SOCW 6090 WK10 Assgn 2

SOCW 6090 WK10 Assgn 2

SOCW 6090 WK10 Assgn 2 Final Project

SOCW 6090 WK10 Assgn 2 Final Project

The sign of an effective clinician is the ability to identify the criteria that distinguish the diagnosis from any other possibility (otherwise known as a differential diagnosis). An ambiguous clinical diagnosis can lead to a faulty course of treatment and hurt the client more than it helps. Using the DSM-5 and all of the skills you have acquired to date, you assess a client.

This is a culmination of learning from all the weeks covered so far.

To prepare: Use a differential diagnosis process and analysis of the Mental Status E in the case provided by your instructor to determine if the case meets the criteria for a clinical diagnosis. /orders/www.youtube.com/watch?v=RdmG739KFF8 

By Day 7

Submit a 4- to 5 pgs in which you: (PLEASE ANSWER EVERY BULLET POINT)

• Provide the full DSM-5 diagnosis. Remember, a full diagnosis should include the name of the disorder, ICD-10-CM code, specifiers, severity, and the Z codes (other conditions that may need clinical attention).
• Explain the full diagnosis, matching the symptoms of the case to the criteria for any diagnoses used.
• Identify 2–3 of the close differentials that you considered for the case and have ruled out. Concisely explain why these conditions were considered but eliminated.
• Identify the assessments you recommend to validate treatment. Explain the rationale behind choosing the assessment instruments to support, clarify, or track treatment progress for the diagnosis.
• Explain your recommendations for initial resources and treatment. Use scholarly resources to support your evidence-based treatment recommendations.
• Explain how you took cultural factors and diversity into account when making the assessment and recommending interventions.
• Identify client strengths, and explain how you would utilize strengths throughout treatment.
• Identify specific knowledge or skills you would need to obtain to effectively treat this client, and provide a plan on how you will do so.

CASE of BOB

INTAKE DATE: November 2021

DEMOGRAPHIC DATA:

This is a voluntary intake for this 24 year old Jamaican male. Bob has had several psychiatric hospitalizations in the past. Bob has been married for 5 years. His wife, Rayona was born and raised in the United States. He has one son 5 years old and one daughter, 3 years old. Bob has had difficulty in jobs and has not been at any job longer than one year. Bob immigrated to the United States with his parents when he was 6 years old.

CHIEF COMPLAINT:

“My wife is complaining about my behavior. I do not see what the issue is”.

HISTORY OF ILLNESS:

Bob reports first seeking psychiatric treatment when he was sixteen years old. He was prescribed anti-depressants, but does not remember what kind. Since they helped his mood he remained on anti-depressants for four years. At twenty years old he attempted suicide after his wife threatened to leave him. He was hospitalized in a psychiatric unit for thirty days. At that time Bob was put on Depakote, with continued success for three years. He stopped taking the Depakote 1 years ago.

In September 2021 Bob returned to his psychiatrist because he was becoming depressed again, feeling sad, fearful and suicidal. He was given Trintellex. During the next few weeks Bob felt on top of the world. He then would have angry outbursts. His wife asked him to leave the home. He then took an overdose of Klonopin.

More recently Rayona was getting concerned about their financial state because Bob would constantly be buying big items that they could not afford. They would have arguments about this all the time. Bob was rarely sleeping because he was up shopping at night on the Internet. This had no effect on his ability to work.

SUBSTANCE USE HISTORY:

At twenty one Bob began drinking. His use of alcohol continued increasingly until about 6 months ago. He reports never planning on drinking as much as he did but once he started he was compelled to drink until he passed out. He stopped drinking after attending outpatient treatment for 16 weeks. He began drinking in September 2021 again, Bob indicates, to cope with the marital difficulties.

PSYCHOSOCIAL HISTORY:

Bob reports growing up as uneventful. His mother separated from his father on several occasions. His mother made all the decisions and his father played a more passive role.

Bob is the only child from his parents’ union. He has an older brother from his mother’s previous marriage. Bob does not have any contact with his brother. Bob was initially considered an underachiever in the early years of school. He had trouble being in fights with other kids because they used to make fun of his wrinkled clothes.

Bob has no legal history. He worked in the family business through high school and college. He became a project coordinator at his next job. He stayed there six months years.

MEDICAL HISTORY:

Bob states he had the usual childhood vaccinations and no major illnesses as a child. He currently is physically fit and healthy.

FAMILY ISSUES AND DYNAMICS:

Bob reports that he is happy in his marriage and does not know why his wife has so much trouble with him. He believes his wife has become more distant from him over the past several years which he doesn’t like. Their fighting has increased. Bob reports his wife is frustrated with his lack of energy and fatigue which has, recently, been impacting their social life and activities with the children.

MENTAL STATUS EXAM:

Bob presents as a neatly dressed male who appears younger than his stated age. Facial expressions are appropriate to thought content. Motor activity is appropriate. Thoughts are logical and organized. There is no evidence of hallucinations or delusions. Bob admits to a history of suicidal ideation, gestures and attempts. His mood is depressed. During the interview Bob talked fast. Bob is oriented to time, place and person. His intelligence appears above average.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

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• Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

• Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

• APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

• Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

• LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score. SOCW 6090 WK10 Assgn 2 Final Project

• Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

• Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

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