Diagnostic Discussion Questions

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Humanities

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Please answer each question individually using at least one reference per question/answer.

1. Review the vignettes located in the topic five materials (attached) and then diagnose Robin and Becky with a psychotic disorder. What are the justifications for your diagnosis? Include differential diagnoses that were considered and discarded.

2. -Review the vignette of Brett located in the topic five materials (attached), and then provide a DSM diagnosis. Based on your cultural background/worldview, what is your perspective on the nature of psychotic disorders?

Review the biblical narrative in Mark 5: 1-20. How would you help a psychotic individual who presents to your treatment center and insists that the etiology of his disorder is spiritual in nature and not biochemical?

Review Mercer’s article and identify two or three recommendations/practices you find relevant in this source as pertaining to a clinician that considers treating Bret (login info will be provided in DM): http://eds.b.ebscohost.com.lopes.idm.oclc.org/ehos...

3. Obsessive-compulsive and related disorders (e.g., hoarding disorder) have gained popularity in the media in recent years. How do portrayals of these disorders in popular culture differ from the descriptions of them in the DSM? How might the media popularity affect a person’s likelihood to seek treatment?

4. In what ways do people treat their own symptoms of anxiety disorders, and trauma and stress disorders? Review the case study of Rebecca (attached), located under the Topic 6 topic materials. Provide and justify a diagnostic impression for Rebecca.

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Topic 5 Vignettes Robin Robin is a 29-year-old Caucasian female who was referred to counseling from an emergency room doctor. Per the doctor, Robin was extremely distraught when she came into the ER as evidenced by her bizarre behavior and frantic attempts to receive medical help. She informed the ER doctor that she needed to undergo surgery to remove an implant that was in her abdomen. Robin further stated that her television had spoken to her and told her that the implant had been put into her body by aliens during abduction. The doctor assessed Robin for drugs and alcohol and found no evidence of intoxication or withdrawal. Robin commented to the doctor that "nothing like this has ever happened before" and that she felt "fine until 2 weeks ago," when she started receiving messages from the television. Becky Becky is a 43-year-old Caucasian female who attends counseling regularly. Recently, the focus of counseling has been focused on Becky's relationship with her boss; she has informed her counselor that her boss is madly in love with her even though he is married with several children. Becky is trying to determine what course of action to take in convincing her boss to leave his family so that they can start one of their own. Becky tells her counselor that her boss has never discussed these matters with her outright, but she knows how he feels by the way he looks at her. Additionally, Becky states that she is able to infer his love messages out of work emails that he sends to her regularly. She has been working at her current job for approximately 2 years and believes that her boss has been in love with her for about 6 months. Brett Brett is a 19-year-old Caucasian male who is brought to counseling by his parents, Margaret and Henry. Margaret and Henry are extremely concerned about their son and are looking for answers regarding his unusual behaviors. Brett is a college sophomore attending a local university; to save money, he lives at his parent's house and commutes to school. During his freshman year, Brett appeared to be doing well, but over the summer he began to act very strangely. His parents report that Brett started to spend a lot of time in his rooms with the shades drawn. He refused to bathe for days at a time and stopped eating regularly. Additionally, Margo and Henry heard Brett having conversations in his room when they knew that no one else was with him. One morning, Margo observed Brett sitting at the breakfast with a "blank" expression on his face while trying to pour milk into his shoes. In all, Henry believed that these odd behaviors have been occurring for about 9 months. Margo and Henry are devout Pentecostal believers and report that they have raised Brett to attend church and to believe in God. They are worried because before the onset of Brett’s symptoms, he reported a disturbing incident. He took a World Religions class in which a student performed a “show-and-tell” Ouija board ritual for a class project in which he described Occult religions. Brett was very upset by the event. They sought help from the pastors in their church with little relief. They were referred to you by a friend. They state that mental illness does not run in their family. © 2016. Grand Canyon University. All Rights Reserved. Case Study: Rebecca Rebecca is a 15-year-old Caucasian patient brought to your office for counseling by her mother. The intake documentation identifies ongoing struggles with anxiety and depression. Your initial impression is that Rebecca is a shy teenager, very much into the Goth culture. Her hair is dyed pitch black, she wears thick black mascara and eyeliner; in spite of the hot Arizona weather, she wears a long-sleeved black shirt, black jeans, and high black camo boots. Her fingernail polish is also black: all contrasting her very white skin tone. Her mother does most of the talking; Rebecca avoids eye contact and presents disengaged. Rebecca’s mom reports that the reason they sought your services today was because “she cut again.” Her mom grabs her arm; reluctantly Rebecca pulls her sleeves up to reveal several fresh superficial scars but also multiple older scars, which span from her wrists to her elbow joints. The nonsuicidal self-injurious behaviors began approximately 2 years ago, a difficult time for Rebecca when they moved across the country for the fourth time since she started school. Rebecca explains that her dad is in the military and they move a lot. She reports that she was bullied a lot by her new peers in seventh grade and that, at that time, a girl at school taught her about cutting. In addition to being bullied, peer pressure among the teenage girls became difficult to cope with. Some of the boys in her class were interested in her but the more dominant, established girls brought about some serious competition. They constantly found ways to prank her or to comment on her looks or weight. The same girlfriend taught her to count calories, exercise a lot, how to use laxatives, and how to purge after a large meal. She worries a lot about her weight, grades, and her looks, and about not being liked or loved by anyone. At times, she tried cannabis and drinking alcohol to alleviate her stress—but this is rare, as her parents monitor her closely. Cutting is easier to hide…and cheaper. She insists that she has never considered taking her own life, explaining that when she cuts, the pain “outside” alleviates her pain “inside.” © 2015. Grand Canyon University. All Rights Reserved.
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Introduction
Body
Conclusion
References


Running head: CASE STUDIES

1

Case studies
Name
Course
Affiliated institution
Instructor’s name
Date

CASE STUDIES

2
Case studies
Case one: Robin and Becky psychotic disorders

Robin has Schizophrenia which is a mental disorder that alters how a individual thinks,
feels, and acts. Persons with this condition act like they have lost touch with reality (NIH, 2018).
Schizophrenia is not common in children as it is commonly diagnosed in people of the 16 to 30
years old. Some of the signs and symptoms of this conditions include hallucinations and
delusions. Robin fits this diagnosis because of the hallucinations and delusions. There cannot be
an implant in her stomach or the possibility of a Tv talking to her. Becky also suffers from this
condition because of her claim that the boss is in love with her despite that he had never
discussed t...


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