HSV 524: Case Study Report on Psychopathology and Psychological Assessment

Assessment Brief:

• Topic: psychology
• Document Type: Other
• Subject: Philosophy
• Deadline:*: 12/12/2020
• Number of Words: 6 pages
• Citation/Referencing Style: APA

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For your first 2 case studies, you will be viewing “client videos” using Symptom Media, the link is provided here and in the course. You MUST be logged into Post University’s Library to access the videos. Here is the link https://symptommedia-com.postu.idm.oclc.org/film-library/

You will be required to choose two (2) different mental disorders for the first 2 case study assignments.

For case study 1 you will select a video from Volume 2 using only the DSM 5 videos and not ICD 10.

For case study 2 you will select a video from Volume 1 or 3 using only the DSM 5 videos and not ICD 10.

Please take notes as you would if the individual was sitting in front of you as a client. You are to utilize the data you collect on the client to develop your own case study report (Case Study 1 and Case Study 2), and you will submit the completed case study report template. For all three of your case study reports, you are to use the Case Study Report Template. More information to help is at the bottom of this document.

In Case Study 3, you will acquire DSM 5 clinical information by viewing of a movie of your choice. Based on the information you gather from the movie, you will be asked to complete your third, and most thorough case study report. See the “Case Study Guidelines” document for additional information. Please be sure to select a movie where you believe that a character exhibits symptoms which can lead to a diagnosis.

To give you an idea of how to complete the Case Study Report Template, an intake history and corresponding sample case study reports for a fictitious client, Alan, will be provided.  In addition, be aware that these templates are not complete and do not include scholarly sources.

For your reports, use the DSM-5 for the sections titled:

• Clinical & Personality Disorders and Other Conditions That May Be the Focus of Clinical Attention (DSM 5)
• Clinician Scores from the WHODAS 2.0; (DSM 5 p.747-748)

For the Etiology, Prognosis, and Recommendations sections:

• Include at least a minimum of three scholarly journal sources (total number for all sections)
• Be sure to tie the Etiology and Prognosis sections directly to your client. In other words, do not write a ‘research paper’-like summary. Instead write a 4-6 sentence narrative pointing out how the literature supports your clinical judgment regarding the etiology of the client’s condition and their prognosis for treatment moving forward.
• Include at least five clear, empirically supported interventions within the Recommendations section.

 

YOUR GRADE ON THIS ASSIGNMENT WILL BE DETERMINED BY YOUR ABILITY TO GATHER IMPORTANT DATA FROM YOUR CLIENT, TO CLEARLY OUTLINE ALL CRITERIA OF THE DSM 5 DIAGNOSIS. TO ACCURATELY REFLECT UPON THE ETIOLOGY AND PRGNOSIS OF YOUR INDIVIDUAL CLIENT AND TO PROVIDE DETAILED TREATMENT RECOMMENDATIONS SUPPORTED BY RECENT SCHOLARLY SOURCES.

 

Case Study – Client Diagnostic Report Template

Clinical& Personality Disorders and Other Conditions That  May Be a Focus of Clinical Attention (p. 715 in the DSM-5)

 Diagnostic Information including all DSM-5 information 309.81 (F43.10) Post-traumatic Stress Disorder 311 (F32.9) Unspecified Depressive Disorder

Other Conditions: 708.52 (G47.00) Insomnia Disorder

Post-traumatic Stress Disorder is directly experiencing the traumatic event(s).Witnessing, in person, the event(s) as it occurred to others.Experiencing repeated or extreme exposure to aversive details of the traumatic event(s) (e.g.) Police officers repeatedly exposed to details of the abuse. Recurrent, involuntary, and intrusive distressingmemories of the traumatic event(s) (DSM-5, 2013).

The DSM-5 conditions that prove that officer is suffering from Post-traumatic Stress Disorder, he had been exposed to serious injury as well as sexual violence by directly witnessing these events in person while it occurred to the female victim. Also, the repeated extreme exposure to these traumatic events has resulted in intrusion symptoms that are associated with the traumatic event to the extent he chose to “literally ran away” from a crime in the process wherein he fled the scene of a woman being almost killed by her husband while being burned alive. The police officer was “scared”, which is why he fled the scene and chose to not intervene, which he is legally obligated to do. He suffered from recurring and intrusive memories of the traumatic events he had witnessed, which aroused distressing memories when he sensed a terrible crime was about to occur at the residence where he had witnessed traumatic events multiple times previously.

