Service-e-Writing

Provide the full DSM-5 diagnosis for the client. Remember, a full diagnosis should include the name of the disorder, ICD-10-CM code, specifiers, severity, and the Z codes (other conditions that may be a focus of clinical attention).  Keep in mind a diagnosis covers the most recent 12 months.Case Presentation: Nevaeh Diagnosis: F41.1- Generalized Anxiety Disorder, moderate, need to control thoughts Z65.8- Other problem related to psychosocial circumstances, death of a parent F42- Obsessive-compulsive disorder, moderate, need to keep everything germ free Z91.89- Other personal risk factors, excessive cleaning Explain the diagnosis by matching the symptoms identified in the case to the specific criteria for the diagnosis I would diagnosis Nevaeh with Generalized Anxiety Disorder due to her constant worrying. She is anxious, experiences nausea, dizziness, sweating when she thinks her home is not clean, obsessed with cleanness. She argues with her fiancé for not helping with keeping the house clean, spends an extended period cleaning, to the point she forgets her daily schedule. Reports excessive cleaning as therapy, concerned with germs since adolescence, here is where I would consider Obsessive-compulsive disorder. For GAD, Nevaeh meets criteria: A, B, C(1,2,5,6’D, E&F For OCD, Nevaeh meets criteria: A(Compulsions: 1&2)B, C, D Discuss other disorders you considered for this diagnosis and eliminated (the differential diagnoses) The differential diagnosis considered is Panic Disorder because of Nevaehs symptoms of nausea, trouble breathing, intense discomfort, and feelings of being out of control. Her constant worrying leads to attacks which lead to obsessive cleaning. Describe an evidence-based assessment scale that would assist in the ongoing validation of your diagnosis The evidence-based assessment scale I would consider using would be the Hamilton Rating Scale for Anxiety. This assessment scale is widely used during interviews to assess a client’s level of anxiety and several other symptoms of GAD(Rodriguez-Seijas et al., 2020). Recommend a specific intervention and explain why this intervention may be effective in treating the client Because Nevaehs issues consist of behavior, I would recommend Cognitive Behavioral Therapy. CBT is used to reframe an individual’s thoughts surrounding their mental instability. It’s essential in minimizing the symptoms and negative behaviors for the individual to function in everyday living. This form of psychotherapy uses interpersonal cognition to determine the level of anxiety when processing social information(Gómez Penedo et al., 2021).     References Association, A. P. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Gómez Penedo, J., Hilpert, P., grosse Holtforth, M., & Flückiger, C. (2021). Interpersonal cognitions as a mechanism of change in cognitive behavioral therapy for generalized anxiety disorder? a multilevel dynamic structural equation model approach. Journal of Consulting and Clinical Psychology, 89(11), 898–908. https://doi.org/10.1037/ccp0000690 Rodriguez-Seijas, C., Thompson, J. S., Diehl, J. M., & Zimmerman, M. (2020). A comparison of the dimensionality of the hamilton rating scale for anxiety and the dsm-5 anxious-distress specifier interview. PsychiSocial workers take particular care when diagnosing anxiety due to its similarity to other conditions. In this Discussion, you carefully assess a client with anxiety disorder using the steps of differential diagnosis. You also recommend an intervention for treating the disorder. To prepare: Read the case provided by your instructor for this week’s Discussion. Review the decision trees for anxiety and OCD in the Morrison (2014) text and the podcasts on anxiety. Then access the Walden Library and research interventions for anxiety. By Day 3 Post a 300- to 500-word response in which you address the following: · Provide the full DSM-5 diagnosis for the client. Remember, a full diagnosis should include the name of the disorder, ICD-10-CM code, specifiers, severity, and the Z codes (other conditions that may be a focus of clinical attention).  Keep in mind a diagnosis covers the most recent 12 months. · Explain the diagnosis by matching the symptoms identified in the case to the specific criteria for the diagnosis. · Discuss other disorders you considered for this diagnosis and eliminated (the differential diagnoses). · Describe an evidence-based assessment scale that would assist in ongoing validation of your diagnosis. · Recommend a specific intervention and explain why this intervention may be effective in treating the client. Support your recommendation with scholarly references and resources. CASE of STORMÉ Intake Date: November 2020 IDENTIFYING/DEMOGRAPHIC DATA: Stormé is a 62-year-old, single, Lesbian, African American female who receives Social Security income and is not currently employed. Stormé is financially comfortable, the social security is decent, although her living expenses are always a concern to her. She lives alone in a subsidized apartment in the same building as her 72-year-old, unmarried sister so increasing the rent will not happen. CHIEF COMPLAINT/PRESENTING PROBLEM: Stormé seeks treatment for anxiety. She says she is very concerned and the anxiety has led to pulling her hair out and it has become noticeable on top of her head. She is taking to wearing hats and wigs to hide the bald spots. Stormé reports that germs have been a regular concern of hers since adolescence, when she learned in health classes about the risks of serious diseases including sexual transmittable disease. Her sister encouraged her to seek treatment rather than “hiding her ways.” She agreed to this session even though she is pessimistic about anything working. HISTORY OF PRESENT ILLNESS: After Stormé move to her own apartment and began pulling her hair out she reported feeling better but does not always notice how much she is pulling. She fears losing control of herself. Her sister learned of her hair pulling after Stormé’s wig slipped off one evening to reveal bald spots. She set up a schedule over the past few months with her sister to help stop the hair pulling. Sometimes it worked and sometimes it didn’t. She is worried that she will be dis