Respond to at least two colleagues who had a different position than your own in the following way: Explain why you agree or disagree with whether the client meets diagnostic criteria and should be told about a “tentative” diagnosis, approach to diagnosis, or impact of diagnosis. Explain how the social worker could have worked with a supervisor to make an initial diagnosis. Colleague 1: Tiffany Snidarich  RE: Discussion - Week 2 As I was reviewing this case one of the first things that I picked up on was that she was being honorably discharged, but the study did not indicate that this was because of her current behavior. Immediately I assumed there must be more going on that people did not know about. The next thing was that there were reports that “she looked increasingly fearful and was talking about hearing voices telling her that the world was going to be destroyed in 2020” (Roberts and Trockel, 2015). She also stated that she thought she was depressed and her performance had declined. So much so that her commanding officer suggested that she sees a psychologist. Finally “she has a maternal uncle with schizophrenia, and her mother has a diagnosis of bipolar I disorder” (Roberts and Trockel, 2015).  We should also address the fact that she was using drugs and could have been contributing to her symptoms. In regards to the social worker sharing her diagnosis I would say that she should have waited. In my opinion she could have done further testing and or monitored her before jumping to this diagnosis. “The problem with impressionistic diagnosis is that it is particularly prone to cognitive error, such as coming up with the first diagnosis that comes to mind” (Paris, 2015).  This diagnosis does tend to run in families so I completely understand why she would jump to this conclusion; however it’s better to give the client the right diagnosis the first time. In this case if the wrong diagnosis were to be given it could cause a lot of issues. First it could complicate things with her discharge from the military or prevent her from staying if that were an option. Next, she could be prescribed the wrong medications which could have horrible side effects. This could even prevent her from getting a job in the future. I believe that it’s ok to give a patient a provisional diagnosis when more information is needed. “When the clinician thinks a particular disorder is present but realizes more information is required to be confident of a specific diagnosis”(carpenter and William, 2016). In this case Mrs., Evans can be educated and help the social worker get any necessary information needed.   To diagnose a client with other specified and unspecified disorders it must be proven that the symptoms are due to another medical condition. “For other specified and unspecified mental disorders due to another medical condition, it must be established that the disturbance is caused by the physiological effects of another medical condition” (DSM, 2013). References  Carpenter, William T., and Darrel Regier.(2016)  “Diagnostic Categories: Provisional, Not Otherwise Classified, or Place-Holder?” Schizophrenia Bulletin, vol. 42, no. 6, 1 Nov. 2016, pp. 1305–1306, www.ncbi.nlm.nih.gov/pmc/articles/PMC5049540/, 10.1093/schbul/sbw127. “Other Mental Disorders.” Diagnostic and Statistical Manual of Mental Disorders, 22 May 2013, 10.1176/appi.books.9780890425596.dsm20. Accessed 10 June 2021. Joel Paris. (2015). The Intelligent Clinician’s Guide to the DSM-5®: Vol. Second edition. Oxford University Press. Roberts, L. W., & Trockel, M. (2015). Case example: Importance of refining a diagnostic hypothesis. In L. W. Roberts & A. K. Louie (Eds.), Study guide to DSM-5 (pp. 6–7). Arlington, VA: American Psychiatric Publishing. Colleague 2: Britney Leverett Red Flags The case study of Ms. Evans presented several ed flags. The first red flag would be her drastic behavior change; Her colleagues stated that she was able to take care of herself initially, but her job performance declined due to the lack of personal care. The social worker should gather various information based on her behavior that has been occurring for several months. The next red flag is her increased fearfulness and hallucinations. These red flags indicate more complex issues, and Ms. Evan's pending discharge could be considered a red flag. According to (Neukrug & Fawcett, 2015), "Psychosocial and environmental trigger on negative emotional response.  Suspected Diagnosis The social worker shared a tentative diagnosis of schizophrenia. Two weeks prior, Ms. Evans received a diagnosis of depression. Different diagnoses may cause an adverse reaction for Ms. Evans. The new diagnosis can have harmful effects such as panic, anxiety, or increased stress. "The result of previous experience with mental health and negative stereotype portrayed in social. (Campbell & Mowbray, 2016). Social work standards assert that social workers must ensure that their actions promote the client's wellbeing (Brasky, 2015). Therefore, it's imperative to consider whether or not a diagnosis is in the client's best interest (Brasky, 2015). In this case, the diagnosis did not service the client in any way. It's essential to understand that a diagnosis "helps an individual understand his or her prognosis and aids in forming reasonable expectations for treatment (Neukrug & Fawcett, 2015).  