Description
Case Study of Bill
Review the Case Study of Bill. This case study is used for the second discussion as well as for this assignment.
Use the Case Study Response Guide to format your assignment. In Section 4 of the response guide, address each of the following:
- What diagnostic possibilities does Bill's case present?
- What have you read in the case history so far that presents these possibilities for you?
- What kind of questions you might ask to evaluate each diagnostic possibility? You must consider at least two—but no more than three—diagnostic possibilities and develop a series of questions to interview for each possibility.
- What possible answers would lead you toward or away from each of your possibilities?
Unformatted Attachment Preview
PSY6210 Case Study Response Guide
Use this outline to structure your case assignments.
1. Case Summary
•
•
Provide a brief summary of what you have learned about the individual reviewed in the
case. Include information about the individual in terms of demographics and general
history, and the sources of that information, and the reason that the individual was
referred, and by whom.
Summarize any information you may have about evaluations that have been conducted,
including the results.
2. Clinical Impression (Diagnosis)
Write the clinical impression in the DSM-5 format:
XXX.xx (Yyy.yy) Primary Diagnoses (list in order of salience).
(DSM-5 Code is first, as in XXX.xx, and ICD-10 codes next, in parentheses.)
OTHER FACTORS:
Use the V and Z codes, or simply appropriate descriptors to psychosocial and contextual factors
of importance to the diagnostic case. These replace the DSM-IV-TR Axis IV & V used to
address these concerns.
3. Recommendations
Explain any recommendations for interventions, treatment, and/or disposition.
4. Questions
Address the specific questions that were asked in the instructions for this assignment.
Here is a sample assignment question and an appropriate brief response:
Question: Describe what further information you would need to accurately diagnose this
case.
Response: To diagnose this case accurately, I would also need to review any pertinent
medical records. I would want to interview this client’s mother, with whom he lives, to
corroborate the clinical interview data supplied by the client, and to learn more about his
developmental history. I would also want to…
1
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