Determining a Diagnosis Using Tina’s Case Study Paper

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Case Study: Anxiety Answer Sheet Diagnosing Tina Student Name: Rachel Spook Diagnosing Generalized Anxiety Disorder: la. Refer to the ADSM-IV checklist for generalized anxiety disorder. Which of Titan’s symptoms meet any of the criteria? (Be sure to match specific symptoms with specific criteria. ) Tina expressed that she has dealt with constant negative thoughts and worry for one year (since the loss of her husband). Tina is extremely nervous about driving, bridges and of something traumatic happening to her twin daughters. She acknowledged increased smoking and eating.Determining a Diagnosis Using Tina’s Case Study Paper

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Also, Tina has taken to a nightly drink to “calm her nerves” and assist in sleeping. Tina stated that she has had weeks of dizziness, breath shortage and trembling hands. She feels restless and her body feels knotted-up, Increasingly at nighttime. Tina has muscle tensions and Issues of dealing with Irritability dealing with her teenage daughters. She is experiencing impairment In her life by finding it difficult to do the things that she used to. B. Based upon your review of Titan’s symptoms and the diagnostic criteria, could Tina be diagnosed with generalized anxiety disorder or not (and If not, why not)?Determining a Diagnosis Using Tina’s Case Study Paper

Tina could be diagnosed with GAD based on the symptoms listed above that coincide with the diagnostic criteria of the ADSM-IV checklist. Diagnosing Specific Phobia: AAA. Refer to the ADSM-IV checklist for specific phobia. Which of Titan’s symptoms meet any of the criteria? (Be sure to match specific symptoms with specific criteria. ) Tina worries so much about the safety of bridges that she hates to drive. She had an episode of anxiety that produced an immediate response of breathing problems, nervousness, trembling/sweaty hands, racing heartbeat and avoidance.Determining a Diagnosis Using Tina’s Case Study Paper

Tina does not ant to even leave her home, because she has so many bridges in her area. B. Does Tina have a specific phobia and If yes, what Is the feared object? Tina has a specific phobia of bridges. Diagnosing Panic Disorder: AAA. Refer to the ADSM-IV checklist for panic disorder with agoraphobia and the checklist for panic disorder without agoraphobia. Which of Titan’s symptoms meet any of the criteria? (Be sure to match any specific symptoms with specific criteria. ) Tina acknowledges that she hates driving, and she has had at least two episodes of panic related to it.Determining a Diagnosis Using Tina’s Case Study Paper

She fears bridges, and she avoids driving. B. Does Tina meet the diagnostic criteria for panic disorder with agoraphobia or panic disorder without agoraphobia or neither? Explain why you believe your choice Is the most appropriate diagnosis. Diagnosing Tina with a panic disorder Is premature at this point. The therapist would likely want to ask more questions about things that would Identify other areas of the panic disorder criteria. For instance, it would be interesting to know Tanat IT I Inn Is In ten presence AT a companion or near saunters IT ten anxiety Ana panic is lessened related to driving and bridges.Determining a Diagnosis Using Tina’s Case Study Paper

It is too early for a panic disorder diagnosis, because there is not enough information about Tina and her presenting complaints. Understanding Titan’s Disorders: 1. How would the Socio-cultural Perspective explain Titan’s GAD? The socio-cultural perspective would explore Titan’s childhood more thoroughly. She grew up in a large, poor family and she married as a teenager. Tina finds the would to be a dangerous place, which causes her to worry excessively about her daughters’ safety and her own.Determining a Diagnosis Using Tina’s Case Study Paper

Also, she has anxiety over the potential of bridges to collapse at any mime when she is traveling over them. This perspective might explain that her GAD is related to her exposure with the anxiety of her husband’s sickness and death in a high-stress environment. 2. Explain Titan’s GAD from the Existential Perspective. Based on the existential perspective, one may explain Titan’s GAD by relating her anxiety to her loving, yet controlling husband. With his passing, she feels uncertain and unbalanced. She does not know how to find her new routine, which is worsened by her anxiety symptoms. 3.Determining a Diagnosis Using Tina’s Case Study Paper

Explain Titan’s GAD from the Cognitive Perspective please identify any basic irrational assumptions that Tina is making, even if they may be unspoken). Cognitive perspective would help identify irrational worries felt by Tina. Tina acknowledges that it may be irrational to stress about bridges collapsing, but this does not change her phobia of them. 4. Determining a Diagnosis Using Tina’s Case Study Paper Explain Titan’s Phobia from a Behavioral Perspective (please use classical conditioning as a possible example). Titan’s phobia based on the behavioral perspective may be explained by classical conditioning. She may associate the anxiety of her husband’s terminal illness with ridges. . Explain Titan’s Phobia from a Psychodrama Perspective. Tina learned to view her id impulses as negative due to her controlled childhood. Therefore, her phobia may be a physical manifestation of her suppressed anxiety. It could be due to her teenagers’ independence, the fear of being alone or the loss of her husband. 6. Considering the biological correlates or causes of Titan’s panic disorder, what role does the neurotransmitter morphogenesis play in her panic disorder? Low amounts of the neurotransmitter morphogenesis has been linked to panic disorders.Determining a Diagnosis Using Tina’s Case Study Paper

