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What is your diagnosis of Client X? You will use the DSM-5. This is your first session/intake, so your information is limited to the above

The client is a 43 year old woman who is referred for evaluation by her family physician. The client states she asked her husband to make an appointment with her doctor after a trip to the emergency room, however she says her doctor has told her husband she is in good health and suggested she see a counselor or psychologist. The client reports that about a year ago she was at work one afternoon when she began to feel tense and anxious for no reason. These symptoms only lasted a few minutes and then went away, however she says she had a few more experiences just like this one over the next few weeks and months (each one “coming out of nowhere”). She has been increasingly despondent about these episodes and has found it increasingly difficult to manage her daily routine. Her husband has not reported these episodes on his interview and stated these events only seem to occur when he is not around. He learns of them when his wife calls frantically asking him to leave work and help her. He does report that she has spent significantly more time in bed, and has been increasingly unkempt and disheveled during the past year.

Upon further interview, the client reports lately, she has struggled with significant feelings of worthlessness and shame due to her inability to perform as well as she always has in the past. For the past few weeks she has felt unusually fatigued and found it increasingly difficult to concentrate at her housework. Her few friends have noticed that she is often irritable and withdrawn, which is quite different from her typically upbeat and friendly disposition. She has remained in bed sick on several occasions, which is unlike her. On those days she stays in bed all day, watching TV or sleeping. The client’s husband has noticed changes as well. She’s shown little interest in sex and has had difficulties falling asleep at night. Her insomnia has been keeping him awake as she tosses and turns for an hour or two after they go to bed. He’s overheard her having frequent tearful phone conversations with her closest friend, which have him worried. When he tries to get her to open up about what’s bothering her, she pushes him away with an abrupt “everything’s fine”.

 

you will discuss your rationale for each decision using the knowledge you have gained in your studies. You will include homework assignments for this client in order to anchor his commitment to treatment and help him attain results. Your paper will be around 5 pages. The syllabus says 6-8 pages but that is counting each section as a separate page. If you do rolling sections, it could be five pages I think as a guess. In some cases you could write less than a page-just say what you need to say without trying to “fluff it up”. Your directions for this case: Diagnosis (please note that item 1 and 2 go together): What is your diagnosis of Client X? You will use the DSM-5. This is your first session/intake, so your information is limited to the above. (20 points: rationale; proper use of diagnostic coding; with item 2 should be no more than a one to two-page discussion) Key symptoms-this is item 2 and fits with the diagnosis. here you are to highlight the KEY symptoms that match the diagnosis: What are the key symptoms that led you to your diagnosis or treatment concern? Explain and be specific. (15 points: rationale; no more than one to two-page discussion with Item 1) Treatment: What are your treatment goals for Client X? (20 points: rationale; one-page discussion) Strengths: What are Client X’s strengths as you see them (look for these to assist you in being a good helper for him)? (15 points: rationale; maybe a paragraph for each strength but no more than a one-page discussion is needed) Improvement: What are areas for improvement for Client X? (15 points: rationale; maybe a paragraph or two but no more than a one-page discussion is needed) Homework: What two homework assignments will you give Client X to work on for his next appointment with you? (7.5 points: rationale; a paragraph for each assignment but no more than a one-page discussion) Next Steps: What are some areas you will explore next (e.g., Client X’s relationship with his wife; professional goals)? (7.5 points: rationale; a paragraph for each area but no more than a one-page discussion of your reasons for wanting to find out this information) PLEASE PLEASE PLEASE REMEMBER TO ADD A MINIMUM OF 2 APA scholarly and peer review

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