SOCW 6090 week 5 Discussion: Diagnosis of Anxiety and Obsessive Compulsive and Related Disorders
Discussion: Diagnosis of Anxiety and Obsessive Compulsive and Related Disorders
Social workers take particular care when diagnosing anxiety due to its similarity to other conditions. In this Discussion, you carefully assess a client with anxiety disorder using the steps of differential diagnosis. You also recommend an intervention for treating the disorder.
To prepare: Read the case provided by your instructor for this week’s Discussion. Review the decision trees for anxiety and OCD in the Morrison (2014) text and the podcasts on anxiety. Then access the Walden Library and research interventions for anxiety.
By Day 3
Post a 300- to 500-word response in which you address the following:
Provide the full DSM-5 diagnosis for the client. Remember, a full diagnosis should include the name of the disorder, ICD-10-CM code, specifiers, severity, and the Z codes (other conditions that may be a focus of clinical attention). Keep in mind a diagnosis covers the most recent 12 months.
Explain the diagnosis by matching the symptoms identified in the case to the specific criteria for the diagnosis.
Discuss other disorders you considered for this diagnosis and eliminated (the differential diagnoses).
Describe an evidence-based assessment scale that would assist in ongoing validation of your diagnosis.
Recommend a specific intervention and explain why this intervention may be effective in treating the client. Support your recommendation with scholarly references and resources.
Note: You do not need to include an APA reference to the DSM-5 in your response. However, your response should clearly be informed by the DSM-5, demonstrating an understanding of the risks and benefits of treatment to the client. You do need to include an APA reference for the assessment tool and any other resources you use to support your response.
By Day 6
Respond to at least two colleagues who identified a different diagnosis or intervention in the following ways:
Explain whether you agree with your colleague’s identified diagnosis and recommended treatment and why.
Explain any additional factors that your colleague should take into consideration for treatment planning.
Response 1
Amber Alanis Week 5 – DB 1 – Amber AlanisCOLLAPSE
Diagnosis:
F41.1 Generalized Anxiety Disorder, Moderate
F63.2 Kleptomania, Severe
Z56.9 Other Problem Related to Employment
Z65.3 Problems Related to Other Legal Circumstances
I would diagnosis Lanelle with GAD due to worrying about many things, it started in childhood, worrying about things beyond her control, intense discomfort/feeling dizzy/sweating/nausea, worries about her house not being in order if people would drop in, agitation with her fiancé, feeling her life is spinning out of control, restlessness, trouble sleeping, and trouble breathing at times. I would diagnosis her with Kleptomania because she takes things regardless of the consequences, feels excited/tension before taking the item and when she gets away with it.
For GAD, Lanelle meets criteria: A, B, C (1, 4, 5, 6), D, E, & F.
For Kleptomania, Lanelle meets criteria: A, B, C, D, & E.
The differential diagnosis listed under GAD is anxiety disorder due to another medical condition, however no medical condition has been identified so she would not qualify for this diagnosis. She is also not using any illegal substances and is only drinking alcohol socially. As for social anxiety, Lanelle’s anxiety seems to be more general and she worries about everything.
For Evidence-based assessment scale, I would use the Generalized Anxiety Disorder Scale (GAD-7). For Kleptomania, I would use the Kleptomania Symptom Assessment Scale.
Cognitive behavioral treatment (CBT) would be the most appropriate evidence-based treatment intervention to use with Lanelle because it can address both GAD and Kleptomania. Hodgins & Peden (2008) points out that CBT has assisted many clients in seeing a decrease in impulse control related to kleptomania episodes.
References:
Anxiety and Depression Association of America, ADAA (n.d.). The generalized anxiety disorder
scale (GAD-7). Retrieved from: https://adaa.org/sites/default/files/GAD-7_Anxiety-updated_0.pdf.
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