist herin dealing with all the unexplained anger and inform on how she canbecome a better teenager. Most important is the need to ensure thatshe never contemplates or harbors the thoughts of committing suicideagain.

History of the Problem

The disorder starts from Susanna becoming a rebellious teenager thatdrops out of school, has an affair and starts to feel suicidal. Sheis best described as a lazy and self-indulgent teenager. Thecircumstances contributing to the problem derive from the societySusanna lives. The client is not in good terms with her parents andhas been unable to achieve all that she would have desired. Hence,she feels stressed and useless and feels that by taking her life, shecan solve all the problems and begin to feel as someone worth insociety. There have been prior efforts by the parents to talk toSusanna about changing her behavior. However, Susanna rarely listenedto her parents, which is common for most teenagers during theirteenage years. At this period teenagers feel that they need to bevery independent and any advice from their parents is seen as adisturbance. Hence, any efforts that may have been made by theparents were unsuccessful. There are no former contacts with otheragencies as it is the first time that Susanna has agreed to seek helpin dealing with her disorder. The disorder has resulted in a negativeimpact in Susanna’s relationship with her boyfriend and parents.She does not get along with the parents. Her condition also has atoll on her relationship with the boyfriend. Susanna does not getalong with society and experiences a detachment from life. The clientlives in an environment where people are cruel, and women experiencenumerous life challenges. Some of the problems she encounters includesexism at the place of employment, and a society that isolates thementally ill. Such issues within the environment worsen the mentalcondition of the patient because they cause more worries in theirlife. For instance, stigmatization due to mental illness is likely toforce the victim to withdraw and is unable to seek help for theircondition.

Other Significant Data

Susanna has not had any physical developmental problems. However,she experiences many emotional challenges. Her life is unstablebecause she has made decisions that affect her future. Dropping outof school and having an affair are the main issues that negativelyaffect her emotional wellbeing. She feels that she has failed notjust herself but her parents and feels the need to give up in lifecausing her to attempt suicide. She is a high school dropout. Susannahas a sociopathic behavior. She has a history of taking drugs.

Bio-psycho-social Assessment

The client is able to communicate effectively, which makes itpossible for them to seek medical assistance from the agency.However, they are incapable of functioning within pertinent lifestructures, such as family. Susanna is not able to live with herneither parents nor progress with school, which is attributed withdrug use. Drugs tend to isolate users from other people as the userbecomes more dependent. The client is incapable of dealing with thecurrent issues she faces. This is apparent through her previoushandling of stress, by being suicidal. Lack of support and sexism areimpeding her functioning.

The only external support available for the client is help from theagency, which provides counseling to Susanna, and encourages her onhow she can change her life. On the other hand, society limits theprogress that may be achieved by individuals having similar disordersas Susanna. This is because society isolates persons that have mentalillness. Hence, the ill feel that they are discriminates against,which enhances the severity of their conditions. The institution’sresidents where Susanna seeks help for her disorder limit thepossibility of any changes in her life. The residents involve apathologic liar, a critically sick burn victim, a manipulativesociopath and a victim of incest.

The client’s environment does not offer any hope for change to hercondition. The environment is unfriendly, as society discriminatesmentally ill persons. Susanna seeks help from a facility where shemeets other individuals suffering from different mental conditions.Her interactions with the other individuals does not have a positiveinfluence on her mental health, instead causes discomfort and reducesthe likelihood of her recovering. The pessimist attitude of youngindividuals in society reduces hope on the possibility of change tothe individual’s condition.

The client’s problem derives from instability in character.Susanna has an instable character, which causes her to engage inactions that she seems to regret later. For instance, she drops outof school, takes drugs and does not listen to her parents’ advice.In the end, when she has made many mistakes in her life, she beginsto feel depressed because she cannot change the damages that she hasdone to her life. The client wants to feel accepted within hersociety. She wants to live in an environment that does not pointfingers at her, but understands her mental condition. The clienthopes that she can get psychiatric assistance on how to deal with thedepressive emotions she experiences to avoid taking away her life.

Agreed-upon Goals and Plan

In order to provide psychiatric assistance to the client, the socialworker and client engage in activities, which are aimed at improvingthe self-esteem of Susanna. The social worker provides advice onmeasures to take in improving mood changes. The client is expected tofollow the advice provided by the social worker. This begins byaccepting their current situation as an individual suffering frompersonality disorder. In a society that is first to isolate her,Susanna has to fight the mild repulsion towards the mentally sick.


Wick, D., Konrad, C., Mangold, J., Loomer, L., Phelan, A. H., Ryder,W., Jolie, A., … Columbia Pictures. (2000).&nbspGirl,interrupted. Burbank, CA: Columbia Tristar Home Video.