Start by familiarizing yourself with the disorders from the DSM-5-TR found in the Learning Resources this Week. Look within the noted sections for symptoms, behaviors, or other features the client presents within the case study
Review the case study for this week. Please follow paper instructions below.
Start by familiarizing yourself with the disorders from the DSM-5-TR found in the Learning Resources this Week.
Look within the noted sections for symptoms, behaviors, or other features the client presents within the case study.
If some of the symptoms in the case study cause you to suspect an additional disorder, then research any of the previous disorders covered so far in the course.
This mirrors real social work practice where you follow the symptoms.
Review the correct format for how to write the diagnosis noted below. Be sure to use this format.
Remember: When using Z codes, stay focused on the psychosocial and environmental impact on the client within the last 12 months.
Submit your diagnosis for the client in the case. Follow the guidelines below.
The diagnosis should appear on one line in the following order.
Note: Do not include the plus sign in your diagnosis. Instead, write the indicated items next to each other.
Code + Name + Specifier (appears on its own first line)
Z code (appears on its own line next with its name written next to the code)
Then, in 1–2 pages, respond to the following:
Explain how you support the diagnosis by specifically identifying the criteria from the case study.
Describe in detail how the client’s symptoms match up with the specific diagnostic criteria for the disorder (or all the disorders) that you finally selected for the client. You do not need to repeat the diagnostic code in the explanation.
Identify the differential diagnosis you considered.
Explain why you excluded this diagnosis/diagnoses.
Explain the specific factors of culture that are or may be relevant to the case and the diagnosis, which may include the cultural concepts of distress.
Explain why you chose the Z codes you have for this client.
Remember: When using Z codes, stay focused on the psychosocial and environmental impact on the client within the last 12 months.
IDENTIFYING/DEMOGRAPHIC DATA: Daniela is a 53-years-old Hispanic female. She has two adult sons, aged 27 and 24, who both live with her. She works full time as an executive secretary. Daniela has a live in boyfriend, Tomaz. They have been together 8 years.
CHIEF COMPLAINT/PRESENTING PROBLEM: “I am in constant physical pain every day and can hardly walk and move. Even at night when I am in bed I am always in pain.” Daniela reports that even in the few moments the pain eases it is difficult for her to get sleep.
HISTORY OF PRESENT ILLNESS: Daniela has been suffering from physical pain for the past 18 months. She has been to many doctors for help. Daniela has been very concerned about her illness and wants to understand the causes of this pain. There has never been an accurate diagnosis. She has been given medication and steroids with no relief of her physical pain. Most recently, she had a full evaluation at the Mayo Clinical which had inconclusive results. One doctor at the Mayo clinic suggested she seek individual counseling, hoping this will help her physically as well. Daniela’s reports her anxiety is so high now with all the stress she is under.
PAST PSYCHIATRIC HISTORY: Daniela denies any past psychiatric history for herself. The only significant family history is her older brother’s diagnosis of Intellectual Disability.
SUBSTANCE USE HISTORY: Daniela reports drinking socially and very minimally. There is no evidence of substance use disorders in her family.
PAST MEDICAL HISTORY: Daniela has been ailing over the past 18 months with unidentified pain. There were no previous significant medical issues in her past.
FAMILY MEDICAL AND PSYCHIATRIC HISTORY: Daniela is the third child of four from her parents union. She has an older sister, a brother, and a younger sister. Her brother was diagnosed with intellectual disability from a young age. The family’s focus has always been on taking care of her older brother. Her father died 6 years ago. Daniela lost her mother to dementia 6 months earlier than this intake. With the death of her mother, the responsibility of her brother has now been transferred to Daniela and her two sisters. Daniela reports feeling responsible for her extended family and needs to be involved with their issues
CURRENT FAMILY ISSUES AND DYNAMICS: Daniela divorced 17 years ago after 12 years of marriage. The marriage was tumultuous. Her husband was addicted to pornography and had several affairs. Daniela denies any physical abuse but reports a lot of emotional abuse that she sustained from her husband. Daniela maintained the family house after the divorce but had very little money to support the household and her two sons. Daniela’s financial issues continued to increase her stress over the years.
Eight years ago, Daniela began a romantic relationship with Tomaz after a long term work friendship. Tomaz divorced nine years ago. Daniela believed she was finally happy in a relationship. Tomaz moved into her home soon after their romantic relationship began. Tomaz promised he would take care of her financially for the rest of her life.
Four years ago, Tomaz was diagnosed with terminal cancer. Following the diagnosis, Tomaz became a spendthrift and purchased very large items such as trucks, motorcycles, and ATV’s. Daniela was feeling increased sadness with the loss of her mother, the burden of care taking her brother, Tomaz’s diagnosis and his increased spending of his money. She always found she had low energy
MENTAL STATUS EXAM: Daniela presented as a casually dressed, meticulously groomed woman who appeared her stated age of 53. She had a fixed, mood congruent expression on her face. Motor activity was normal. Mood appeared depressed and was dysphoric. Affect was constricted. Speech was guarded and soft, content was adequate. Thought processes were goal-directed and logical. There was no evidence of delusions. Daniela was oriented to time, place, and person. She noted that over the past several months she has had an inability to concentrate at work. Digit span was 7 forward and 4 in reverse. She was unable to calculate serial 7’s. Recent and remote memory appeared intact. Intelligence appeared above average and fund of knowledge was excellent. All factual questions were answered correctly. Daniela was able to abstract similarities and proverbs with detail and accuracy. Ordinary social and personal judgment was appropriate.
Collepals.com Plagiarism Free Papers
Are you looking for custom essay writing service or even dissertation writing services? Just request for our write my paper service, and we'll match you with the best essay writer in your subject! With an exceptional team of professional academic experts in a wide range of subjects, we can guarantee you an unrivaled quality of custom-written papers.
Get ZERO PLAGIARISM, HUMAN WRITTEN ESSAYS
Why Hire Collepals.com writers to do your paper?
Quality- We are experienced and have access to ample research materials.
We write plagiarism Free Content
Confidential- We never share or sell your personal information to third parties.
Support-Chat with us today! We are always waiting to answer all your questions.
