This essay focuses on a diagnosis of a client vignette .describe the current evidence regarding the causes and prevalence of the diagnosis, and briefly explain the current.
For this assignment, you will provide a diagnosis of a client vignette (included below), describe the current evidence regarding the causes and prevalence of the diagnosis, and briefly explain the current treatment recommendations, including individual therapy, family/couple therapy, and medications. As an additional part of this assignment, you will analyze a client during an initial session by describing their symptoms, developing a diagnosis from the various options located in the DSM-5, and then addressing
Diagnosis and Supporting Evidence – Develop an accurate diagnosis using the DSM-5 criteria listed for the disorders studied. Support the diagnosis by writing a description of the symptoms and related information from the vignette that substantiates your conclusions. While developing your argument to support the provided diagnosis, specifically address each of the criteria and include an example of how the client fits the criteria.
If there is a rule-out diagnosis, please highlight the ways in which the client does not fit a rule-out diagnosis based on the criteria. Description of the Disorder
course, and effects of the disorder. Please address the impact of the diagnosis on a client’s family members or significant others. Many psychiatric conditions have a genetic basis and family history; therefore, dynamics are very important to consider. Cultural Considerations and Implications: Provide a paragraph description in which you briefly comment on each component of Garcia and Petrovitch’s (2015) Diversity/Resilience formulation (see below): Intrapersonal, Interpersonal, Community, and Spiritual. How is each of these illustrated in the client vignette? Treatments – Based on the readings and other outside information, please outline the best current evidence regarding treatment of the condition you diagnosed. Be sure to address each of the following: Medications: What are the best current medications used to treat this condition? Be specific to identify the drug classes used.
to identify which class of drugs that are commonly used. Assessment of Suicide Risk: Describe how you will assess the risk of suicide using a standard assessment (e.g., Columbia Scale). How will you work with the client to develop a safety plan? Psychotherapy: What psychotherapy approaches have the best evidence in treating this condition? How do these approaches address the symptoms of the diagnosed condition and improve functioning? Family and/or Couple Interventions:
Identify which family and/or couple interventions that have the best evidence supporting their use in treating the diagnosed condition. Describe two specific interventions you could implement with this case. In your description of the treatments, be sure to continue to integrate information about the case from the vignette (i.e., do not simply discuss what you would do with a person with the given disorder;
write about how the model and interventions that you have selected fit with the specific client from the vignette). Do not replicate the vignette in your paper. Simply provide a synopsis of the vignette as you would in a clinical note. Length: 5-7 pages, not including title and reference pages Vignette: Andrew Quinn, a 60-year-old businessman, returned to see his longtime psychiatrist 2 weeks after the death of his 24-year-old son. The young man, who had struggled with major depression and substance abuse, had been found surrounded by several emptied pill bottles and an incoherent suicide note.
like his life had lost its meaning. In the ensuing 2 weeks, he had constant images of his son and was “obsessed” with how he might have prevented the substance abuse and suicide. He worried that he had been a bad father and that he had spent too much time on his own career and too little time with his son. He felt constantly sad, withdrew from his usual social life, and was unable to concentrate on his work.
Although he had never previously drunk more than a few glasses of wine per week, he increased his alcohol intake to half a bottle of wine each night. At that time, his psychiatrist told him that he was struggling with grief and that such a reaction was normal. They agreed to meet for support and to assess the ongoing clinical situation. Mr. Quinn returned to see his psychiatrist weekly.
Instead of thinking about what he might have done differently, he became preoccupied that he should have been the one to die, not his young son. He continued to have trouble falling asleep, but he also tended to awake at 4:30 a.m. and just stare at the ceiling, feeling overwhelmed with fatigue, sadness, and feelings of worthlessness. These symptoms improved during the day, but he also felt a persistent and uncharacteristic loss of self-confidence, sexual interest, and enthusiasm. He asked his psychiatrist whether he still had normal grief or had a major depression. Mr. Quinn had a history of two prior major depressive episodes that improved with psychotherapy and antidepressant medication, but no significant depressive episodes since his 30s. He denied a history of alcohol or substance abuse.
but without treatment. No one in the family had previously committed suicide. References: https://www.nimh.nih.gov/health/topics/brain-stimulation-therapies/brain-stimulation-therapies.shtml https://dsm-psychiatryonline-org.proxy1.ncu.edu/doi/full/10.
1176/appi.books.9780890425596.dsm04 Depressive Disorders. Harrigan, Sean. San Luis Obispo, CA : Classroom Productions, 2015. Family functioning and 1-year prognosis of first-episode major depressive disorder. Song, Jin. Chen, Huijing. Liang, Ting. Psychiatry Research, Vol 273, Mar, 2019. pp. 192-196. Mechanisms of change in brief couple therapy for depression. Cohen, Shiri. Daniel O’Leary, K. Foran, Heather M. Kliem, Sören, Behavior Therapy, Vol 45(3), May, 2014. pp. 402-417. Attached pdf (pharamalogical management)
The adult psychotherapy progress notes planner.,Firstly, 5th ed. Jongsma, Secondly, Arthur E. Jr. Berghuis,Thirdly, David J. Hoboken, Further, NJ, US: Further, John Wiley & Sons Inc; Finally, 2014. xiii pp. Use of the Columbia-Suicide Severity Rating Scale (C-SSRS) to Classify Suicidal Behaviors.Firstly, Interian,Secondly, Alejandro. Thirdly, Chesin, Further, Megan. Kline, Anna. Miller, Rachael. St. Hill, Lauren. Latorre, Miriam. Shcherbakov, Anton. King, Arlene. Stanley, Barbara. Archives of Suicide Research; Apr-Jun2018, Vol. 22 Issue 2, p278-294, 17p Petrovich, A., & Garcia, B. (2015). Chapter 2: Adding diversity and resiliency to the diagnostic process: A formulation. In Strengthening the DSM: Incorporating resilience and cultural competency (2nd ed., pp. 29-54).
Firstly, submit on time
Secondly, be keen
Thirdly, be cautious
Further, be fast
Lastly, be proactive