Assignment:
diagnostic criteria that you notice in the case studies below and explain how the client meets the criteria. Include the diagnosis that these symptoms are related to. Your response to each case study should be 50 to 75 words.
Allyson is a 25-year-old who works from home. She is happy with her work-at-home job, because she prefers not to be around people. She is afraid she will say or do something that is embarrassing. She has seen a therapist who referred her to a psychiatrist who prescribed antianxiety medication. More recently, she has been taking more than prescribed and continues to increase the dose a little each week because she finds that she does not feel as good with less.
Karen is a 35-year-old wife and mother whose husband has become concerned about her drinking. He has noticed that she always appears to have a drink in hand, and when he asks her about it, she says that it is ginger ale or a coke; however, he believes she is mixing vodka with those drinks. Just recently, she had a DWI, and he confronted her about her drinking, after which she promised that she would stop. However, when she did stop, he noticed that she was constantly worrying, restless, and irritable.
Mary is a 25-year-old single woman who currently is in a doctoral program. Mary has developed an extreme fear of germs and she is afraid of getting sick. Mary washes her hands 10-20 times per day. There are times when she is late for an appointment due to her needing to ensure that her hands are clean. She cleans her house constantly and often does not have time to complete her studies as a result. She experiences a great deal of anxiety when she is in situations where she is not able to control the environment. Some of her family and friends have commented on her behavior, which she admits to being a bit excessive, but she also states how easy it is to get sick and how many germs are out there.
Treatment Scenarios
1. Provide a 50- to 75-word response to each of the following scenarios:
2. Imagine that you are working with a client who has been diagnosed with an anxiety disorder. Select an anxiety disorder from the DSM-5 and discuss the approach you would you use for treating this client.
3. Imagine that you are working with a client who has been diagnosed with obsessive compulsive disorder. What approach would you use for treating this client?
4. How will you determine if a client is suffering from an anxiety or obsessive compulsive disorder, rather than a substance-induced disorder?
5. Include at least two scholarly references in your assignment.
While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.PART 1: CASE STUDIES
Identify the DSM-5 diagnostic criteria that you notice in the case studies below and explain how the client meets the criteria. Include the diagnosis that these symptoms are related to.
1. Allyson is a 25-year-old who works from home. She is happy with her work-at-home job, because she prefers not to be around people. She is afraid she will say or do something that is embarrassing. She has seen a therapist who referred her to a psychiatrist who prescribed anti-anxiety medication. More recently, she has been taking more than prescribed and continues to increase the dose a little each week because she finds that she does not feel as good with less.
I would refer Allyson to the DSM-5 300.23 and would categorize her under Social Anxiety disorder or social Phobia. Social phobia or social anxiety disorder is acknowledged as an anxiety disorder including inconvenience around social gatherings, and worry about being humiliated and judged by others (NIH, 2014). This inconvenience will be experienced as depressive. It can go in seriousness to an uneasiness which can be dodged and adjusted to, to a for all intents and purposes crippling trepidation with penetration into numerous regions of life (APA, 2013). The distress experienced by the patient can sum up to routine actions, for example, being around others, eating and talking in front of others before and going on public places. Individuals with this disorder always avoid social contacts and just fantasized about that. Social anxiety can prompt to disconnection, and either nonappearance of advancement or stagnation of social aptitudes, which can heighten existing social anxiety. Diagnosis is made based on symptoms identified in Allyson like not to have people around and fear of embarrassment.
2. Karen is a 35-year-old wife and mother whose husband has become concerned about her drinking. He has noticed that she always appears to have a drink in hand, and when he asks her about it, she says that it is ginger ale or a coke; however, he believes she is mixing vodka with those drinks. Just recently, she had a DWI, and he confronted her about her drinking, after which she promised that she would stop. However, when she did stop, he noticed that she was constantly worrying, restless, and irritable.
I would refer Karen as DSM-5 Substance Use Disorder and in that specifically for Alcohol Use Disorder (AUD). Karen is using alcohol in almost every drink like juice and imitates to be not consuming that. Diagnostic criteria would be employing to cover up the maximum use of alcohol based on a single day which is reason for this situation. She was a binge to heavy drinker as her husband described that. For that reason she is at the moment not managing the depression and anxiety she is facing when leaving the drinking habit which shows that she falls in that category of DSM-5 (SAMSHA, 2017). The she was drinking almost all of the time and she takes that in any form of drink so she is a heavy consumer of alcohol which leads her to this situation.
