A‌‍‍‍‌‍‍‌‌‍‍‍‌‍‍‍‍‌‍‍ll assignments MUST be typed, double-spaced, in APA style,

A‌‍‍‍‌‍‍‌‌‍‍‍‌‍‍‍‍‌‍‍ll assignments MUST be typed, double-spaced, in APA style, and must be written at graduate-level English. This assignment focuses on vignette analysis and direct application of course concepts to the persons and situations presented in the vignette. All discussions must take into account the legal and ethical considerations, as well as issues of culture and diversity that may pertain to the situation presented below. Cultural information is in both the course text (Chapter 11) and DSM 5. You are encouraged to use alternative cultural and legal/ethical resources to enhance your work. Use the reading assignments thoroughly in an integrative discussion. You may use outside research to support the text information, but not to replace the text. Remember to cite all work in APA format. Please keep your responses focused on what is presented in the vignette. Do not add information but use your creativity to support what you see in the vignette as written. Avoid elaborations and assumptions Your response to each vignette should be 2½-3 pages per vignette. Total assignment should be 8-9 pages total plus title and reference pages Janis Janis is a 35-year-old White woman who was referred by her employer for testing positive for opiates and amphetamine on a random drug test at work. Janis presents as a markedly thin, gaunt woman, stylish in dress, with difficulty staying on task during your assessment, often asking you what you just said. She does admit to using stimulants to control her weight, “my doctor gave them to me to help me shed a few pounds” but denies using opiates. “The test was wrong but my boss won’t believe me. I did have some dental work done and got some pain killers, but I haven’t used them in weeks. Okay, so I’m a bit obsessed with my weight, but I’m getting older and it’s hard to get men to notice me with all the competition out there from those young skinny girls”. She also admits to “spending all my money on shopping and paying for those diet pills. I work hard, so why not!” During the session, Janis reveals that she has had 2 alcohol related DUIs in the past, “so I no longer drink and drive.” During your psychosocial assessment, you learn that Janis’ husband died of a heroin overdose 5 years ago. She doesn’t remember her parents, but does have nightmares of “2 drunk people beating on each other.” She was raised by her grandmother who she describes as, “a loving yet strict Irish-Catholic woman”. 1. Considering the information in the course text and the DSM-5, which screening and assessment tools covered in Chapter 7 might you use for Janis. Briefly discuss what further information you would look for, to formulate a provisional diagnosis for Janis. 2. Create a brief initial treatment plan for Janis. What treatment approaches would you consider, that support your findings in question one? Robert and Gerald Robert and Gerald come to you for couples counseling. Robert is a 52-year-old African American man. Gerald is a 57-year-old White man. Both self-identify as gay men. Robert and Gerald have together for 8 years. Robert is a recovering alcoholic with 2 years of sobriety. Gerald tells you that he is very concerned about Robert. He tells you that in the past few months, Robert has gotten “weird”. Apparently, Robert has become, ”paranoid and suspicious, accusing me of sleeping with other men. He tells me that he sees and hears th‌‍‍‍‌‍‍‌‌‍‍‍‌‍‍‍‍‌‍‍ings that warn him not to trust me. I love Robert and would never do anything to jeopardize our relationship.” He also tells you that Robert is addicted to the internet and that he found pornographic material on Robert’s laptop. He is very concerned that Robert is using drugs and alcohol again. Robert interrupts and tells you, “Gerald is out to get me, I tell you. He planted those pornography websites on my computer when I was at work. He wants me to break up with him so he can hook up with some other guy. He’s the one that needs a program. Ask him about those pills he takes every night.” Gerald tells you that his doctor prescribed anxiety and sleep medication as he has been unable to sleep and concentrate with all that is going on. During the assessment, you learn that Robert’s maternal grandmother committed suicide and that Robert’s mother was diagnosed as schizoaffective. Gerald was raised in an alcoholic home. The oldest of 5 children, Gerald had to protect his 4 younger siblings from the “insanity of our parents.” 1. Considering the information in the course text and the DSM-5, briefly discuss what diagnostic and interpersonal concerns to you have for this gay couple? What further information might you look for, and why? 2. Create a brief initial treatment plan for Robert and Gerald. What treatment approaches would you consider, that support your findings in question one? Leah Leah is a 70-year-old Asian American woman. Her father immigrated to Hawaii from Japan where he met her mother. She was raised in Hawaii. Her family moved to California when she was 15 years old and her brother was age 11. Leah describes her childhood as, “very tumultuous. My brother and I walked on pins and needles never knowing if our father would come home from work. Sometimes he would stay out all night drinking and gambling. My mother would drag us around in the car looking for him”. Leah married at age 37. She and her husband had one child. Both her husband and son were killed instantly in a recent car accident. She now has full custody of her grandson Julian, who is now 14-years-old. Julian’s natural mother died of a drug overdose when he was 8 years old. Leah comes to see you in regard to Julian. He has been suspended from school for possession of alcohol on campus. She recently found drug paraphernalia in his room. She is afraid that he is using cocaine or methamphetamine because of his erratic and explosive behavior, mood swings and sleeping patterns. Leah tells you that Julian says the stuff in his room belongs to a friend. She desperately wants to believe him. Leah admits that her health is not good and that she worries that she may not be able to give Julian the care he needs. Leah is seeking therapy for Julian, but he refuses to come. 1. Considering the information in the course text and the DSM-5, briefly discuss your diagnostic and family concerns. What further information might you look for and why? 2. Create a brief initial treatment plan for Leah and Julian. What treatment approaches would you consider, that support your findings in question one? Activity Outcomes 1. Identify legal and ethical issues associated with addiction treatment. 2. Consider culture and diversity relevant to special populations. *********************************************************************** No Summary is required for this assignment and I’m requesting writer 558015 ******‌‍‍‍‌‍‍‌‌‍‍‍‌‍‍‍‍‌‍‍******************************************************************