Capella University Differential Diagnosis Decision Tree

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nyl1210

Humanities

Capella University

Description

For this assignment, you are provided with four video case studies (linked in the Resources). Review the cases of Julio and Kimi, and choose either Reese or Daneer for the third case.

Review these two videos:

  • The Case of Julio:
    Julio is a 36-year-old single gay male. He is of Cuban descent. He was born and raised in Florida by his parents with his two sisters. He attended community college but did not follow through with his plan to obtain a four-year degree, because his poor test taking skills created barriers. He currently works for a sales promotion company, where he is tasked with creating ads for local businesses. He enjoys the more social aspects of his job, but tracking the details is challenging and has caused him to lose jobs in the past. He has been dating his partner, Justin, for five years. Justin feels it is time for them to commit and build a future. Justin is frustrated that Julio refuses to plan the wedding and tends to blame Julio’s family. While Julio’s parents hold some traditional religious values, they would welcome Justin into the family but are respectfully waiting for Julio to make his plans known. Justin is as overwhelmed by the details at home as he is at work.
  • The Case of Kimi:
    Kimi is a 48-year-old female currently separated from her husband, Robert, of 16 years. They have no children, which was consistent with Kimi’s desire to focus on her career as a sales manager. She told Robert a pregnancy would wreck her efforts to maintain her body. His desire to have a family was a goal he decided he needed to pursue with someone else. He left Kimi six months ago for a much younger woman and filed for divorce. Kimi began having issues with food during high school when she was on the dance team and felt self-conscious wearing the form-fitting uniform. During college, she sought treatment because her roommate became alarmed by her issues around eating. She never told her parents about this and felt it was behind her. Her parents are Danish and value privacy. They always expected Kimi to be independent. Her lack of communication about her private life did not concern them. They are troubled by Robert’s behavior and consider his conspicuous infidelity as a poor reflection upon their family. Kimi has moved in with her parents while she and Robert are selling the house, which has upended the balance in their relationship.

For a third case, choose one of these videos:

  • The Case of Reese:
    -Reese is a 44-year-old married African American female. Her parents live in another state, and she is their only child. Her father is a retired Marine Lieutenant Colonel who was stationed both in the United States and overseas while Reese was growing up. She entered the Air Force as soon as she graduated high school at age 17 and has achieved the rank of Chief Master Sergeant. She has been married 15 years to John, and they recently discovered she is pregnant. The unexpected pregnancy has been quite disorienting for someone who has planned and structured major decision her entire life. Reese is fiercely loyal to her extended family and frequently travels to help her parents care for her aunts, uncles, and cousins whenever they experience hardships. Her efforts are not always appreciated, because she offers very specific guidance and is easily frustrated by their lack of followthrough.
  • The Case of Daneer:
    Daneer is a 50-year-old male. He emigrated to the United States from Serbia with his parents and older brother when he was four years old. Daneer and his brother were harshly disciplined by their parents when they failed to follow family rules or did not live up to their standards. It was not unusual for his parents to refuse to speak to the boys for days when their grades were low. Daneer’s parents are practicing Muslims, but Daneer rejected their faith when he reached adulthood. His relationships with his parents and brother are strained by his tendency to alternate between being a doting son and lashing out when they rebuke his lifestyle. They disapprove of his life choices that are inconsistent with their religious beliefs. Daneer was briefly married in his 20s, but his wife left him after six months and filed an order of protection. He was briefly hospitalized after a serious suicide attempt shortly after his marriage ended. He has worked several jobs as a waiter and often quits before he is fired due to conflicts with other staff.

For each case, you will complete a diagnostic analysis you select from the list of assessment tools provided late in this assignment. Each case requires the following information to be addressed:

  • Describe presenting concerns and relevant history.
  • Explain what information has been provided in each case that helps to determine which disorders are appropriate for consideration (differential diagnoses) for a final diagnosis. Evaluate how at least one assessment tool, which is listed in the List of Assessment Tools resource, will aid in obtaining further information to back up your final diagnosis. The Differential Diagnosis Decision Tree may be helpful to guide this process.
  • Present DSM-5 and ICD-10codes including relevant Z codes. Assume that the client has presented for treatment with their partner or parents.
  • 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. Optional readings found in the course syllabus may be particularly relevant.
  • Describe indications or contraindications that help determine whether a medication consultation is appropriate, and provide rationale with support from scholarly sources.

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Explanation & Answer

Attached.

Outline
Differential Diagnosis Decision Tree
Introduction
Presenting Concerns
Differential Diagnosis
Evaluation of Assessment Results
DSM and ICD Diagnosis
Medication Referral/Consultation
References


Running head: DIFFERENTIAL DIAGNOSIS DECISION TREE

Differential Diagnosis Decision Tree
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Institution
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DIFFERENTIAL DIAGNOSIS DECISION TREE

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Differential Diagnosis Decision Tree
Introduction
Mental disorders linked to abnormal behaviors may lead to complex conditions as a result
of the environment, genetic, cultural, and social background of the individual (Serretti, Fabbri,
Boriani, et al. 2017). The abnormal signs displayed in an individual with mental disorders is
attributed to dangerous behaviors, deviance, dysfunction, and distress. These symptoms may
make it very difficult and challenging to diagnose mental disorder to arrive at an accurate and
effective intervention. Therefore, it is recommended that the Manual of Mental Disorders (DSM5) and the Differential Diagnosis by the Trees be used as the diagnostic tools to undertake an
accurate and informed diagnosis (Serretti, Fabbri, Boriani, et al. 2017). This paper provides an
analysis of three different case studies from the perceptive of the presenting issues in respect to
the social, cultural, and developmental backgrounds using the DSM-5, Differential Diagnosis by
the Trees, and other valid and reliable mental diagnostic assessment instruments. The analysis
will also provide the DSM-5 and ICD codes for each case study and then provide an analysis of
the psychopharmaceuticals that should be utilized for each case.
Case of Julio
Presenting Concerns
Julio is a Cuban gay man, aged 36 years with a mental problem of focusing and
remembering which contributed to his drop out of a community college due to the poor text
taking skills. Currently, he enjoys the social aspect of his job that entails creating ads for a sales
promotion company although his career is threatened due to his inability to remain focused and
remember important dates and details. Back at home, he is not at peace with his partner Justine
who wants Julio to make marriage despite not showing any keen interests in the matter. As a

DIFFERENTIAL DIAGNOSIS DECISION TREE

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result, Justine is anxious and blames Julio's family for failing to put pressure on Julio to make
marriage arrangement.
Differential Diagnosis
Based on the Differential Diagnosis by the Trees, Julio's distraction and memory loss are
attributed to the lack of counseling, medical condition, and substance abuse since it is an issue
that Julio has lived with since childhood. Julio's distractibility as manifested by the inattention is
the main reason why he can neither recall important details and dates nor actively plan his
wedding with Justine. Therefore, the American Psychological Association (2014) proposes that
Julio's case be diagnosed with the differential diagnosis of Attention Deficit/Hyperactivity
Disorder (ADHD; 3.7.1).
Evaluation of Assessment...


Anonymous
I was struggling with this subject, and this helped me a ton!

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