Review the instructions for the Psychiatric Diagnosis assignment in Week Six. This week’s assignment will build upon the work you have completed on your chosen case study in the Week One or Week Two discussion forum.
For this assignment, you will construct an
outline Links to an external site.
of your Week Six Psychiatric Diagnosis paper. This outline Links to an external site.is meant to provide structure for your final assignment, jump-start your thought process on your case study, and ensure you are on the correct path toward the successful completion of your diagnosis.
Your outline Links to an external site.should be one to two pages of content and include a brief two- to three-sentence description of each of the required areas listed in the Week Six Psychiatric Diagnosis instructions, except for the following two areas:
- Justify the use of the chosen diagnostic manual (i.e., Why was this manual chosen over others?).
- Evaluate symptoms within the context of an appropriate theoretical orientation for this diagnosis (e.g., cognitive, behavioral, humanistic, biological, sociocultural, evolutionary, psychoanalytic, integrative, etc.). NOTE: Be clear that you are writing about theoretical orientations and using the theoretical orientations to explain the client’s symptoms and presenting problems. Do not use the theoretical orientations to discuss any therapy or treatment approaches. Your application of the theoretical orientations should answer the question: How did this client develop the symptoms and current presenting problems? For example, “Based on the cognitive perspective, how did this client develop the symptoms and current presenting problem?” “Based on the humanisitic perspective, how did this client develop the symptoms and current presenting problem?” Etc…
For these two areas, provide a complete draft of your justification and evaluation based on the case study. You must include explicit information on the theoretical orientation chosen for the case and justification of the use of the diagnostic manual chosen. Research a minimum of five peer-reviewed sources published within the last 10 years to support your choice of theoretical orientation and diagnostic manual. These sources will also be used for the Psychiatric Diagnosis paper. The outline should specify which sources will apply to the justification and evaluation areas.
The Outline for the Psychiatric Diagnosis:
- Must be one to two single-spaced pages in length (not including title and references pages) and formatted according to APA style as outlined in the Writing Center Links to an external site..
- Must use at least five peer-reviewed sources published within the last 10 years.
Psychiatric Diagnosis
For this assignment, students will investigate and propose a psychiatric diagnosis based on the case study from the Gorenstein and Comer (2015) textbook
Case Studies in Abnormal Psychology, chosen in the Week One “Initial Call” discussion or the Week Two “Initial Assessment” discussion. This paper will include an in-depth overview of the disorder(s) within the diagnosis, treatment options for the diagnosis, and a sound rationale that explains why this diagnosis was made. Note that the diagnosis may include more than one psychiatric disorder.
The paper must present a thorough overview of each disorder within the diagnosis. Assume the audience has no prior knowledge of the disorder(s) within the diagnosis, and provide relevant and easy to understand explanations of each for the readers. When writing the paper, it is critical to convey all the necessary information in a straightforward manner using non-technical language. (Reference the
Professional Voice and Writing Links to an external site.
resource provided by the Writing Center for assistance.) Support the analysis with at least five peer-reviewed sources published within the last ten years in addition to the course text.
The Psychiatric Diagnosis
topical paper must include the following:
· Explain psychological concepts in the patient’s presentation using professional terminology. Identify symptoms and behaviors exhibited by the patient in the chosen case study.
· Match the identified symptoms to potential disorders in the
DSM-5 diagnostic manual.
· Propose a diagnosis based on the patient’s symptoms and the criteria listed for the disorder(s) in the
DSM-5 diagnostic manual.
· Analyze and explain how the patient meets criteria for the disorder(s) according to the patient’s symptoms and the criteria outlined in the
DSM-5 diagnostic manual.
· Justify the use of the chosen
DSM-5 diagnostic manual (i.e., What evidence supports the validity of this manual? What are limitations of this manual?).
· Summarize general views of the diagnosis from at least three theoretical orientations (g., cognitive, behavioral, humanistic, biological, sociocultural, evolutionary, psychoanalytic, integrative, etc.). NOTE: Be clear that you are writing about theoretical orientations and using the theoretical orientations to explain the diagnosis. Do not use the theoretical orientations to discuss any therapy or treatment approaches. Your application of the theoretical orientations should answer the question: What causes this diagnosis? For example, “Based on the cognitive perspective, what causes this diagnosis?” “Based on the humanisitic perspective, what causes this diagnosis?” Etc. In addition, you may include a historical perspective on the diagnosis, but this is not required. Also note that here you are summarizing views of the overall diagnosis, not specific individual symptoms.
· Include a discussion on comorbidity if the diagnosis includes more than one disorder.
· Evaluate symptoms within the context of an appropriate theoretical orientation for this diagnosis (e.g., cognitive, behavioral, humanistic, biological, sociocultural, evolutionary, psychoanalytic, integrative, etc.). NOTE: Here you are evaluating specific symptoms, not the overall diagnosis.
