Week 2 Discussion 1: Case Study of John
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The purpose of this discussion is to think through some of the ambiguities that can make the diagnostic process more complex than it might at first appear.
Begin by carefully reading the Case Study of John. Pay particular attention to how the psychologist’s diagnosis changes as the case unfolds and more information is available about John. Imagine how much more difficult accurate diagnosis would have been if you had followed a particular diagnosis prematurely.
What were your thought processes and reactions as you noted the changing picture presented in John’s case?
Using the diathesis-stress model to assess John’s case, what salient vulnerabilities and stressors come to mind?
Attempt a diagnosis for John, based on your current knowledge, providing the DSM-5-TR and ICD-10 codes, according to the format provided in Week 1.
Example (Realize that this example diagnosis may or may not be accurate; it is offered as an example of the format to use when you arrive at your own diagnostic view of the case of Edgar):
296.23 (F32.2) Major Depressive Disorder, Single Episode, Severe.
305.00 (F10.10) Alcohol Use Disorder.
Other Factors:
V61.10 (Z63.0) Relationship Distress with Spouse or Intimate Partner.
V62.29 (Z56.9) Problem related to Employment (job loss).
V60.9 (Z59.9) Potential loss of housing due to job loss.
Some suggestions to help you prepare your initial post: Since you have not yet learned diagnostic specifics, just describe your evolving impressions in whatever terms seem the most accurately descriiptive, and the reasons for those impressions. Turn to the DSM Decision Trees and DSM-5-TR diagnostic categories for assistance. A combination of narrative comment and a highlighted encoding DSM-5-TR diagnosis would work well.
Refer to the Case Study Response Guide to assist you with this discussion.
Response Guidelines
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