text: DATA: Client has a past history of trauma. She does not believe any of her past issues are active at this time. Her current issues focus on her recent surgery on [PERSONALNAME] [DATE]. She was told that she had tumors in her parathyroid as well as a portion of her thyroid. She was advised to remove her parathyroid And part of her thyroid. When the doctor did the surgery he accidentally cut her vocal cords in order to repair the vocal cords he had to remove her thyroid gland. As a result she has a part of her vocal cords that are paralyzed. She is able to speak however has a lot of difficulty and is concerned that she may be overdoing her use of her vocal cords. She is going to have a second opinion next week locally and in a month she will be evaluated at the Cleveland clinic to see if they can repair her vocal cords. This saddens client as she had an interest in singing. She Previously performed in her spare time singing. She was a member of the choir and was involved in other musical activities. She's concerned that the one thing that she really enjoyed in life has been taken away from her. Client notes that she does have a past history of depression and anxiety she's not had a history of any suicidal ideation. She does note that currently she's coping with her situation by smoking cigarettes and by drinking wine at least 3 to 6 classes five days per week. Client is planning to quit smoking. She is going to work with the stop smoking program through her job so that she will be able to do what she can to prese