Read the case study below on Mrs. Butters to gather

Study 5 Patient Name: Kayla Richardson Gender: Female Date of Birth: 08/23/20## (The patient is 16 years old) Identifying Information: Kayla Richardson is a 16-year-old adolescent that arrived at the clinic with mom. Chief Complaint: “I have been feeling depressed with thoughts of wanting to die.” History of Present Illness: Kayla is a 16-year-old female who was brought in by her mother due to feelings of sadness, suicidal ideation, and opioid use for the last month. She is a sophomore at a private school. Her parents are divorced, and her father moved to Australia 6 years ago. She is an only child and lives with her mother. Her mother works in marketing and frequently works 50-hour work weeks. According to Kayla, she started using pain pills after her friend gave her one 6 months ago. Initially, she was taking a pill 1-2 times per week, but her intake had increased to 3-5 Lortab pills per day after 2 months of using. She was purchasing the pills from acquaintances at school and online. Mother was called to Kayla’s school after she was found to be under the influence. Her mother sent her to rehab for 3 weeks, and Kayla stopped using and has been attending psychotherapy and family therapy since discharge but stopped attending therapy 3 weeks ago. Kayla started using prescription pills 3 weeks ago after experiencing feelings of sadness, hopelessness, worthlessness, and guilt 1 month ago. She stopped attending her after-school activities and has lost interest in spending time with her best friend. She recognized that she had a problem, so she confided in her mother that she was buying Lortabs from acquaintances and her feelings of depression and thoughts of suicide. She is currently using 1-3 Lortab pills per day. She is experiencing insomnia, loss of appetite with a 10-pound unintended weight loss and low energy levels. She has thoughts of death but denies any attempts or current plans. Her last use was 3 days ago. Medications/Drug Allergies: None, NKDA Psychiatric History: Opioid use Substance Use: History of marijuana use 2-3 times 1 year ago. Use of Lortab 1-3 per day for 3 weeks. Last use 3 days ago. Social History: She is a high school sophomore living with mom. Dad lives out of country, and she has limited communication with him since he moved 6 years ago. She is an honor roll student but has recently experienced a drop in grades (past 3 weeks) due to missing assignments. She has 3 close friends and is currently not in a relationship. She denied being sexually active. Medical History: Denied Neurodevelopmental History: She was born at term, with no delivery complications, and has met all developmental milestones with no history of learning disabilities. Medical Review of Systems: All ROS normal. Psychiatric Family History: Mom has history of MDD. Per mom, dad has a drinking problem. Mental Status Examination: Kayla presented as a disheveled, poorly groomed, and malnourished 14-year-old adolescent that looked stated age. She appeared sad and tearful, with poor eye contact throughout the interview. She was cooperative. She described her mood as sad, and her affect is congruent. Her speech was low volume. Her thought processes were logical and goal-directed. She recognized that she is experiencing emotional problems and wants treatment before she becomes highly addicted to opioids. There was no evidence of thought blocking, insertion, or deletion, or ideas of reference. No perceptual abnormalities were noted. She has experienced thoughts of suicide. She denies any intent of self-harming and describes her thoughts as wanting to go to sleep and not wake up. She demonstrated poor attention and concentration and has good short-term and long-term memory. Physical Exam Vital Signs: • Blood Pressure: 104/64• Heart Rate: 81• Respirations: 15 Height: 5’6″ Weight: 115 pounds Labs/Diagnostics: (per primary medical records labs 6 months ago) • Lab: Within acceptable limits • EKG: Within normal limits • Urine Toxicology: Positive for opioids • Urine Pregnancy: Negative Create a biopsychosocial formulation table for the patient in the case study that includes twobiological, two psychological, and two social factors for each of the following: • predisposing factors • precipitating factors • perpetuating factors • protective factors

******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."