THERAPY NOTE: Pt Name: Rikki Dombrowski Case Number: 4 3/25/04 Time: 11:00 AMEX/PMC] Length of Session: {_] 30min [| 60 min |_| other Type of Session: |_| Ind. (_] Group (_] FanvCoup [X|Other: Collateral yp, ®ing Clinical Information/Deseription: Met wih Mother im preparation of posile jin session with er and Rikki, She sate that she was cbs. haves aydugheesince February 10" an don't see an usieaon oe" She stated forte: "My vcr fs cme mae om Hal Richardson because was haere... He's used he court to take my daghter way from me.only way to hort don vane onsthat OK pt ahaa ne She repre a kt me es aout herd that are Spetng” and hat sean tinge Rodeo dota him tcling er that “IFT pretend {don't ike ou, Dats cto me. She refered to Mr. Richardson Ding waent with er durig the tacks ites with ikke, She speiially recounted am exchange the Gay alter Martin Lather King Day sven she alleged that Me Hicherdson"Deckhanded" tes, Sh reported that she di mot sty anything but "just got back n car and dene of don't want co he problems but don't ant her fn] to tha silences OK She described Me, Richardson shaving 8 cost for nen ets. Stated that conic of domes abause, tat he as Kcked out ofan alternative owolence prosram bec te was “Conave” and mave "seis comments". She repeated numberof ines that she felt that Mr. Richardson was ying hart er through Rikki When asked to describe Rikki ste very forse on her view that shes beng abused hy Me Richardeon: "ve {iat ll hes, hep what’ it yourheartand tot et 20" She frequently them would move bac te ec sens of hers gs being 1g hurt and now I'm the ome being shed". When brought back to Rikke, she charat incr light" She also sw her ab hurt ite gic that loves er ev isto prec Risk from abuses tking about how she “StarTrek shiekiss-bad bouness off, She moved back and forth between Dresenting herself ashing portrayed tt bad yal yl being the siti of what she sa as Mr Rchardyon's abuse no seing her dager as farmfl place. She omplained that "nobody i advocating for my daughter sith right ways erent to protect him and tenrry out his viene. She explained ber reasons or nat wsing the Safe Visit program as briny been sei ts the {correctional setting She often persed onthe nation that her rights had been faken aay but yet saw here as he one wo ha esate veto of i. Richardson's abuse. Medication: Problems Yes] No 6d Health Changes: Yes] No [dif Yes explain: Mental Status: Orientation] BY] Oriented TTT] Pizorented 2 aes aaa ‘Appearance Bh api FY Date | Faappropriate = ‘Speech ENT Behavior S| WN, i “Thing LE Pen Ba Bionderat Moo WNL by cr _ sree Affect WNL a mae Other: Drivers Memory Ti wr, Other: Very fossa on { tehar ae recalls as abuse | tnd violence “Consciousness _ ea Disturbed | a isso Other: peers Impulse contrat — moderate poor variable ae ‘Judgment CY Poor PBI Describes Self referential, exoocntric Other Problems ~ 1 T. TEC [insomnia C1 Other: oped WNL TET [ncrensed {Otters saa} Sociabilty Tint | Withdrawn — (Other Iiense, fends to = challongeZquesin | Deug/Ateonot twa TT Sarre Other Symptoms (E1 atatiucinations {| z | [Sait Alsen | Threat io Others [Miatieel steChange: No [Il Yes DIAGNOSIS: Axis I:Adjustment Reaction, Mixed Mood and Conducte. Axis 1 Wryes, New Diagnosis: PROGRESS: [J Good [1] Fair C1 Siow 52 Complications C] Poor () Regression INTERVENTIONS: Appears ta he very focused on the idea that she is and continues to be a victim of abuse/vol ina parallel cole and sees herself a Crying to protect and rescue Rikki from this. Her idea sodrigid and not responsive to any challenge, 2, comments that Rik dismissed as ber not trusting me and fearing her father so nat saying bad BA Referral: Yes [J No[] if Yes, @ whom: PLAN: RTOINC}1 wk[] 2wk [1 mo [2 other De Q> David atid TA Licensed Psychologist &, Sifoe pS ling COPY easels