Our Services

Get 15% Discount on your First Order

Name: Mrs. Leslie Tilman Gender: female Age: 32 years old

December 12, 2021

Name: Mrs. Leslie Tilman Gender: female Age: 32 years old T- 97.6 P- 97 R 22 149/98 Ht 5’3 Wt 245lbs Background: Recently had her first child two months ago. Currently married; stay at home mother after working in retail for 5 years. Grew up with both parents, one sister in Omaha, NE. Completed education through bachelor’s level, studying physics. Previous employment included research science as well as high school substitute teaching for 5 years prior to birth. No previous suicidal gestures; has uncle who committed suicide via GSW. She denied drugs/alcohol; uncle was opioid abuser. Hx of HTN-prescribed labetalol 100mg twice daily, admits to missing doses due to forgetting. No legal hx. Allergies: codeine

transcriptTranslate

Mrs. Tilman, your husband is extremely worried about you.

MRS. TILMAN Yes, I know that.

Does coming her bother you?

TILMAN Yes. Yes it does. I’ve never been to a shrink before. I don’t think I need to be here now.

I’d like to ask you a few questions if that’s ok.

TILMAN Yeah, that should be fine.

Sleep?

TILMAN I can’t sleep much. But that’s to be expected.

How so?

MRS. TILMAN The baby. It cries a lot.

And what wakes you?

MRS. TILMAN Well I’m usually already awake.

\You have trouble sleeping?

MRS. TILMAN Just falling asleep. Especially after the baby cries.

What’s the baby’s name?

TILMAN Jessica.

Beautiful name. How old is she?

TILMAN Two months.

How has your appetite been lately?

\MRS. TILMAN I don’t know. It’s not big, but I want to lose weight after the pregnancy.

You aren’t comfortable with the way you look?

MRS. TILMAN I’m terrible. Alright. I look terrible, I feel terrible. My body is bloated. I have lines on my face, bags. I look disgusting.

What do you do to lose weight?

MRS. TILMAN Well, I want to run, but… I don’t get out much.

Why?

MRS. TILMAN Cause I’m stuck at home. I have to take care of the baby, all day long. I guess I should just get used to it. This is my life now all day long, stuck at home with the kid.

MRS. TILMAN Who could afford one? Especially with having to pay for the kid.

Have you said any of this to your husband?

MRS. TILMAN To Rick?

DR. GREY Uh huh.

MRS. TILMAN No. I couldn’t. He’d be so disappointed in me. How could I even tell him that I felt this way. That I wanted out. He comes home from work and… he plays with Jessica. This perfect family.

How has your relationship been?

MRS. TILMAN Not good.

What’s happened since Jessica was born?

ILMAN It’s not added much. I mean it is my fault. I can’t stop crying. All the time. [she cries] Sometimes I don’t even know who the baby is. And I yell a lot. Things just upset me. Everything and anything he does lately just upsets me.

For instance?

MRS. TILMAN Well… Well the other day he came home and changed her diaper but he threw the dirty diaper in the wrong trash can and he didn’t tie it up in the bag the way he was supposed to.

And that upset you?

MRS. TILMAN Yeah. And I told him, and I was yelling so he started yelling. So yeah. That’s our marriage right now.

Have you been sexually active since Jessica was born?

MRS. TILMAN No. Not really. I have no drive or desire. Rick keeps wanting to but I just… I push him away.

And how is your social life?

MRS. TILMAN Non-existent. I haven’t seen my friends in forever. They came over to see the baby but that’s about it. I might as well get used to it. I can’t go out anymore. She’s too young for a baby sitter, and even then we couldn’t afford one. I had to quit my job.

Were you forced to quit?

MRS. TILMAN No. They gave me maternity leave, but… but I figured this is never going to end. I might as well leave now.

Do you do anything for yourself? Something to relax, something creative?

MRS. TILMAN No. I tried writing. I liked writing but… I don’t know, I… nothing moves me.

You can’t write now?

MRS. TILMAN I have no inspiration, and it’s not fun. I know I’m going to be interrupted soon anyway. Before Jessica, I could write for hours a night. I hated anyone disturbing me. [she cries] Now I can’t have twenty minutes. And you can’t tell a baby to hold on with wanting her lunch. For an hour. When she’s hungry, she’s hungry.

Do you regret having a child?

MRS. TILMAN No. I… I’m just not sure. I’m not sure, okay.

Are you happy? Does anything give you pleasure?

MRS. TILMAN [Shakes her head] No. [she cries]. Look, please, I… I know I’m a mother now. I. [sigh] I don’t know how to put this, I feel terrible. [Cries harder]. I don’t want to be a bad mother. I love my daughter. But I don’t know… I don’t know why I say these things. It’s just really difficult… and Rick, I see Rick and he has this look. It’s this look, its like I know what you’re thinking. It’s like he’s judging me. It’s like he knows I’m not normal. I mean, what’s wrong with me? Sometimes I can’t even hold my own child, I… I, she’s crying and I can’t… I can’t touch her. And when I give her milk it disgusts me. I don’t know what to do. I don’t know what’s wrong with me. I don’t know what’s wrong with me. [She reaches for a tissue]

Mrs. Tilman, do you have thoughts of suicide or death?

[she shakes her head yes]

Have you acted upon them?

MRS. TILMAN [she shakes her head no] No. I couldn’t. I couldn’t do that to Rick or Jessica. And then I feel guilty again. It’s this… this endless cycle. I’m not happy and I want to get out and if I get out, then I would just… I would just… just ruin everyone and that makes me more unhappy.

Share This Post

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

Leadership & Healthcare Disparities

In this assignment, you will read and annotate potential sources in your dissertation field of interest (Leadership & Healthcare Disparities). Those demonstrating the most merit to the best of your understanding of the topic at this time should be added to your RefWorks list for potential inclusion in the literature

Police Patrol Methods / Compare patrol allocation and distribution differences in a major urban city and a small rural community.