Titan’s emotion regulation has been altered from decreased morphogenesis. 7. What does Titan’s locus crullers have to do with her panic disorder? Many of the neurons in the locus crullers use morphogenesis as a transmitter. Therefore, it can be related to her panic episodes. 8. What role might GAB play in her symptoms? GAB regulates anxiety, and Titan’s may be low. Treating Tina 1 . Which Psychodrama technique has been found to be the most useful in the treatment of GAD? Free Association may be helpful in allowing Tina the freedom to speak freely.Determining a Diagnosis Using Tina’s Case Study Paper

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It could assist in in revealing and resolving the underlying issues of her anxiety. 2. Explain why a humanistic approach would be helpful in treating Titan’s GAD. The humanistic perspective would help her see herself honestly and acceptingly. 3. How might you use Rational-Emotive Therapy to treat Titan’s GAD? Slung ten Rotational-tomfool Inertia could Nell ulna to correct Electrons Tanat seen has about the way others perceive her as well as her anxieties about not being needed. 4. How would Systematic Desensitizing be used to treat Titan’s phobia of bridges?Determining a Diagnosis Using Tina’s Case Study Paper

Systematic Desertification could be used to help Tina become unresponsive when seeing a bridge. 5. What medications have proven useful for treatment with panic disorder? Mentality medications have proven useful for some when treating panic disorders. 6. What role could cognitive therapy play in Titan’s treatment for panic disorder? Cognitive therapy may help Tina identify irrational worries and change her panic responses. 7. Considering that Tina may be treated for commodore disorders, how do you see the treatments for the various disorders complementing each other?Determining a Diagnosis Using Tina’s Case Study Paper

A combination of various treatments could help Tina to live a more “normal” life. Both cognitive and behavioral therapies as well as an mentality medication may be helpful for treating Tina. 8. Is there any reason to think that any of the treatments would be contraindicated when utilized together? Explain why/how or why/how not. No, they could be modified but still used together. Tina could benefit from various therapies while finding the most appropriate to treat her. Over time, she should be tapered off the medication if possible as she learns new techniques through therapy.Determining a Diagnosis Using Tina’s Case Study Paper

Review the diagnostic criteria on pages 99-100; 160-161; 561-562 of the DSM-5.

A counselor’s own perception of psychopathology is extremely important in the diagnostic process.Determining a Diagnosis Using Tina’s Case Study Paper

Using the case study of “Tina” in the topic one lecture, write a 500-750 word essay in which you examine your thought process about her presenting issues. Include the following in your paper:Determining a Diagnosis Using Tina’s Case Study Paper

• Discuss the historic and cross-cultural perspectives of psychopathology that could potential impact the diagnosis and treatment of Tina.
• After reviewing the several diagnoses that could pertain to Tina from the latest version of the DSM, what is your diagnostic impression?
• Substantiate your diagnostic impression with appropriate criteria from the current version of the DSM.Determining a Diagnosis Using Tina’s Case Study Paper
• Discuss how historic misconceptions of psychopathology could potentially impact the treatment of this client. As part of this discussion, you may include a diagnosis, any referrals that you would make, and a general course of treatment. At least five scholarly references in addition to the textbook in your paper.Determining a Diagnosis Using Tina’s Case Study Paper

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.Determining a Diagnosis Using Tina’s Case Study Paper

You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center.

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PCN 605: Determining a Diagnosis Using Tina’s Case Study

Determining a Diagnosis Using Tina’s Case Study Paper

Case Study: Tina

Tina is a 17-year-old Navajo female who is brought into a counselor’s office for symptoms of depression; her family has noticed that she is more withdrawn than usual and she is often observed crying and talking to herself. Through the intake interview, the counselor learns that Tina hears voices daily that command her to perform certain acts of hygiene (showering, combing her hair, etc.). She further reveals that she believes these voices to be the result of witchcraft that her boyfriend is using to control her. Tina also states that she has used methamphetamines heavily for the past several months. She and her mother ask the counselor to work with Tina for the depression, but claim that they wish to see a medicine man for hearing voices.Determining a Diagnosis Using Tina’s Case Study Paper

Where does the counselor begin with this client? Tina is clearly demonstrating symptoms of psychoses, yet it is difficult to determine what has caused them. Is she experiencing a severe depressive episode with psychotic features? Have the voices been induced by excessive drug use? Alternatively, should the counselor take into account the cultural acceptance of witchcraft and let the medicine man exclusively treat Tina? This case study is but one example of the way different cultures deviate in concept of mental illness as it presents itself in the counselor’s office.Determining a Diagnosis Using Tina’s Case Study Paper

Viewing clients as devoid of their cultural backgrounds because notions of health and wellness differ greatly by who is defining them are unethical and unwise. In order to be as receptive as possible to a client’s position, counselors must constantlydeconstruct and be aware of their own beliefs regarding psychopathology. This process of exploring a belief system has been given many names, one of which is social constructionism (Lemma, 2011).Determining a Diagnosis Using Tina’s Case Study Paper

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Social constructionism is the concept that reality is formed and defined by the individual experience of it; the perceptions of any given society are constantly in flux as trends and knowledge shifts. As such, the concept of psychology changes to meet the needs of each given culture. Ruder & Guterman (2007) state that “social constructionism is, itself, a social construction that is always changing and subject to reconstruction” (p. 387).Determining a Diagnosis Using Tina’s Case Study Paper

PCN 605: Determining a Diagnosis Using Tina’s Case Study References

Rudes, J. & Guterman, J. (2007). The value of social constructionism for the counseling profession: A reply to Hansen. Journal of Counseling & Development,85(4), 387-392 Determining a Diagnosis Using Tina’s Case Study Paper