Diagnostic Skill Application 1

For this assignment, you are provided with two case studies (linked in the Resources): The Case of Jenny: Jenny is a 29-year old single female who lives with her mother. She is bi-sexual, but is not currently dating. Jenny was recently in a relationship with a man, and they lived together briefly. They parted amicably when they just did not seem to be enjoying being together. Jenny moved back in with her mother, Barbara, to allow her boyfriend to take in a roommate to cover her share of the rent. She works as a bank teller and makes a modest income. She felt moving back home would allow her to provide some financial help to her mother. Jenny’s mother raised her as a single parent. Jenny and Barbara have shared many ups and downs over the years. Things were never easy, but they always made it through. Barbara is becoming increasingly concerned that Jenny is giving up on life and needs to snap out of it. The Case of Marisol: Marisol is a 40-year-old single female from a tight-knit Puerto Rican family. She is employed full time as a data analyst for a technology company. She has steadily progressed in her career by working for relatively small companies where her role allowed her to work relatively independently. Unfortunately, working for small organizations was less stable financially, so she has been working for a larger company for the past four years. Interacting with a larger work group has challenged her comfort zone. She prefers to spend time with a network of close friends she has known most of her life, with whom she visits one-on-one. Her family lives in the area, and she sees them frequently. Her parents and older brother have always provided a support system and practical help. She enjoys quiet evenings alone or at the home of her brother and his family. Her friends and family privately wonder why she has never dated or wanted to travel. Download Unit 5 Assignment Template. Use it to complete your assignment. Instructions For each case study, you will complete a descriptive diagnosis using tools you select from the list of assessment tools provided later in the assignment. Each case requires the following information to be addressed: Identify presenting concerns from the client’s perspective as described in the video and accompanying narrative. Include relevant cultural and systemic considerations that frame the client’s presentation. Describe what information is still needed to make a differential diagnosis and evaluate how at least one assessment tool, which is listed in the List of Assessment Tools resource, will aid in obtaining that information. The Differential Diagnosis Decision Tree may be helpful to guide this process. Present DSM-5 and ICD-10 codes, including relevant V and Z codes. Provide a descriptive rationale for the DSM diagnosis that best fits the information provided including relevant ICD codes. This should be written in a narrative form using complete sentences. Support your rationale with scholarly sources. Optional readings found in the course syllabus may be particularly relevant. Determine if a medication consultation is appropriate and provide a rationale with support from scholarly sources. List of Assessment Tools and Supporting Resources Beck, A. T., Epstein, N., Brown, G., & Steer, R. (1988). Beck Anxiety Inventory. Psyctests, doi:10.1037/t02025-000 Bardhoshi, G., Duncan, K., & Erford, B. T. (2016). Psychometric meta‐analysis of the English version of the Beck Anxiety Inventory. Journal of Counseling & Development, 94(3), 356–373. Review this source to review how to interpret the Beck Anxiety Inventory. Derogatis, L. R. (1977). Symptom checklist-90–revised. Psyctests, doi:10.1037/t01210-000 Grande, T. L., Newmeyer, M. D., Underwood, L. A., & Williams, C. R. (2014). Path analysis of the SCL-90-R: Exploring use in outpatient assessment. Measurement and Evaluation in Counseling and Development, 47(4), 271–290. Review this source to review how to interpret the SCL-90-R. Prevatt, F., Dehili, V., Taylor, N., & Marshall, D. (2015). Anxiety Symptom Checklist. Psyctests, doi:10.1037/t39906-000 Beck Depression Inventory–II Erford, B. T., Johnson, E., & Bardoshi, G. (2016). Meta-analysis of the English version of the Beck Depression Inventory–Second edition. Measurement and Evaluation in Counseling and Development, 49(1), 3–33. This resource will help you use the Beck Depression Inventory-II if you access that assessment tool. Scoring Guide Identify the main symptoms observed in case studies including impact of biological and neurological mechanisms. 16% Does not identify the symptoms observed in case studies. Identifies the symptoms observed in case studies, but with errors or omissions. Identifies the main symptoms observed in case studies including impact of biological and neurological mechanisms. Identifies the symptoms observed in case studies; includes the application of a DSM decision tree. Identify the methods used for differential diagnosis in case studies. 