Notes

 Therapy Notes

Case Manager monitored Amira's efforts to learn to identify their triggers for their anxiety and bipolar disorder symptoms. Amira reported that jourmaling and venting have been helpful for helping them realize what triggered their emotions and symptoms "in hindsight usually CM provided Amira with assistance with accessing the courthouse again today to submit documentation to be in compliance with DSS/CPS requirements and also with accessing Waimart to pick up pharmacy medications and a few groceries Amira was able to submit documentation to Mrs. Bedrycki via email with support from CM with correcting error with emails and technical difficulties but with support from CM and Mrs. Bedrycki, Amira was able to successfully submit documents. Amira notified CM mid-visit that they believe they have a stomach bug today that they feel they have caught a stomach virus and woke up feeling sick today. CM demonstrated concem for Amira's health by encouraging them to hydrate today and get rest. With active awareness of use of respectful and calm tone of voice and awareness of CM's own words CM asked Amira if Amira would please notify CM in the future when they feel or believe that they may be sick, particularly with a virus/contagious illness, so that CM can be either be better prepared with disinfectant and precautionary protective gear (e face mask) or to reschedule/make adjustments necessary such as phone call visit, CM assisting Amira by picking up the items needed for their and dropping at their door, etc, in effort to prevent spreading the virus to other clients and people in the community and increasing the likelihood of others getting sick, as this is the third time that Amita has gotten into vehicle with CM for MHCM visit and later reported to CM being actively sick or very likely contagious with communicable virus/liness mid-visit Amira responded stating that they were offended by this request "as a gay person with an auto immune disease it's offensive to me for you to tell me that you won't help me if I'm sick because I'm sick like every single week with something and you saying that my needs are less important than you or your family getting sick is so wrong and I've been fighting against that kind of discrimination for my entire life and with what my people go through and have gone through for hundreds of years, dying and bleeding out in the streets while people just walk by and spit on them for being gay this is totally wrong and I'd like to request another case manager, thank you" and proceeded to get out of car and slam car door and went into Walmart. CM listened actively to Amira's statements and response while armving to Walmart entrance where Amira exited vehicle. CM waited at entrance for Amin's retum, Amira returned stating "so I left my purse at the court building I think if it's not in the car here, are able to go back and get it, like do we have enough time" CM assisted Amira in looking in vehicle for their bag but was unsuccessful in finding bag and agreed to assist Amira with going back to court building in hopes of finding their bag where they likely sat it down while in coriversation with Mrs. Bedryki but explained that due to time scheduled for today's visit and appointments remaining for today as previously scheduled, CM would not have enough time during today's community visit to retum back to Walmart after going back across town for their bag and apologized for CM's inability to assist with going back to Walmart CM at this time had not had opportunity to further discuss Amira's response to CM asking to be notified before visits when Amira is sick with what they feel to be a contagious illness, rather than being notified in vehicle during mid-visit. At this point while transporting Amira back to court building, CM clarified to Amira that CM was in-no-way stating that CM would not continue to provide MHCM services and support of Amira's mental health needs and did not make any statements or references to Amina's orientation in any way, only asked courtesy to notify CM when Amira is sick or most likely contagiously ill. Amira again responded that "it's absurd for you to make comparisons about my auto-immune mune disease because I have STD since I was a child and my being a gay person." CM again clarified calmly and respectfully that CM did not make any statements or remarks towards Amira's sexual orientation or about Ther immune system. Amina continued to express feeling upset and making accusations that CM made remarks towards their sexual onentation and their immune system: CM maintained awareness of CM's tone of voice, non-verbal communication, and mindfulness of words stating again that CM is aware that CM did not make any statements or references/remarks of any kind regarding Amira's orientation or their immune system and that CM was only asking to be notified before in-persion visits of Amira being sick with a communicable virus or illness so that CM can take safety precautions to prevent spreading sickness and expressed apology that Amira received this information differently as this was in no-way stated or suggested CM calmly and respectfully asked for clarification if Amira would like to request a different case manager with PCS services as CM can notify CM's Lead of Amira's request upon returning to PCS office following visit with Amira to be more accommodating of Amira's desires to support Arnira receiving satisfaction with MHCM services Amira regionded "maybe, I think want to sleep on it tonight and I will email you tomorrow and let you know if that's okay, thank you for offening that though CM supported Amira's request and agreed that CM will monitor CM's small inbox for email from

