Utilize the seven Steps for Psychiatric Diagnosis-Review Chapter 3(attached) 1.

Utilize
the seven Steps for Psychiatric Diagnosis-Review Chapter 3(attached)
1.
Collecting Data-Who is the patient (Jessica)
2.
Identifying Psychopathology- Determine
what assessment you would use to help determine the clients diagnosis.
3.
Evaluating the reliability of data- Include scores from your assessment and what the patient
describes/or as described in the scenario.
4.
Determining the overall distinctive feature-see page 72-73(pages attached)
5.
Arriving at a diagnosis-follow
the principles of either parsimony or hierarchy(book pages attached with definitions/explanation of each parsimony and hierarchy)
6.
Checking diagnostic criteria-YOU WILL HAVE TO DIAGNOSIS THE
CLIENT
7.
Resolving diagnostic uncertainty-Is
there a differential diagnosis to. be considered along with the primary
diagnosis?
The assignment should be written in APA format. Do not use
numbers to indicate a new section. You may use sub-headers in the center
of the page to begin a new section. Please include 4-6 sentences for each
section.
Case study- Jessica
is a 28 year-old married female. She has a very demanding, high stress job as a
second year medical resident in a large hospital. Jessica has always been a
high achiever. She graduated with top honors in both college and medical
school. She has very high standards for herself and can be very self-critical
when she fails to meet them. 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 Jessica has felt unusually fatigued and found it
increasingly difficult to concentrate at work. Her coworkers have noticed that
she is often irritable and withdrawn, which is quite different from her
typically upbeat and friendly disposition. She has called in sick on several
occasions, which is completely unlike her. On those days she stays in bed all
day, watching TV or sleeping.
At
home, Jessica’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”.
Although
she hasn’t ever considered suicide, Jessica has found herself increasingly
dissatisfied with her life. She’s been having frequent thoughts of wishing she
was dead. She gets frustrated with herself because she feels like she has every
reason to be happy, yet can’t seem to shake the sense of doom and gloom that
has been clouding each day as of late. My response/thoughts- Jessica appears to be experiencing symptoms consistent with Major Depressive Disorder (MDD). Jessica’s symptoms include feelings of worthlessness, fatigue, decreased concentration, irritability, withdrawal, insomnia, and thoughts of death. It is recommended that Jessica consult with a medical professional.
(explanation)Based on the symptoms and signs described, Jessica seems to be suffering from Major Depressive Disorder (MDD). The persistent feelings of worthlessness and shame, significant fatigue, decreased concentration, irritability, withdrawal, sleeping problems, and recurring thoughts of death are all indicative of a major depressive episode. Increased job stress and self-criticism may have contributed to her condition.
Jessica needs to consult with a medical professional who can provide a definitive diagnosis and suggest appropriate treatment options, typically including psychotherapy and/or medication. It must always be remembered that mental health is as important as physical health.