14% Does not identify methods used for differential diagnosis of clients. Identifies the methods used for differential diagnosis in case studies, but with errors or omissions. Identifies the methods used for differential diagnosis in case studies. Identifies the methods used for differential diagnosis in case studies; includes the application of a DSM decision tree. Describe the application of specific symptom checklists appropriate to each case. 14% Does not describe the application of specific symptom checklists appropriate to each case. Describes incorrectly or incompletely the application of specific symptom checklists appropriate to each case. Describes the application of specific symptom checklists appropriate to each case. Describes the application of specific symptom checklists appropriate to each case with clear connection to the differential diagnosis. Describe the application of specific assessments relevant to marriage, couple, and family counseling appropriate to each case. 14% Does not describe the application of specific assessments relevant to marriage, couple, and family counseling appropriate to each case. Describes incorrectly or incompletely the application of specific assessments relevant to marriage, couple, and family counseling appropriate to each case. Describes the application of specific assessments relevant to marriage, couple, and family counseling appropriate to each case. Describe the application of specific assessments relevant to marriage, couple, and family counseling appropriate to each case supported by scholarly literature. Apply the current DSM and ICD to the diagnosis of a client seen in family counseling, providing support for diagnostic choices. 14% Does not apply the DSM-5 and ICD system to the diagnosis of a client seen in family counseling. Applies some aspects of the DSM and ICD to the diagnosis of a client seen in family counseling but does not provide support for diagnostic choices. Applies the current DSM and ICD to the diagnosis of a client seen in family counseling, providing support for diagnostic choices. Applies the current DSM and ICD to the diagnosis of a focus client seen in family counseling and an additional family member, and providing support for diagnostic choices. Describe the rationale for appropriate medical referral and consultation. 14% Does not describe the role of psychopharmacological medications for appropriate medical referral and consultation. Identifies but does not describe the ethical and therapeutic impact of diagnostic labels on clients and larger systems. Describes the rationale for appropriate medical referral and consultation. Describes the role of psychopharmacological medications for appropriate medical referral and consultation and incorporates relevant examples. Communicate effectively through the consistent use of APA guidelines for grammar, punctuation, and mechanics expected of a counseling professional. 14% Does not use APA guidelines for grammar, punctuation, and mechanics. Review paper guidelines on page requirements and number of sources required. Unless citing a classic work, aim to cite research articles and texts published within the past 5 years. Optional articles in the course syllabus can be located by entering the title of the article in the search tool Summon found on the main page of the Capella Library. When you finish writing your paper, re-read it to check for errors and make sure your ideas flow well. A helpful tip is to read your paper aloud to yourself. Please submit your papers to turnitin to avoid plagiarism and improve the originality in your writing. Also, remember as a Capella learner you have FREE access through iGuide to personal tutoring services with Smarthinking.com. Presenting Concerns: Case of Jenny Provide a summary of the most relevant symptoms that seem to be causing Jenny the most distress or danger because they deviate from normal and represent dysfunction. Include how these symptoms may have a biological or neurological basis. The Distinguished criterion is, “Identifies the main symptoms observed in people who are experiencing psychological disorders and provides specific examples to support the explanation”. This should be presented in full sentences formatted in a paragraph. Differential Diagnosis: Case of Jenny Summarize how you moved through the process of selecting the diagnoses that are possibilities that need to be considered. Use the appropriate decision tree from the Differential diagnosis by the trees: DSM-5 handbook of differential diagnosis. The Distinguished criterion is, “Identifies the methods used for differential diagnosis in two case studies including the application of a DSM decision tree”. This should be presented in full sentences formatted in a paragraph. Symptom Checklists: Case of Jenny You are encourage to consider the List of Assessment Tools at the end of this docment described in the