Regarding the unspecified Depressive Disorder, the officer has stated that he is just tired and run down on two occasions. He has moved into a new place with the mattress on the floor, and it feels empty and cold. The reason for the move is because he and his wife areseparated. His wife has served him with divorce papers.He had been on calls where the kids are scared, the husband either hit or cut the wife. The woman can be pretty abused and the kids. “It’s ugly stuff, it tough. How can somebody do that? I see it. People are sick creatures.” Virgil states that it is detrimental to hold on to the feelings, it is depressing to think about it too much, so I don’t.” Virgil feels that sometimes his profession makes the situation worse and he is not helping the victim. Virgil feels that he missed the fact a husband was psychotic and as a result, the husband set the wife on fire and Virgil sees the wife’s eye melted shut. Virgil also states that his sister died when he was young, and the arrests are ugly.

Insomnia Disorder is another issue that Officer Virgil has, he believes that he cannot sleep because of coffee. Caffeine withdrawal is the reason he had a car accident. However, he has stopped drinking coffee or has cut down on caffeine consumption and still is not sleeping stating that his bed is on the floor and it is uncomfortable. He is taking aspirin for horrible headaches that started while he was drinking coffee. He has stopped drinking coffee and is still having headaches. He also is still suffering from a lack of sleep and feeling tired and run down.

 

 

Clinician Scores from the WHODAS 2.0 – DSM 5 p.747-748
Category	Raw Domain Score	Average Domain Score
Understanding and Communicating	8	0.04
Getting Around	5	1
Self-Care	4	0.8
Getting Along with People	6	1.2
Life Activities – Household	16	3.2
Life Activities – School/Work	4	0.8
Participation in Society	13	2.6
General Disability Score	56

0.06666667

 

Possible Etiology – 4-6 sentences

Virgil’s causes for Posttraumatic Stress Disorder are caused by going through stressful experiences including the amount of severity of trauma that he has gone through in serving the public. Mental health risks, such as family issues, anxiety, and depression. Having a job that increases his risk of being exposed to traumatic events, as being a first responder. He has been exposed to child abuse, sexual violence, physical assaults, being threatened with weapons, and an accident. He has also suffered from a lack of sleep and a broken marriage.

Prognosis – 4-6 Sentences

Police officers have some of the highest rates of Post-traumatic Stress Disorder in any profession, and therefore, the prognosis is that as long as the officer continues to serve his role as a police officer, he will remain susceptible to suffering from PPSD.

Treatment Recommendations

. Some of the treatment recommendation

Cognitive Behavioral Therapy

1. Reduce the negative impact that the traumatic event has had on many aspects of the officer’s life and return to the pre-trauma level of functioning.
2. Develop and implement effective coping skills to carry out normal responsibilities and participate constructively in relationships.
3. Recall the traumatic event without becoming overwhelmed with negative emotions.
4. Terminate the destructive behaviors that serve to maintain escape and denial while implementing behaviors that promote healing, acceptance of past events, and responsible living (Peterson, 1999).
5. A collaborative and cooperative relationship between client and therapist setting an agenda and determining goals for therapy.
6. Homework assignments, including recording thoughts, scheduling specific activities and challenging automatic negative thoughts when they occur.
7. Develop strategies to replace negative avoidance behaviors.
8. Give skills to improve sleep.
9. Teach the client to recognize negative thoughts when they occur and to pay attention to their mood following the thought (Gilliham, 2017).
10. Exercise and medication.

Cognitive processing therapy, and other forms of CBT for prolonged exposure to traumatic scenarios such as those experienced by the police officer.

References

Diagnostic And Statistical Manual of Mental Disorders DSM-5  (2013). American Psychiatric Association

Jongsma, Jr. & Paterson, L. M., The complete Adult Psychotherapy Treatment Plan(2ed.) (1999)

Martin, C. A., McKean, H. E., &Veltkamp, L. J., (1986). Post-traumatic stress disorder in police and working with victims: A pilot study Journal of Police Science & Administration, 14(2), 98-101.

Gillihan, S. J., (2017). 10 Simple Strategies for Applying Cognitive Behavioral Therapy