Amira and follow-up accordingly. CM notified Lead-Samantha Bryant of detalls and updates from Amira's visit accordingly upon arrival at PCS office following community visit with Amira and notified Samantha of likelihood that Amira will be requesting transfer to a different case manager and that CM would notify Samanthe of all updates accordingly

Cl will monitor for response from Amira regarding possible request for transfer to different case manager at PCS and update Lead Samantha Bryant accordingly with any details

Current Medicatient

1. Latoda 30 Mg Tablet S10 Tale i daily

2. Pramsin 1 Mg Capsule 500 dum

Data: did talk se doghner about whether har grundpo was appropriate with bor. dat bring up the hathavnen but nothing else, everything else is going good, will be nonfarring sunca got her nanscript from beauty school and almost made it, but then just quit, it reminds her dat she has a you tube channel with 1000 views and then she quit. had been hingging aout hery, connody and randon sts then she got me hate emails and made her quin has some finds that go to you suhe to watch, but ulas afraid popic will not like them, as thinking about quitting evasta com Jolt, because it is damotivating wisild like to trud in the future and revarse thinking about slanorahins Appemarunce adia are good,

Fipitsh Language Nuttual

Attnude Hetasut Cooperative

Mood Depruned

Affect. Appropriata

Self and/or other Aggressive Destructive Thoughts and chastone WNL This viit note has been clectronically signed off by following providers This visit now has buom electronically signed off by Gisela Knbi Kahl, MD This veut note has hoon clectronically signed off by Lisa Law, LPC 12/05/2018 at 00:30 AM

1. Latuda 40 Mg Tablet SIG: Take I daily

2. Prazosin 1 Mg Capsule SIG: Take 1 at bedtime

Data: client presents today after telling stepdad that he needs to not be in front of isabella taking hus pants off in front of her so now both she and her mother have confronted her, hasnt worked uber much, has been working more at milennial center more has been decorating for chirstmas and overall is improved, has been moeting alot of past boyfriends and they are wanting to rehook up and she does not she wants to be on tinder so while she is on break we talked alot about healthy relationships, her isster actually had a rolationship with her alleged baby daddy, we discussed more limit setting boundaries

Mood: Depressed

Affect: Appropriate

Self and/or other Aggressivo Destructive Thoughts and Behaviors: WNL

Current Medication:

1. Latuda 40 Mg Tablet SIG: Take 1 daily

2. Prazosin 1 Mg Capsule SIG: Take 1' at bedtune

Data: is supposed to be in class right now but decided to come here instead. has increased latuda. had an incident this past week. she thinks sh emigh have witnessed her stepfather on the toilet with lights off and isabella came out of the bathroom, she is not wanting to judge or make assumptions but she is very scared and nervous about what "might" have happend a somewhat similiar situation happened about a month ago, was highly urged to speak to her step father about limits and boundaries, wants to move out but cant really afford it. is trying to graduate as soon as possible, usuzu of hervlet and making any decimums shes unsure as to what to do mom wurko as a touch ar speat elenmetary "I feel like he is doing evreything he san to make un dependent on lim urged her to focus on several things that entail self care.

Assessment:

Apprearance udis are good

Speech/Language: Normal

Anitude Behavior: Cooperative

Motor Activity WNL

Mood. Depressed

Affect Appropriate

Self and/or other Aggressive Destructive Thoughts and Behaviors. WNL

Thought Process: Goal directed.