· Use at least two peer-reviewed articles to assess the validity of this diagnosis, and describe which demographics are at a higher risk of developing the disorder or receiving the diagnosis based on age, gender, socioeconomic status, sexual orientation, and ethnicity. Provide a brief evaluation of the scientific merit of these peer-reviewed sources in the validity assessment.
· Summarize the risk factors (i.e., biological, psychological, environmental, and/or social) for the diagnosi If one of the categories is not relevant, address this within the summary.
· Compare evidence-based and non-evidence-based treatment options for the diagnosi
· Evaluate well-established treatments for the diagnosis, and describe the likelihood of success or possible outcomes for each treatment.
· Create an annotated bibliography of five peer-reviewed references published within the last ten years to inform the diagnosis and treatment recommendati In the annotated bibliography, write a two- to three- sentence evaluation of the scientific merit of each of these references. For additional assistance with this portion of the assignment, access the Writing Center’s
Sample Annotated Bibliography.Links to an external site.
Attention Students: The Masters of Arts in Psychology program is utilizing the Folio portfolio tool as a repository for student scholarly work in the form of signature assignments completed within the program. After receiving feedback for this Psychiatric Diagnosis topical paper, please implement any changes recommended by the instructor, go to your Folio account and upload the revised Psychiatric Diagnosis topical paper to the portfolio. (Use the
Setting Up and Using Folio Links to an external site.
to create an account if you do not already have one.) The upload of signature assignments will take place after completing each course. Be certain to upload revised signature assignments throughout the program as the portfolio and its contents will be used in other courses and may be used by individual students as a professional resource tool.
The Psychiatric Diagnosis
· Must be 8 to 15 double-spaced pages in length (not including title and references pages) and formatted according to APA style as outlined in the
Writing Center Links to an external site.
.
· Must use at least five peer-reviewed sources published within the last 10 years in addition to the course text.
· Must include a separate annotated bibliography page.
· Must document all sources in APA style as outlined in the Writing Center.
1
3
Title of Your Assignment: Annotated Bibliography
Your Name
Institution Name
Course Number: Title
Instructor’s Name
Month Day, Year
Need help? View the following tutorial:
Ctrl+Click:
Making an Annotated Bibliography
Want to view a sample annotated bibliography?
Ctrl+Click:
Annotated Bibliography
Title of Your Assignment: Annotated Bibliography
Include the number of sources required for your assignment.
Use the UAGC Library to find scholarly sources.
Format for an Online Scholarly Journal Article:
Author, A. (Year Published). Article title. Journal Name, Volume(Issue), page range. http://doi.org/xx.xxx.xxxx
When listing the DOI, create a hyperlink with http:// or https://
In your annotation,
summarize the main points of the source. Be sure to summarize the main points using your own words. Do not copy and paste information directly from the source. Also
explain how the source is relevant to your paper. Explain how this particular source will help you develop one or more of the main points in your essay.
Author, A. (Year Published). Article title. Journal Name, Volume(Issue), page range. http://doi.org/xx.xxx.xxxx
In the first paragraph of your annotation,
summarize the main points of the source. Be sure to summarize the main points using your own words. Do not copy and paste information directly from the source.
If you require a second paragraph for your annotation, indent an additional 0.5” and then
explain how the source is relevant to your paper. Explain how this particular source will help you develop one or more of the main points in your essay.
Include the number of sources required for your assignment.
Format for an Online Magazine:
Author, A. (Year, Month Date Published). Article title. Magazine Title. http://URL
In your annotation,
summarize the main points of the source. Be sure to summarize the main points using your own words. Do not copy and paste information directly from the source. Also
explain how the source is relevant to your paper. Explain how this particular source will help you develop one or more of the main points in your essay.
Include the number of sources required for your assignment.
Format for a Webpage:
Author, A. (Year, Month, Date Published).
Article title. Website. https://URL
In your annotation,
summarize the main points of the source. Be sure to summarize the main points using your own words. Do not copy and paste information directly from the source. In the second paragraph of your annotation,
explain how the source is relevant to your paper. Explain how this particular source will help you develop one or more of the main points in your essay.
Include the number of sources required for your assignment.
Format for a UAGC Textbook (online edition)
Author, A. (Year published).
Title of book: Subtitle of book (edition, if other than the first). http://URL
In your annotation,
summarize the main points of the source. Be sure to summarize the main points using your own words. Do not copy and paste information directly from the source. In the second paragraph of your annotation,
explain how the source is relevant to your paper. Explain how this particular source will help you develop one or more of the main points in your essay.
Tip 1: Note that references are listed in alphabetical order.
Tip 2: APA does not require URLs when referencing online journal articles. Instead, find the DOI and cite as a hyperlink (ex:
http://doi.org/xx.xx.xxxx
). Always cite the DOI for online journal articles.
