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Final Project-Psychological Disorder Analysis Nina Sbanios University of Phoenix Psychology 270 Kenneth D. Vaughan, MA, LPC, NCC September 01, 2010
These symptoms include: trouble sleeping. 2010).Final Project-Psychological Disorder Analysis The subject (Marla) is a 42 year old female who is seeking help from the mental health clinic for a variety of symptoms which the subject believes is causing her distress. do any of them suffer with a mental disorder? . The Clinical interview is the beginning point for the subject. Why have you come to seek therapy? 2. Subject will be observed and a complete assessment of the subject will be made. During intake it is agreed that the subject’s symptoms require further analysis to reach a final diagnostic conclusion as these symptoms are apparent in the criteria of a multitude of disorders. The subject. as how she answers these questions applies to the analysis and diagnosis of her issues culminating in the action of the treatment plan. I want you to tell me about your family. It is apparent that a concern for the subject’s employment has prompted her to seek help for these issues. feeling jumpy all of the time. including major depression. how do you get along with them. names of treatment team members and a copy of treatment plan. feels these symptoms to be the cause. whose complaint is a decreased performance at work. What do you hope to gain from our time here? 3. Attending therapist will also include in the notes the diagnosis along with the possible causes. and an in ability to concentrate (Axia College. will complete an effective treatment plan. and post traumatic stress disorder. These questions included: 1. do you have brothers or sisters. Once this assessment has been done a diagnosis will be made by our treatment team and together with the client. certain panic disorders.
In regards to your inability to sleep. How is your interaction with these people? 7. what was your plan? 8. What was it like growing up in your family. what specifically are you experiencing? 14. Have you now or at any time felt feelings of anxiousness. and who are the people you are closest to? 6. have you ever had thoughts of suicide in the past or recently. depression. Do you take any medications at this time. how would you rate how troublesome your symptoms are to you? The subject is then sent to our Clinic Physician to make certain that no other physical reasons may exist for her symptoms.4. Tell me how you perceive that people see you. one being the least and ten being the highest. such as chest pain or stomach problems? 13. On a scale from one to ten. What do you do for a living. Have you lost interest in any of your outside activities? 15. How long have you been experiencing these symptoms? 12. Is there any family history of depression or suicide? 9. and how has it changed (if any) now? 5. what kind of moral or ethical structure do you feel you have? 10. A full physical exam along with a blood test or (CBC) will . Have you had any other physical symptoms. do you use alcohol or any other substance? 11.
inability to concentrate. and can affect the subject more harshly than depression (Mayo Clinic. and you will see no episodes of mania. With Dysthymia the depressed mood is continual.com. The Axis III is for general medical conditions. The first is Axis I which includes clinical disorders. Axis IV is for psychosocial and environmental problems.be required to rule out any thyroid problem or history of substance abuse. and would read. Late onset. and there are other family members who are known to be afflicted. Lastly. As all tests have been reviewed and no physical reason has been found that would equate to the subjects symptoms. Axis IV: Occupational and social support. most V-codes and conditions that need clinical attention.4 Dysthymic Disorder. The individual with Dysthymic Disorder will have two or more prevalent . 2010). but chronic form of depression. the Axis II is the area for Personality Disorders and/or Mental Illness and would look like this: Axis II V71. which would in this case read: Axis V: GAF=60 (current) (PSYweb. the treatment team has diagnosed the subject from her symptoms and through her initial intake assessment. The results of the test are gathered and taken to the treatment team for evaluation. and after careful consideration. Retrieved September 2010). a diagnosis of Dysthymic Disorder is reached. It is the following week and the subject is back for her findings. With the lack of any known traumatic experience. Dysthymic Disorder is a mild. What has finally played a major contributor to the subject’s diagnosis were: trouble sleeping. which has lasted for at least two years. Retrieved September. there is the Global Functioning Scale or GAF score. and the length to which the subject has been experiencing the symptoms. A Multiaxial Evaluation is used which classifies the criteria from the DSM-IV. The subject is asked to come back the following week for the findings of the treatment team. which in this case would read: Axis III: none. The subject has described symptoms that correspond with Depression. In this case the subjects Axis I would be: 300.09 no diagnosis.
.symptoms which include: decreased energy or fatigue. which include: Biochemical factors. which are: The family history of a depressive illness. All of these factors were sufficient to be able to diagnose the subject with the answer of Dysthymic Disorder. could mean that the subject suffers from this as well. and environmental factors. and other sociocultural factors such as the lack of social support. it definitely could be an underlying cause. sleep disturbances. in Biochemical the subjects have many physical changes in their brains. arises from a sense of not being in control. Gene’s or heredity. others believe is caused by a behavioral process that is called learned helplessness. Naturally occurring brain chemicals or neurotransmitters are linked to mood destabilization and therefore may be linked. changes in their appetite. Certainly all must be considered. which is where the subject’s inability to take action to make her life better. and among the female sex (Comer. Research has also found that there is an increased chance of developing a depressive illness among those of Hispanic descent. Environment may contribute to causes as situations such as loss of a loved one or financial difficulties are challenging to cope with and produce high stress levels. The exact causes of Dysthymia is not known. Anxiety is usually also seen in those who are afflicted with types of depression and the symptom of feeling jumpy all the time. trouble concentrating and conflicts with family and friends. however researchers believe that the causes are similar to those of depression. Genes and heredity play a part in depression. However the treatment team has decided to monitor the subject for this as appose to making it part of her treatment at this time. 2008). and the subject has other family members that have these and other symptoms. However. It appears that in the case of our subject (Marla) the diagnosis of Dysthymic Disorder may be explained by the facts retrieved during the initial assessment.
such as Prozac. this will enable the subject to build on her social support system while pairing the subject with her own peers to gain a better understanding of her own disorder. medication and psychotherapy. the subject’s treatment plan will be reevaluated every 30. Tricyclics such as Elavil and Tofranil are also commonly used. . The subject will also be required to participate in group therapy.As stand alone treatment. Case conference will also be held within the treatment team in 30 day increments to consider any changes to her treatment plan. medications appear to be most effective. The symptoms for dysthymic disorder mimic those of Major Depression and are often. During weekly sessions the subject will focus on identifying and changing all negative thought processes and maladaptive attitudes (Comer. they increase their chance of recovery. to increase her optimism and enrich the subjects self esteem. In conjunction with medication therapy. by using the cognitive behavioral approach. are able to strengthen the quality of their life and become more productive and stable people. 60 and 90 days to monitor her progress and the effectiveness of her overall treatment plan. and the subject enters treatment. This is to help the subject change her thought processes. The medications most commonly used are SSRI’s or selective serotonin reuptake inhibitors. 2008). however. it has been deemed that the subject will also benefit from psychoanalysis. left untreated. However. and Celexa. for this disorder treatment may be twofold. However. Once this has been established. (because of the length of time involved). getting the right diagnosis appears to be paramount.
) New York: Worth Publishers www. (2010). R.. (2008).References Axia College.com . Comer. Abnormal Psychology. (5th ed.MayoClinic.J. Week-9. Psychology 270. Fundamentals of abnormal psychology. Faces of abnormality interactive. Retrieved August 2010. from Axia website.
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