Police Patrol Methods / Compare patrol allocation and distribution differences in a major urban city and a small rural community. What is similar, what is different, and why? You are required to provide a well-developed analysis of the topic. You should utilize your critical thinking skills and demonstrate your understanding

Discussion 1 Review the video “The Fifth Discipline in Three Minutes” located in the topic Resources. Peter Senge, author of the book The Fifth

Discussion 1 Review the video “The Fifth Discipline in Three Minutes” located in the topic Resources. Peter Senge, author of the book The Fifth Discipline: The Art and Practice of the Learning Organization said, “When I look at effort to create change in big companies over the past ten years,

Attracting, On-boarding and Retaining Nurses Transitioning Into a Home

Title of the SYSTEMATIC REVIEW: Attrating, On-boarding and Retaining Nurses Transictioning Into a Home Health Care Setting Research Questions What is the best evidence-based recruitment and retention strategies for nurses to transition to home care? Subquestion: Will evidence support the development of a model or guide to the successful onboarding

FIU Ambiguity and Doubts About Managing ASD Reflection Nursing Assignment Help

Autism Spectrum Disorder, Intellectual Disabilities, and Childhood-Onset Schizophrenia After studying Module 5: Lecture Materials & Resources, discuss the following: Reflect on your experience creating a treatment plan for a toddler, school-aged child, or adolescent with autism or an intellectual disability. Describe the clinical situation in detail. (Who was it, when

Beta and Capital Budgeting Part 1: Beta Visit the following

Beta and Capital Budgeting Part 1: Beta Visit the following web site or other websites: Yahoo Finance 1. Search for the beta of your company (Air Lease Corporation) 2. In addition, find the beta of 3 different companies within the same industry as your company (Air Lease Corporation). 3.

Please complete questions of article understanding by Read Ariel Gore’s

Please complete questions of article understanding by Read Ariel Gore’s article “TV Can Be a Good Parent” and apply the two-step method to identify the argument and the support for the argument. (Remember: read actively by annotating the article, underlining and marking the argument and support as you read. Based

I need a short story done where I am the

I need a short story done where I am the artist. (Any questions please feel free to ask me) In this assignment, you will create an artifact where you are the artist. Some ideas to consider include: Reading a scene from a play, a poem, or a short story. (This

Product Constellation Assignment Below are the details for your Product Constellation assignment. Overview Product constellations are clusters of

Product Constellation Assignment Below are the details for your Product Constellation assignment. Overview Product constellations are clusters of complementary products, specific brands, and/or consumption activities. They are usually centered around a main purchase or major life stage event. The purpose of this assignment

1. Review the following resources on APA-style citing and referencing.

1. Review the following resources on APA-style citing and referencing. In-Text Citations: The Basics In-Text Citations: Author/Authors APA-Style References Guide and Sample References Page 2. Read the following course requirement for writing in Psychology courses at Post University. For all written work in this course, it is expected that you

Competencies In this project, you will demonstrate your mastery of the following competencies: Manage elements of a sustainable global brand Propose a

Competencies In this project, you will demonstrate your mastery of the following competencies: Manage elements of a sustainable global brand Propose a method to market Design a marketing strategy Scenario You are the regional marketing director of a theme park in the southeastern United States that is part of a

Discussion 1- 7.2 At different times of the year we

Discussion 1- 7.2 At different times of the year we hear about helping others. That might be a family member, a non-profit group, our alma mater, or some other organization. How often do we think of it within our workplaces? I’m not thinking specifically of the organization, though it might

Katlynn Brown, 32 years of age, is a female patient

Katlynn Brown, 32 years of age, is a female patient who is admitted with the diagnosis of acute pulmonary embolism after being taking birth control medications for 4 years. The patient has a history of coronary artery disease that has been treated medically. The patient is anxious, pale, cold, clammy,

Dietary Guidelines for Americans Discussion Nursing Assignment Help

Read the attached files and answer the questions below (150-200 words for each answer): Dietary Guidelines for Americans 2015-2020 https://health.gov/dietaryguidelines/2015/guidelines/executive-summaryLinks to an external site. Glanz Book on Behavior Change Theory – Chapter 20 (by Sallis et al.) Glanz Book on Theory.pdf (attached) 1. Address all of these parts in your

Need question answer for my my part of a paper.

Need question answer for my my part of a paper. Please review the paper for better understand how to answer these question. I. Requirements Checklist A. Technical Requirements – – Five requirement statements setting out the system performance specifications. B. Security Requirements – – Five requirement statements covering various aspects

Selecting the Appropriate Hazardous Waste Treatment Technology

This project will give you an appreciation of the challenges of selecting a hazardous waste treatment technology. Decisions are dependent on having a set of criteria for evaluating and working through treatment options. The new manager of the hazardous waste facility is having difficulty choosing between using deep well injection

Please submit an outline of your business report. The outline

Please submit an outline of your business report. The outline should include a short summary for the following sections: Introduction and Objective, Methodology, Analysis, Conclusion & Recommendations, References (listed in APA format) and Appendix (if applicable). Introduction and Objective Introduce the opportunity or problem for the company or organization State

Complete the Form: Identify Aerobic/Anaerobic Requirements for Your Fitness Client Nursing Assignment Help

Using the presentation(attached), and outside research, identify the ATP-PC requirements (maximal/peak effort), the anaerobic/ aerobic requirements (80-90% training intensity) and the aerobic requirements (moderate intensity) for a specific fitness goal for your client. YOU CAN CHOOSE THE GOAL FOR THE CLIENT. In addition, 1) identify the frequency of training per