Tip 3: Delete these “hints” (red boxes) before turning in your final assignment.
Need more help formatting other types of sources?
Ctrl+Click:
Formatting Your References
Initial Assessment
Case 10: Alcohol Use Disorder and Marital Distress
Dr. Aronson:
Good afternoon, Mr. Kirk. How are you doing?
Kirk: I am doing okay.
Dr. Aronson: That is great to hear. Your wife Michelle briefly spoke to me about you forgetting things. Would you care to elaborate?
Kirk: My wife thinks I have an alcohol use disorder.
Dr. Aronson:
Do you remember when you took your first drink?
Kirk: I was in high school.
Dr. Aronson:
How often do you enjoy an alcoholic drink? Would you say, daily, weekly, monthly, occasionally, rarely, or never.
Kirk: Dr. Aronson, I love my job, but it can be very demanding. So yes, I do have a drink daily.
Dr. Aronson:
How many per day would you say that you consume? 1 to 2, 3 to 4, 5 to 6, 7 or more a day.
Kirk: Well, I may have a drink or 2 at work and maybe a drink once I get home. I would say maybe 7 or more a day.
Dr. Aronson: While our goal is to develop a balanced life in sobriety, a part of that is to maintain healthy relationships, especially with your spouse. Therefore, I would like Michelle to enter.
Kirk: I agree, it is fine with me.
Dr. Aronson:
Can you identify triggers that make you want to drink?
Kirk: I do not know. Maybe loneliness, anxiety, trying to loosen up, and or wind down.
Dr. Aronson:
What strategies can we use to avoid or manage these triggers?
Kirk: Maybe if I keep it professional and say no to dinks at that business dinner.
Dr. Aronson:
Are you able to develop a support system where you can turn when you are tempted to drink?
Kirk: Yes, my wife and kids.
Gorenstein, E., & Comer, J. (2015). Case studies in abnormal psychology (2nd ed.). New York, NY: Worth Publishers. ISBN: 9780716772736. Retrieved from
https://redshelf.comLinks
Links to an external site.
U.S. Department of Health and Human Services. (n.d.). Alcohol use disorder: From risk to diagnosis to recovery. National Institute on Alcohol Abuse and Alcoholism. Retrieved December 15, 2022, from https://www.niaaa.nih.gov/health-professionals-communities/core-resource-on-alcohol/alcohol-use-disorder-risk-diagnosis-recovery?adlt=strict&toWww=1&redig=5350B5CFF2EC4BCC8FB12D514AB1122F
Psychiatric Diagnosis Outline
Rebecca Green
PSY 645 Psychopathology
Dr. Irene Kovacs-Donaghy
10/03/2022
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Outline: Psychiatric Diagnosis for Fred
I. Introduction
a. Fred is experiencing symptoms of forgetfulness, feelings of frustration,
loss of motor skills, and not being able to complete daily tasks. I will
persuade my audience that Fred is suffering from Alzheimer’s disease
and depression.
II. Body Paragraph 1: Fred is a 69 year old male and is presenting with
cognitive and memory loss.
a. Symptoms in the patient were decline in memory, cognitive function
decline, improper use of words, inability pay attention and make plans.
His normal daily activities were not able to be completed any more.
b. Certain behaviors that were done was forgetting important dates
(anniversary of their first date), spilling foods on himself, not being
able to drive, forgetting important work responsibilities, forgetting his
grandson’s name.
c. To examine the symptoms I would want to use the Diagnostic and
Statistical Manual of Mental Disorders-5. The main purpose of the
development of the DSM-5 is to assist in diagnosing mental disorders
that end with a full treatment plan for them (American Psychiatric
Association, 2013). This manual is chosen because when it comes to
mental health a lot of guessing is able to be eliminated. It is very
helpful with guiding diagnosis and treatment.
i. DSM-5 includes symptoms, diagnostic criteria, side
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effects, and other measures for diagnosing.
III. Body Paragraph 2: Factors leading towards a Major Neurocognitive
Disorder/Alzheimer’s disease diagnosis. Looking into age, health related
issues, environment and lifestyle factors that may display Alzheimer’s
disease.
a. Alzheimer’s disease is related to continuous, unchangeable cognitive
decline (Pinyopornpanish, et al, 2022). AD is also known as the most
frequent cause of dementia.
b. People with Alzheimer’s suffer from things like memory decline, hard
time finding correct words to use and impaired reasoning. In mild
Alzheimer’s disease, people are able to complete most of their normal
daily living activities but as the course of the illness goes on, they need
more assistance completing many of the activities and in the end most
affected people ending up with needing total dependency
(Pinyopornpanish, et al, 2022).
i. Fred experiences symptoms of forgetfulness, not being able to
drive, unusual behaviors, crying, loss of motor functions,
hallucinating, unable to perform daily activities without
assistance.