Provisional Diagnosis A provisional diagnosis is offered when it is believed that the known symptoms fit a diagnosis, but one does not have ample information to proclaim such without a doubt (Neukrug & Fawcett, 2015). According to (Neukrug &Fawcett, 2015), "The type of diagnosis is utilizing when offering a diagnostic summary and communicating with other clinicians."  Other specific/Unspecific Disorder Unspecific and another specified diagnosis should be offered when an individual does not meet the full criteria of a specific diagnosis (American Psychiatric Association, 2013). According to the (American Psychiatric Association, 2013), "A diagnosis assets that more information and research should be gathered regarding individual experience symptoms, and severity. References: Barsky, A. (2015). DSM-5 and the Ethics of Diagnosis. https://www.socialworker.com/feature-articles/ethics-articles/dsm-5-and-ethics-of-diagnosis/.  Campbell D., & Mowbray, O. (2016). The stigma of depression: Black American experiences. https://eds-a-ebscohost-com.ezp.waldenulibrary.org/eds/detail/detail?vid=5&sid=7e67ac03-3b44-4cb1-912e-bf74dd838479%40sessionmgr4008&bdata=JnNpdGU9ZWRzLWxpdmUmc2NvcGU9c2l0ZQ%3d%3d#AN=2016-55729-002&db=psyh.  Neukrug, E., & Fawcett, C. (2015). The essentials of testing and assessment: a practical guide for counselors, social workers, and psychologists. https://www.worldcat.org/title/essentials-of-testing-and-assessment-a-practical-guide-for-counselors-social-workers-and-psychologists/oclc/929953288. 

Critical Thinking ExercisesThere are 4 critical thinking exercises (CTEs). The student needs to only complete 3 of the 4 CTEs. Which 3 CTEs the student selects is their choice, but only 3 will be graded. There is no extra credit for doing the 4th CTE. The critical thinking exercises are named by week, i.e. for week 2 the file would be named CTE2. The exercises can be found in the weekly assignments. Each exercise will consist of a thought provoking question, problem, or mini-case study outlining a problem. Students will study the question or problem and offer their analysis and/or recommended solutions per posted instructions. The primary reference for the essays will be your assigned textbooks. If you use specific information attributed to other researchers cited in the Bartol or Simpson textbooks, identify the author in the essay. At the end of your essay list your references to include your textbooks (if used). A full bibliography is not required….just author, title/publication, and copyright date, e.g. Bartol and Bartol, 10th ed., Criminal Behavior: A Psychosocial Approach, 2014. Do not use the Internet as your primary references. Not using your textbooks will result in a reduced grade on your CTE. If you use an Internet source be sure to cite in the essay and list in your references. Points will be deducted for excessive use of Internet sources. This essay is to be your original analysis and recommendations. Do not use excessive quotes (should be less than 10% of the CTE) since it limits the amount of critical analysis provided by the student. Turnitin.com will be utilized to verify originality of the essay. Each response will be typewritten using a size 12 New Roman Times font or a size 11 Courier New font and be 2 pages in length (double-spaced with no spaces between paragraphs) with the student's name and abbreviated exercise name and week the exercise is due in the upper left-hand corner of the first page, i.e. John Smart CTE 2. These guidelines must be followed in order to maintain uniformity in CTEs submitted to this instructor. Files will be named using the protocol found in the Assignments section of this syllabus. All exercises will be submitted to the instructor through the drop box located on the Assignments Page for that week. ****After reading the assigned readings, write and submit a 2-3 page essay in response to the following task: You have been hired as a consultant in the Shawcroft case (See Attached Shawcroft Case Study). Your task is to determine if this case warrants a defense of insanity under the M’Naghten Rule, which is used by the State of Minnesota. The Mnnesota test for insanity, a codification of M'Naghten Rule, reads: 611.026 CRIMINAL RESPONSIBILITY OF PERSONS WITH A MENTAL ILLNESS OR COGNITIVE IMPAIRMENT (Links to an external site.)No person having a mental illness or cognitive impairment so as to be incapable of understanding the proceedings or making a defense shall be tried, sentenced, or punished for any crime; but the person shall not be excused from criminal liability except upon proof that at the time of committing the alleged criminal act the person was laboring under such a defect of reason, from one of these causes1 as not to know the nature of the act, or that it was wrong.1 Causes refer to insanity or cognitive impairment.Using the guidelines of the Minnesota insanity law does Shawcroft have a defense of insanity? The burden of proof for proving insanity is on the defendant. Why or why not? If not, would Shawcroft have a defense of insanity under any of the other insanity rules discussed in the Bartols' textbook? Why or why not? (45 Points)SHAWCROFT CASE updated 26apr18.pdfPrepare your essay in either Word Format or Rich Text File Format and submit it via the Assignment drop box using the file naming protocol listed in the course syllabus.