1. Latuda 40 Mg Tablet SIG: Take 1 daily

2. Prazosin 1 Mg Capsule SIG: Take I at bedtime

Data: client just started back to school on monday but misfiled the year for financial aid so is currently waiting to get financial assistance. has asked her parents for financial aid, stepfather iant stopping going to the bathroom in front of her daughter. he left her a long list of everything that was going on, now they are not talking to each other, because he keeps disrespecting this boundary, now is working on moving out the beauty school she went to is in deferment with four accounts and trying to consolidate this, it will be difficult for her to manage, but she will try, did run out of meds for two days and it really impacted her, so she knows she has to call in advance.

Thought Process: Goal directed.

Current Medication:

1. Prazosin 1 Mg Capsule SIG: Take 1 at bedtime

2. Latuda 60 Mg Tablet SIG: 1 at night

DSM-V:

Bipolar and related disorder(s) includes: Hipolar | Disorder with current or most recent episode

depressed:Diagnosis:

Data: client presents late today complaining of not getting her latuda routinely at 60mg routinely would like to have it have done routinely, is still ubering and lyfting and trying to get out of eveents center she has been ubering at night but this is really stressing her out alot. the driving at night is wearing her out and she wants to not drive at night, events center has been scheduling her less and less had been sleeping durig the whole day and had gotten mainly depressed, ever since she talked to her stepdad about going into the bathroom with isabella, everything is different. hes acting strangely he has bren spending alot of time outside. we talked alot about coping skills to deal with him. bryan I spoke to her about medicaations and was focused on how to continue to save money so she can moveout.

Assessment:

Apprearance, adis are good.

Speech/Language Normal

Attitude Behavior: Cooperative

-Motor Activity: WNL

Mood. Depressed.

Affect: Appropriate.

Self and/or other Aggressive/Destructive Thoughts and Behaviors: WNL

Thought Process: Goal directed.

- Thought Content: WNL

-Vegetative Signs: Anhedonia Anergia Preoccupation

1 message

Biedrycki, Judy (VDSS) <Judy.Biedrycki@dss.virginia.gov> Thu, Feb 8, 2024 at 12:28 PM

To: Amira <amiraeveryday1@gmail.com>

I have received your email; your appeal is being handled through the appropriate channels.

From: Amira <amiraeveryday1@gmail.com>

Sent: Thursday, February 8, 2024 9:23 AM

To: Biedrycki, Judy (VDSS) <Judy.Biedrycki@dss.virginia.gov>

Subject: Re: Test

[Quoted text hidden]

Appeal Confirmation

3 messages

Amira <amiraeveryday1@gmail.com> Tue, Jan 30, 2024 at 7:50 PM

To: Tatum, Deborah (VDSS) <d.tatum@dss.virginia.gov>, Turney, Gina (VDSS) <Gina.M.Turney@dss.virginia.gov>, Greenwood, Katherine

(VDSS) <KATHERINE.GREENWOOD@dss.virginia.gov>, Patrick McGraw <patmcgrawlaw@gmail.com>

Hey guys 👋

I'm back. The last time we talked about this, I think I said I did reach out to Judy Biedrycki of PCDSS. We actually spoke in December

and I invited her to meet with me; talk about some misinformation and she refused. I mailed the Official Appeal this week. She 

seen it but she has not responded yet.

Please see the Impromptu  ↓  VIDEO  ↓ Newsletter for all the latest RECEIPTS  🍵

Just_Jaemi_Vlogs_EP_1.mp4

Please call me at +18048542070 if you have any questions or concerns,

Thank you,

Ami Al-Badarin

Proprietor

JUST JAEMI

Stuart, VA 24171

Patrick McGraw <patmcgrawlaw@gmail.com> Wed, Jan 31, 2024 at 9:09 AM

To: Amira <amiraeveryday1@gmail.com>

Got it, Ami.

Thanks for the update.

PLEASE MAKE A NOTE OF OUR NEW

OFFICE LOCATION BELOW:

Patrick Michael McGraw, Esq.

