Ian Gallagher Case study

Ian Gallagher

Shameless

Start

Who is iAN GALLAGHER?

• ian identifies as a gay caucasian male
• Ian is a member of the gallagher family from shameless.
• Thirs born of 6 from monica and frank
• Ian is the only one who is not biologically franks child.
• relationship with his married convenience store boss Kash.
• Also gets into a relationship with Ned his ex jimmys dad.

• Joins the millitary
• BARTENDER
• EMT
• "GAY JESUS"

FAMILY LINEAGE

Fiona:Oldest sister

Phillip "Lip": Older brother

Monica: Biological Mother

• Bipolar
• left her children while they were young.

• Genius like character
• Substance abuse and Depression
• Only one to go to college but never finishes due to famiily issues.
• Plays the role of a father despite Franks presence
• Logical thinker
• Only family member who seeks help and recovery

• Plays the role of Mom as Monica is not in the picture.
• Businesswoman
• Depression and Substance abuse. (Alcohol and cocaine)
• Promiscuous behavior
• Abandonment

Carl: Little brother

Debbie: Little sister

Frank: Unbiological Father

• Wants to be in a mom role.
• Naive
• Possible Borderline disorder
• Takes on a lot of responsibility
• Struggles with sexual identity.
• Becomes a teenage mom
• "Hustler" Mentality
• Matures as the seasons progress

• Possible Intermittent Explosive Disorder (But we can rule this out because it is not impulsive and usually wants to gain something from his explosive acts.)
• Matures as the season progresses and wants to better himself.

• Takes responsibilty of father.
• Severe Substance abuse
• Narcissitic characteristic
• Also genius like

Clayton: Biological father

Sammi: Oldest half sister

Liam: Youngest Brother

• Franks eldest daughter
• Takes care of Frank and loves him for all his faults
• Lost her trailer moved in with the family
• Frank shows his true colors and She becomes enraged and shoots Frank.

• Her son has a low IQ.

• Franks brother
• Has an affair with Monica (drug related)
• Has a family and denies being with Monica to wife.

• Last child of Frank and Monica
• Attends Private school
• Genius like Frank and Lip
• As a toddler he ingested a copious amount of cocaine which belonged to Fiona

What is Ian's diagnosis?

1. Schizophrenia
2. Depression
3. Bipolar I
4. Bipolar II

ANSWER:BIPOLAR I

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Case Formulation

Why is Ian being referred?

• Eractic behavior
• Enlisting in the Army at 17 under his brothers name
• Stealing Military property and going Awall
• Been in bed(Depressive) For numerous days

What are Ians Symptoms?

• Decreased need for sleep
• Depressive symptoms
• mood disturbance and increased energy or activity
• Flight of ideas or subjective experience that thoughts are racing

Diagnosis? Ian is Diagnosed Bipolar I as he has met the criteria

Family Identity

Cultural Conceptualization of Distress

Psychosocial stressors

Vulnerability & Resilience Factors

Cultural Formulation

Relationship between individual and clinician

Cultural Formulation

Family Identity

• White American family from the southside of Chicago
• 2nd son, third of six children living in extreme poverty
• Effectively absent, alcoholic father- Frank Gallagher ***
• Bipolar, substance abusing mother - Monica Gallagher
• Strong family identity in the Gallagher name

Cultural Conceptualization of Distress

Psychosocial stressors

Vulnerability & Resilience Factors

Cultural Formulation

Relationship between individual and clinician

01

Ian's

Treatment

Bipolar I

Medication

Mood stabilizer medicine Hospitalization recommended Psychotherapy Self-management strategies

Hospitalization

Psychotherapy

Regulate life

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CBT

Application: Addressing depressive symptoms that occur as part of periods or episodes of depression Addressing feelings of guilt or other negative thoughts and beliefs about manic episodes Learning effective coping techniques to help control emotions and stress Prognosis: Able to challenge irrational thoughts by generating alternative explanations, leading to more realistic thoughts, less emotional distress, and more appropriate behaviors.

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Family Therapy

Application Collect information from family members Allow autonomy for the family to get engaged Psychoeducation about the signs and symptoms of manic & depressive episodes Address the family dynamic & communication issues Prognosis The family is expected to get more unified Acknowledge Bipolar Symptoms and be able to identify dangerous signs Be able to provide unconditional emotional support for Ian

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