Assignment:
Question 1: When using the assessment instrument Mood Disorder Questionnaire (MDQ), what strategies should be used with a client to assess for any DSM-5-TR disorder(s) when completing the following Signature Assignment, and why are they appropriate? List any other assessment instruments what should be considered and why. Need Assignment Help?
Question 2: List at least TWO (2) other considerations to keep in mind when conducting a clinical assessment with the client.
*Use the following sources to answer the two questions from above.
Source# 1 (Case scenario) Client's name is Olivia, a 38 year old white female. Raised by her father. Parents got divorced when she was 7 because her mother was an alcoholic and still is to this day. She had one sibling, a brother who is 6 years younger than her. She has always found it hard to confide in people and she has only ever had one person she considers a close friend and she has had this friend since she was 9 years old and still considers this friend to be her best friend and the only person who understands her. Olivia has a close relationship with her father. She helps her mother when she needs help with anything but states that she doesn't have any feelings towards her and that she doesn't love her Mother. Her brother, now as an adult, is also an alcoholic. They both drive Olivia crazy and aggravate her as they are constantly asking her for money, transportation and countless other things. Olivia is often in a bad mood and it is affecting her relationships with her husband daughter, best friend, and her coworkers.
Source #2
Signature Assignment - Written Clinical Report:
For the Signature Assignment you will administer, score, and interpret the SCL-90-R and other screenings standard for a clinical interview. After interpreting the results, compose a Clinical Assessment
Report. The Clinical Assessment Report will also include a Biopsychosocial history, Brief Mental Status Exam, behavioral observations, evaluation of trauma, and evaluation of suicidality and lethality (minimal tools required to assess each of these are indicated with an (*) in the list of assessment tools). Use additional tools (NOT REQUIRED Assessment list is below) as dictated by the history, interview and presentation of the client. The Clinical Assessment Report will also include the following sections: demographic information; background information; behavioral observations during assessment; instruments utilized, assessment results; diagnostic impression (include a list of all diagnostic criteria for each DX and how your client meets those they endorse); summary; and treatment recommendations.
Required Assessments:
*SCL-90-R
*Brief MSE
*Columbia-Suicide Severity Rating Scale (C-SSRS) (12+ years)
*Choose at least 1 for Trauma:
- ACEs (all ages but measures first 18 years),
- Life Event Checklist (18+ years),
- PTSD Checklist for DSM-5 (PCL-5) (18+ years)
Not Required Assessments-- available through NovoPsych. (If additional issues arise from the presenting issues, history or clinical interview you may select no more than 4 additional instruments from this list).
- Dissociative Experiences Scale - II (DES-II) (18+ years)
- Depression Anxiety Stress Scales - Short Form (DASS-21) (17+ years)
- Depression Anxiety and Stress Scales - Youth version (DASSY) (7-18 years)
- Anxiety: GAD-7 (14+ years)
- Panic Disorder Severity Scale (PDSS) (13+ years)
- Difficulties in Emotion Regulation Scale (DERS) (18+ years)
- Emotion Regulation Checklist (ERC) (6-12 years)
- Children's Eating Attitudes Test (ChEAT) (8-15 years)
- Eating Attitudes Test (16+ years)
- Binge Eating Scale (BES) (18+ years)
- Attachment Style Questionnaire (ASQ) (15+ years)
- International Personality Item Pool - NEO - 120 item version (IPIP-NEO-120) (16+ years)
- Wender Utah Rating Scale - 25 item version (WURS-25) (18+ years)
- Mood Disorder Questionnaire (MDQ) (18+ years)
- Borderline Symptom List (BSL-23) (18+ years)
*NOTE:
Because this is an exercise your client may describe symptoms that are not congruent (mildly to wildly different) than what they fill out on the assessment. If that happens the clinician MUST address the incongruence between the two and make an interpretation as to why the incongruence exists. This can happen with "real" clients as well but it much more likely to happen when it's not "for real".
Source #3
Mood Disorder Questionnaire (MDQ)
Instructions: Check yes or no for the answer that best applies to you.
Please answer each question as best you can.
1. Has there ever been a period of time when you were not your usual self and... ...you felt so good or so hyper that other people thought you were not your normal self or you were so hyper that you got into trouble? ...you were so irritable that you shouted at people or started fights or arguments? ...you felt much more self-confident than usual? ...you got much less sleep than usual and found you didn't really miss it? ...you were much more talkative or spoke faster than usual? ...thoughts raced through your head or you couldn't slow your mind down? ...you were so easily distracted by things around you that you had trouble concentrating or staying on track? ...you had much more energy than usual? ...you were much more active or did many more things than usual? ...you were much more social or outgoing than usual, for example, you telephoned friends in the middle of the night? ...you were much more interested in sex than usual? ...you did things that were unusual for you or that other people might have thought were excessive, foolish, or risky? ...spending money got you or your family in trouble?
2. If you checked YES to more than one of the above, have several of these ever happened during the same period of time? Please check 1 response only.
3. How much of a problem did any of these cause you - like being able to work; having family, money, or legal troubles; getting into arguments or fights? Please check 1 response only. No problem Minor problem Moderate problem Serious problem
4. Have any of your blood relatives (ie, children, siblings, parents, grandparents, aunts, uncles) had manic-depressive illness or bipolar disorder?
5. Has a health professional ever told you that you have manic-depressive illness or bipolar disorder?
*This questionnaire should be used as a starting point. It is not a substitute for a full medical evaluation. Bipolar disorder is a complex illness, and an accurate, thorough diagnosis can only be made through a personal evaluation by your doctor.
*This instrument is designed for screening purposes only and is not to be used as a diagnostic tool.
How to Use The questionnaire takes less than 5 minutes to complete. Patients simply check the yes or no boxes in response to the questions. The last question pertains to the patient's level of functional impairment. The physician, nurse, or medical staff assistant then scores the completed questionnaire.
How to Score Further medical assessment for bipolar disorder is clearly warranted if patient: >Answers Yes to 7 or more of the events in question #1
AND
>Answers Yes to question #2
AND
>Answers Moderate problem or Serious problem to question #3
Reference
Adapted from Hirschfeld R, Williams J, Spitzer RL, et al. Development and validation of a screening instrument for bipolar spectrum disorder: the Mood Disorder Questionnaire. Am J Psychiatry. 2000;157:1873-1875.