51 Boon Street

Boones Mill, VA 24065

Telephone: (540) 904-5704

Facsimile: (540) 904-5709

e-mail: patmcgrawlaw@gmail.com

[Quoted text hidden]

Tatum, Deborah (VDSS) <D.Tatum@dss.virginia.gov> Wed, Jan 31, 2024 at 10:02 AM

To: Amira <amiraeveryday1@gmail.com>, Turney, Gina (VDSS) <Gina.M.Turney@dss.virginia.gov>, Greenwood, Katherine (VDSS)

<KATHERINE.GREENWOOD@dss.virginia.gov>, Patrick McGraw <patmcgrawlaw@gmail.com>

I'm still not sure which day I can come, I will try and contact you when I know. From: Amira <amiraeveryday1@gmail.com>

Sent: Tuesday, January 30, 2024 7:50 PM

To: Tatum, Deborah (VDSS) <d.tatum@dss.virginia.gov>; Turney, Gina (VDSS) <Gina.M.Turney@dss.virginia.govv

Jane Doe relocated after her dad died and she became homeless and some helpers assisted Jane Doe with housing. She spends more time at the new place but it's hard because she feels like "everyone is gone" lights on no one's home. All long time friends seemed vacant or oblivious to the massive betrayal by her mom a year prior, after her step father had a choking incident where he lost his temper on Jane Doe's sister. Unfortunately, the new helpers opened a garage door filled to the top with furniture. Jane's furniture. With the old blood stain and everything. It was hers, her best friends, her ex boyfriend, and her brother. Janes head has been spinning ever since. And one night after going through it with someone who appeared vacant again she screamed. She was afraid of the furniture thing. It brought back horrible memories not to mention it was infested with bugs from being ten years old. She started to distance herself from the helpers because she was so distressed about why they had her childhood furniture. The helpers eventually cancelled their contract to help Jane Doe and around this time Jane Doe got sick and needed antibiotics for her and her daughter but nobody came. They read the messages and nobody showed up. Jane, afraid of her family's tendency to betray her, her old friends having the unusually numb reactions to things like homelessness and infection. And the furniture. I'm pretty sure she was terrified. Jane finally concluded she could never be free here, not as Jane, not as an American, not as anything. So she died. People are still mad because they think it's fake but it isn't. She can never go back. Her mother being prone to escalation called the police to search for Jane, told them the story about the paranoia a few years back and a few weeks later Jane's daughter was taken away. She was put under contract with her abusers (primarily her mother) and financial abuse reared it's ugly head. More legal fees because of more false allegations. What do you take from this?

Other notes

Sign this if you believe officials should

Learn boundaries.

Knows and follow the rules and expectations

Protect privacy.

Problems build over time. Officials should Learn history, see patterns, and understand systems.

Abuse is bigger than one person. Families matter. Communities matter. Systems matter. Early signs matter. Notice behavior. Act early.

Know the rules... and the reality.

Know how to report.

Are prepared ahead of time.

Rely on Facts, not Assumptions.

Understand the situation.

Systems affect people differently. Status matters. Access matters. Control can hide in paperwork or status. Learn rights. Know resources because Legal does not always mean safe. One conversation matters. Notice warning signs. Stress is a signal. Seeking support is not a failure.

Harm does not appear out of nowhere.

Abuse is bigger than one person. Family, community, and social systems all influence outcomes.

Behaviors tend to escalate when they go unrecognized. Preparation matters when there is no pause to think.

After a report is filed, many steps follow. Understanding the process helps navigate it. Replacing assumptions with facts improves safety.

Consistent routines and stable relationships reduce risk over time. Building on strengths creates real stability. Control often evolves instead of disappearing. Subtle patterns can replace obvious ones. Trauma affects health, relationships, and choices over time. Recognizing leverage helps prevent harm. Knowing where protections fail matters. Legal does not always mean safe. Safeguards / limitations must be understood.

Access to information matters. Paper alone is not protection.

Preparation helps protect communities. Trauma can affect both those directly involved and those nearby. One conversation can save a life. Living with abuse takes a toll. Burnout / stress are signals of care, not failures.

Help resources Series

If you or someone you know is experiencing domestic violence, help is available 24/7.
National Domestic Violence Hotline: 1-800-799-7233 or text START to 88788
Crisis Text Line: Text HOME to 741741