3. Mary is a 25-year-old single woman who currently is in a doctoral program. Mary has developed an extreme fear of germs and she is afraid of getting sick. Mary washes her hands 10-20 times per day. There are times when she is late for an appointment due to her needing to ensure that her hands are clean. She cleans her house constantly and often does not have time to complete her studies as a result. She experiences a great deal of anxiety when she is in situations where she is not able to control the environment. Some of her family and friends have commented on her behavior, which she admits to being a bit excessive, but she also states how easy it is to get sick and how many germs are out there.
I would refer Mary to DSM-5 300.7 as Illness Anxiety Disorder. IAD is also known as somatoform disorder (APA, 2013). This diagnosis shows that the client is facing trouble in dealing with environment and feels concerned about health wherever he go. This disorder dictates health as significant concern and shows the concerns regarding getting ill without any objective reasoning and verifiable evidence and health condition (Harper, 2014). The patient in this case is diagnosed under this category because she gets fear of getting ill while visiting different locations and performing her duties. She is extra conscious about her hands and germs. She faced anxiety at every time that her hands are dirty and washes them at least 20-30 times on job. All these symptoms lead to diagnosis of those specific IAD criteria.
TREATMENT SCENARIOS
Provide a 50- to 75-word response to each of the following scenarios:
1. Imagine that you are working with a client who has been diagnosed with an anxiety disorder. Select an anxiety disorder from the DSM-5 and discuss the approach you would you use for treating this client.
I would be dealing with social anxiety disorder from DSM-5 criteria. I would be employing the methods of psychotherapy, medication and support groups to handle this client (NIH, 2017). Psychotherapy would be adopted in a way to enhance the client's power to think and react differently while in different situations through different people around and their approach and support. Cognitive behavior therapy in this context would be used for treatment of client. Support groups would be employed in clinical settings which would support the client in dealing with public. Support group provide positive feedback and unbiased opinions to the client to feel comfortable in public. Medication would be adopted with both techniques to deal with depression while going through therapy. Anti anxiety would be perfect for the situation.
2. Imagine that you are working with a client who has been diagnosed with obsessive compulsive disorder. What approach would you use for treating this client?
OCD would be treated through employing the approaches of psychotherapy as well as medication or just single approach can also work. The OCD is treated to bring symptoms under control. Anti anxiety medications or anti depressant would work best as medications like Pzxil or Zoloft (Psych Guides, 2017). Psychotherapy would be used for making client comfortable with the situations and stimuli he faced difficulty handling with. Psychotherapy would be the foremost option for treatment so that the fear of that particular thing can be taken out of the mind of client and to make him comfortable or confidence with that situation or symptom.
3. How will you determine if a client is suffering from an anxiety or obsessive compulsive disorder, rather than a substance-induced disorder?
Anxiety disorders and obsessive compulsive disorders deals with totally different criteria as compared to substance induced disorders. Although at first place the symptoms seems to be same but as diagnosis starts and the criteria is matched and discussed with client it become clear that under what criteria the specific client falls. The diagnosis criteria differentiation and the substance abuse criteria form filling and discussion with family and friends one can better diagnose that the situation is of anxiety or obsessive compulsive disorder rather than the substance induced disorder.
References:
American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental
Disorders. (5th Edition). Washington, DC.
Harper, D. (2014). Hypochondria. Online Etymology Dictionary. Retrieved from:
https://www.etymonline.com/index.php?term=hypochondria
NIH. (2017). Social Anxiety Disorder: More Than Just Shyness. Retrieved from:
https://www.nimh.nih.gov/health/publications/social-anxiety-disorder-more-than-just-shyness/index.shtml
NIH. (2014). What is Social Phobia ( Social Anxiety Disorder) NIH. Retrieved from:
https://www.nimh.nih.gov/health/topics/social-phobia-social-anxiety-disorder/index.shtml
Psych Guides. (2017). How to Find Help Treating Obsessive-Compulsive Disorder.
Retrievedfrom:
https://www.psychguides.com/guides/how-to-find-help-treating-obsessive-compulsive-disorder/
SAMSHA. (2017). Substance Use Disorder. Retrieved from:
https://www.samhsa.gov/disorders/substance-use