For this assignment, you are provided with four video case studies. Go to the Client Case Studies landing page and review the case summary and video for the following clients: Julio, Kimi, Reese, and Daneer. *Hint: Both Reese and Daneer have interesting personalities.
Download the Week 8 Assignment Template [DOC]. Use it to complete your assignment.
Instructions
Everyone will respond to the cases of Julio and Kimi. You will then select either Reese or Daneer for a total of three cases to address for this assignment. For each case, you will complete a diagnostic analysis that you select from the list of assessment tools provided later in this assignment. Each case requires the following information to be addressed:
- Identify presenting concerns from the client’s perspective, as described in the video and accompanying narrative. Address how the client’s issues would be framed from the biological, psychological, and sociocultural models.
- Formulate a culturally sensitive assessment strategy using at least one developmentally appropriate assessment tool. Options are listed in Week 8: List of Assessments and Supporting ResourcesLinks to an external site. reading list. Describe how the assessment will aid in obtaining further information to assist with the diagnosis of each client case, using scholarly sources to support your thoughts.
- Describe what information has been provided in each case that helps to determine which disorders are appropriate for consideration (differential diagnoses) for a final diagnosis. The Differential Diagnosis Decision Tree, which you can find in the Week 8: Diagnostic Skill Application IILinks to an external site. reading list, will be helpful to guide this process.
- Present DSM and ICD-10 codes, including relevant Z codes. Provide a descriptive rationale for the DSM diagnosis that best fits the information provided, including relevant ICD codes. This should be written in a narrative form using complete sentences. Support your rationale with scholarly sources.
- Describe indications to determine if a medical consultation and referral are appropriate and address which class of psychopharmacological medication would best match each client’s diagnosis. It may be helpful to refer to the psychotropic medication table from the psychotropic medications flip card activity in Week 1, which is listed below in the Supporting Resources. Provide a rationale with support from scholarly sources.
List of Assessments and Supporting Resources
Refer to the table and the supporting resources in the reading list:
- Psychotropic Medication Table [XLSX].
- Week 8: List of Assessments and Supporting ResourcesLinks to an external site..
- Client Case Studies.
Submission Requirements
- Written communication: Written communication must be grammatically correct and free of errors that detract from the overall message. Writing should be consistent with graduate-level scholarship.
- APA formatting: Title page, main body, and references should be formatted according to the current APA style and formatting. Use Academic WriterLinks to an external site. for guidance in citing sources and formatting your paper in proper APA style. See the Writing CenterLinks to an external site. for more APA resources specific to your degree level.
- Number of resources: Minimum of six scholarly resources. Distinguished submissions typically exceed this minimum.
- Length of paper: 8–12 typed double-spaced pages. Abstract and Table of Content pages are not necessary.
- Font: Times New Roman, 12 point.
Case Study Transcript Juilo : Since I was young, as long as I can remember, this has been a thing with me. Focusing, it's been a problem, and now it's affecting my career. It's always affected me career to some degree, but now it's really kind of affecting things in a bigger way. I'm making a lot of careless mistakes and that's a problem. At times my boss will be talking to me and I won't even know it. I'll just be spaced out somewhere, I won't even know he'd talking to me and then someone will knock me in the side and I'll realize it. For example, they tasked me with organizing office events and things like that sometimes. They did a couple times, until I screwed them up so many times, but it was always the details, I just forgot the details and certain things that would make things fall apart. I lose things a lot and forget important dates, and just basic information all the time too, and so it's a frustrating thing. It's something that's been going on for a while and something that's definitely been affecting me.
Kimi: My husband left me about six months ago. That's really where it all started again. I had a lot of trouble when as a teenager, well, all the way through college. I just eat a lot sometimes. Usually when I'm feeling bad. Then I throw up. I just ate so much, I just throw up, and it's just the relief. I know that sounds gross, but I just feel such a release. When I'm feeling bad, it can just really help me just feel better. But anyway, my husband left about six months ago. He left me for a younger woman. He was cheating. I thought I had a handle on all this. I'm a professional woman, and feel on top of the world. My career is going great. I was on top of my weight. Just since he's gone, I just feel really awful again, and the only thing that makes me feel better is just sitting down, when I'm home alone at night. It's not every night, but maybe a couple times a week. I just eat. I eat and eat. I mean I can do a whole thing of ice cream, and a whole tray of cookies. Just go through it, and then I just throw up. I hate myself, because of course I'm going to gain weight. I mean, I know that. But then once I get rid of it, just kind of washes over me that I just feel better.
Daneer : I was at this party the other day. There was this fine looking woman over there. I thought, "I'll do my old shtick like I always do. I'll see if I can pick her up, take her home, have my way with her." I went over there, I approached her and then she was a fat chick, so I figured she probably needed some help. I let her know that I was around so that maybe she could come home with me. She's kind of desperate. I was thinking maybe I could do like I did with the last chick that I had, the last girl I picked up here at this bar. That one went okay but she seemed like an angel but then I found out later she was a devil. I mean she caused me a lot of pain. I got really, really mad with her. In fact, I even told her, I said, "If you don't do what I ask you to do, what I tell you to do, I'm gonna kill myself."
I was thinking about that when I approached this woman. Well, she wasn't too excited about hanging out with me. I thought for sure being the good looking guy that I am, that it wouldn't be any trouble. I approached her, she was not interested, so I went out and I slashed her tires because I saw what she drove in. Then I went home. Then I thought about it a little bit more and I thought, "I wonder what would happen if I slashed my wrist? Maybe I'd get her attention at that point." What do you think?