IV. Body Paragraph 3: Theoretical Orientation- Cognitive Behavioral Therapy
a. Most people with AD suffer from neuropsychiatric symptoms such as
depression, anxiety, and irritability. Interventions based on behavior
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therapy have been shown to be the most effective treatment for the
neuropsychiatric symptoms (Forstmeier, et al, 2015).
b. CBT is a talk therapy that can be beneficial for someone with early or
mid stages of AD, especially if depression is involved.
c. Caregivers have to adapt to their lifestyles and have significantly less
time for themselves (García-Alberca, 2015). So Fred’s wife can benefit
as well, because she is the main caregiver of Fred throughout the
years.
d. Cognitive Theory believes that people are influenced by their view of
events rather than the actual event (Gautam, et al, 2020). The cognitive
dysfunction is responsible for the symptoms in affective and
behavioral states (Gautam, et al, 2020). Fred views himself as a burden
since he has issues with cognitive and motor skills.
V. Body Paragraph 4: Theoretical Orientation- Psychoanalytic Theory
a. Dementia results in weakened ego functioning, reduced mastery over
an environment, and increased need to dependency (Kasl-Godley &
Gatz, 2000). In early dementia the weakened ego tries to protect itself
from the current and subsequent losses through different defense
mechanisms such as denial or withdraw (Kasl-Godley & Gatz, 2000).
Over time the individual becomes more dependent on others because
they can not maintain a sense of self. When the defense mechanisms
start to fail then symptoms of aggression, outburst, isolation, and
despair start to occur. When the dementia become more severe and the
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ability to use others as a mean to enhance one’s sense of self becomes
impaired which then makes room for confusion, anxiety, and psychotic
defenses to start occurring (Kasl-Godley & Gatz, 2000).
b. Ego functions and relationships can be maintained when the individual
feels understood and supported (Kasl-Godley & Gatz, 2000).
i. Psychodynamic interventions can be done to help with the
emotional and cognitive issues. The main goal of this
intervention is to reorganize the self to incorporate the disease
process, replace inadequate coping with adequate coping, and
reduce the emotional distress (Kasl-Godley & Gatz, 2000).
VI. Body Paragraph 5: There are many disorders that can be associated with
Alzheimer’s disease, but in Fred’s case depression is associated with the
AD.
a. Fred weeps often, feeling hopeless he isolates himself, feelings of guilt
occur, anger outbursts, irritability.
b. People with Alzheimer’s tend to become depressed when they realize
they are starting to lose their memory or their ability to function is
becoming interrupted.
VII. Body Paragraph 6: Validity of Alzheimer’s Diagnosis
a. Examine age, gender, ethnicity, socioeconomic status.
b. Risk factors of an Alzheimer’s diagnosis (biological, psychological, or
social aspects).
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c. Treatment options, both evidence and non evidence based when
diagnosis is completed. Success rates of treatment
options/interventions.
VIII. Body Paragraph 7: Conclusion
a. Thesis statement rephrased.
b. Importance of having knowledge of Alzheimer’s disease.
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References
American Psychiatric Association. (2013). Diagnostic and statistical manual of
mental disordersLinks to an external site. (5th ed.). Arlington, VA:
American Psychiatric Publishing.
Forstmeier, S., Maercker, A., Savaskan, E., & Roth, T. (2015). Cognitive
behavioural treatment for mild Alzheimer’s patients and their caregivers
(CBTAC): study protocol for a randomized controlled trial. Trials, 16,
526. https://doi.org/10.1186/s13063-015-1043-0
García-Alberca, J. M. (2015). Cognitive intervention therapy as treatment for
behaviour disorders in alzheimer disease: Evidence on efficacy and
neurobiological correlations. Neurología (English Edition), 30(1), 8–15.
https://doi.org/10.1016/j.nrleng.2012.10.011
Gautam, M., Tripathi, A., Deshmukh, D., & Gaur, M. (2020). Cognitive
Behavioral Therapy for Depression. Indian journal of
psychiatry, 62(Suppl 2), S223–S229.
https://doi.org/10.4103/psychiatry.IndianJPsychiatry_772_19
Kasl-Godley, J., & Gatz, M. (2000). Psychosocial interventions for individuals
with dementia. Clinical Psychology Review, 20(6), 755–782.
https://doi.org/10.1016/s0272-7358(99)00062-8
Pinyopornpanish, K., Soontornpun, A., Wongpakaran, T., Wongpakaran, N.,
Tanprawate, S., Pinyopornpanish, K., Nadsasarn, A., & Pinyopornpanish,
M. (2022). Impact of behavioral and psychological symptoms of
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Alzheimer’s disease on caregiver outcomes. Scientific Reports, 12(1), 1–9.
https://doi.org/10.1038/s41598-022-18470-8
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