optional articles listed. The Distinguished criterion is “Describes the application of specific symptom checklists appropriate to each case with clear connection to the differential diagnosis”. Systemic Assessments: Case of Jenny You are encouraged to select an assessment described in Hamilton and Carr (2016) assuming that Jenny presents for treatment with her mother. The Distinguished criterion is “Describe the application of specific assessments relevant to marriage, couple, and family counseling appropriate to each case supported by scholarly literature”. DSM and ICD Diagnosis: Case of Jenny Address the Distinguished criterion, “Applies the current DSM and ICD to the diagnosis of a focus client seen in family counseling and an additional family member, and providing support for diagnostic choices”. List the code for both the current DSM and ICD. A chart listing ICD codes that correspond to DSM can be found at: https://www.psychiatry.org. After you list the diagnosis and applicable V or Z codes that provide a context, explain how you came to decide the diagnosis is appropriate in a paragraph. Medication Referral/Consultation: Case of Jenny Address the Distinguished criterion, “Describes the role of psychopharmacological medications for appropriate medical referral and consultation and incorporates relevant examples”. Describe whether a referral for a medication consultation is appropriate for Jenny specifically. This should be presented in full sentences formatted in a paragraph citing scholarly sources. Presenting Concerns: Case of Marisol Provide a summary of the most relevant symptoms that seem to be causing Marisol the most distress or danger because they deviate from normal and represent dysfunction. Include how these symptoms may have a biological or neurological basis. The Distinguished criterion is, “Identifies the main symptoms observed in people who are experiencing psychological disorders and provides specific examples to support the explanation”. This should be presented in full sentences formatted in a paragraph. Differential Diagnosis: Case of Marisol Summarize how you moved through the process of selecting the diagnoses that are possibilities that need to be considered. Use the appropriate decision tree at from the Differential diagnosis by the trees: DSM-5 handbook of differential diagnosis. The Distinguished criterion is, “Identifies the methods used for differential diagnosis in two case studies including the application of a DSM decision tree”. This should be presented in full sentences formatted in a paragraph. Symptom Checklists: Case of Marisol You are encourage to consider the List of Assessment Tools at the end of this docment described in the optional articles listed. The Distinguished criterion is “Describes the application of specific symptom checklists appropriate to each case with clear connection to the differential diagnosis”. Systemic Assessments: Case of Marisol You are encouraged to select an assessment described in Hamilton and Carr (2016) assuming that Marisol presents for treatment with her brother and parents. The Distinguished criterion is “Describe the application of specific assessments relevant to marriage, couple, and family counseling appropriate to each case supported by scholarly literature”. DSM and ICD Diagnosis: Case of Marisol Address the Distinguished criterion, “Applies the current DSM and ICD to the diagnosis of a focus client seen in family counseling and an additional family member, and providing support for diagnostic choices”. List the code for both the current DSM and ICD. A chart listing ICD codes that correspond to DSM can be found at the APA website listed in the assignment resources. After you list the diagnosis and applicable V or Z codes that provide a context, explain how you came to decide the diagnosis is appropriate in a paragraph. Medication Referral/Consultation: Case of Marisol Address the Distinguished criterion, “Describes the role of psychopharmacological medications for appropriate medical referral and consultation and incorporates relevant examples”. Describe whether a referral for a medication consultation is appropriate for Marisol specifically. This should be presented in full sentences formatted in a paragraph citing scholarly sources. References Hamilton, E., & Carr, A. (2016). Systematic review of Self‐Report family assessment measures. Family Process, 55(1), 16-30. doi:16)10.1111/famp.12200 Resources Resources Diagnostic Skill Application I Scoring Guide. Psychometric Meta‐Analysis of the English Version of the Beck Anxiety Inventory. Writing Feedback Tool. Meta-Analysis of the English Version of the Beck Depression Inventory. American Psychiatric Association. Differential Diagnosis by the Trees. Beck Anxiety Inventory. Path Analysis of the SCL-90-R: Exploring Use in Outpatient Assessment. Anxiety Symptom Checklist. Symptom Checklist-90–Revised.

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