Assignment
Carefully read over the following case and then, using your DSM-5, complete the form that follows, all the way through the treatment plan. Take the time and explore differential diagnosis, cultural factors, life experience, and circumstances. There may not be enough information provided within the case to substantially fill in all of the area of the form, but try to be thorough.
Nancy Ingram, a 33-year old stock analyst and married mother of two children, was brought to the emergency room (ER) after 10 days of what her husband described as "another cycle of dark days." His wife was tearful, then explosive, and she had almost no sleep.
Ms. Ingram's husband said he had decided to bring her to the ER after he discovered that she had recently created a blog entitled Nancy Ingram's Best Stock Picks. Such an activity not only was out of character but, given her job as a stock analyst for a large investment bank, was strictly against company policy.
Mr. Ingram said his wife was working on the stock picks around the clock, forgoing her own meals as well as her responsibilities at work and with her children. Ms. Ingram argued with her husband at this time and said, her blog "would make them rich."
The patient had first been diagnosed with depression in college, after the death of her father from suicide. On examination, the patient was pacing angrily in the exam room. Her eyes appeared glazed and unfocused. She responded to the examiner's entrance by sitting down and explaining that this was all a miscommunication, that she was fine and needed to get home immediately to tend to her business. She was speaking so rapidly, it was difficult for the examiner to interrupt.
She denied hallucinations, but admitted with a smile, to a unique ability to predict the stock market. She refused to be cognitively tested and she said, "I will not be a trained seal, a guinea pig, or a barking dog, thank you very much, and may I leave now?"
Case Formulation
1. Presenting problem - What is the client's problem list? - What are DSM diagnoses?
2. Predisposing factors - Over the person's lifetime, what factors contributed to the development of the problem? - Think biopsychosocial
3. Precipitants - Why now? - What are triggers or events that exacerbated the problem?
4. Perpetuating factors - What factors are likely to maintain the problem? - Are there issues that the problem will worsen, if not addressed
5. Protective/positive factors - What are client strengths that can be drawn upon? - Are there any social supports or community resources?
Format your assignment according to the give formatting requirements:
• The answer must be using Times New Roman font (size 12), double spaced, typed, with one-inch margins on all sides.
• The response also includes a cover page containing the student's name, the title of the assignment, the course title, and the date. The cover page is not included in the required page length.
• Also include a reference page. The references and Citations should follow APA format. The reference page is not included in the required page length.