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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.
Explain why it is important to use an interprofessional approach
in treatment. Identity specific professionals you would
recommend for the team, and describe how you might best
utilize or focus their services.
Explain how you would use the client’s family to support
recovery. Include specific behavioral examples.
Select and explain an evidence-based, focused treatment
approach that you might use in your part of the overall
treatment plan.
Explain how culture and diversity influence these disorders.
Consider how gender, age, socioeconomic status, sexual
orientation, and/or ethnicity/race affect the experience of living
with an eating disorder.
You
do not
need to include an APA reference to the DSM-5 in your
response. However, your response should clearly be informed
by the DSM-5, demonstrating an understanding of the risks and
benefits of treatment to the client. You do need to include an
APA reference for the treatment approach and any other
resources you use to support your response.
THe case study is
The Case of Tiana
Intake Date
: August 2019
DEMOGRAPHIC DATA
: This was a voluntary intake for this 16-year-old single African
American female. Tiana lives with her family in New York City,
where she was born. She is currently in the 10th grade. Her dad
works in the garment district and her mom works for a major
hotel as the front desk manager. Tiana has an older brother and
sister and one younger brother.
CHIEF COMPLAINT
: “My mom wanted me to go to therapy. She thinks I should be
more social like my older sister was at this age. I do not agree.
I can handle my life. I am doing fine. My grades are good.”
HISTORY OF PRESENT ILLNESS
: Tiana admitted to throwing up when she overeats several
times per week. She finds herself eating a lot of sweets when
she is under stress and is concerned about gaining weight. She
found websites on the Internet describing ways to keep her
weight down. Tiana reports that she was much heavier when
younger and wants to confirm she doesn’t get like that again.
Her fear of gaining weight contributes to her not engaging in
social interaction with others. If her peers see what she eats,
they may judge her so she chooses not to socialize a lot.
Tiana reported that she is stressed in school trying to get good
grades. She doesn’t want to socialize, it makes her anxious and
she needs to focus on her school. She has attempted to attend
school activities, but they just brought up a lot of anxiety with
all the students looking at each other. She thinks her behavior
and anxiety would be prominent. She did not mind attending
parties as a young child but once she got in her teen years, it
became uncomfortable. Tiana noted that at times over the past
year she has very strange experiences of being overwhelmed
with fear. A couple of times when she tried to attend a social
situation she began sweating and had chest pains and chills.
Reluctantly, Tiana admitted to bingeing to calm her down from
these episodes.
PAST PSYCHIATRIC HISTORY
: Tiana denies any history of psychiatric problems in the past.
Tiana denies any alcohol or drug use.
MEDICAL HISTORY:
Tiana is allergic to penicillin and has a lactose intolerance. She
wears glasses for reading.
PSYCHOSOCIAL AND DEVELOPMENTAL HISTORY
: Tiana’s parents were married when her mother was 19-years-
old. Tiana’s sister was born the following year. Two years
later, her brother was born. Tiana was born one year after that,
then 4 years later her younger brother was born. Tiana reports
her mother started worrying about her when she began high
school. Tiana’s mother said that Tiana began isolating. Tiana
states she “adores her father” because he was never the
disciplinarian.
Tiana reports that when she was in junior high school, her
maternal aunt, who was dying of cancer, came to live with the
family and this was very stressful for the family. Tiana reports
she was always an above-average student. She said she was
always very focused on school and wants to get into a good
college. She is concerned that she may move away to college
and would have to connect with people she does not know. This
thought builds anxiety in her.
Currently, Tiana is friendly with a student that sits next to her
in chemistry class. She does not talk much about herself since
she does not want her classmate to know of her behaviors.
Tiana works during summer vacation in the library. She does
not have to interact with many people in her work so this makes
her comfortable. Tiana also babysits.
MENTAL STATUS EXAMINATION
: Tiana presented as a slightly overweight, somewhat
disheveled, African-American female. She was anxious during
the interview. Her facial expression was mobile. Her affect
during the initial interview was constricted and her mood
dysphoric. Tiana’s speech was normal. Her thinking was
logical. Tiana denied hallucinations. She denied suicidal and
homicidal ideation.
Tiana was oriented to person, place, and time. Her fund of
knowledge was excellent for her age. Tiana was able to
calculate serial sevens easily and accurately. Tiana repeated 7
digits forward and 3 in reverse. Her recent and remote memory
was intact, and she recalled 3 items after five minutes. Tiana
was able to give appropriate interpretations for 3 of 3 proverbs.
Her social and personal judgment was appropriate. When asked
how she sees herself in 5 years, Tiana replied, “Hopefully
graduating from college .” If Tiana could change something
about herself, she would “try to be more comfortable around
people

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a 300- to 500-word response in which you address the following.docx

  • 1. 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. Explain why it is important to use an interprofessional approach in treatment. Identity specific professionals you would recommend for the team, and describe how you might best utilize or focus their services. Explain how you would use the client’s family to support recovery. Include specific behavioral examples. Select and explain an evidence-based, focused treatment approach that you might use in your part of the overall treatment plan. Explain how culture and diversity influence these disorders. Consider how gender, age, socioeconomic status, sexual orientation, and/or ethnicity/race affect the experience of living with an eating disorder. You
  • 2. do not need to include an APA reference to the DSM-5 in your response. However, your response should clearly be informed by the DSM-5, demonstrating an understanding of the risks and benefits of treatment to the client. You do need to include an APA reference for the treatment approach and any other resources you use to support your response. THe case study is The Case of Tiana Intake Date : August 2019 DEMOGRAPHIC DATA : This was a voluntary intake for this 16-year-old single African American female. Tiana lives with her family in New York City, where she was born. She is currently in the 10th grade. Her dad works in the garment district and her mom works for a major hotel as the front desk manager. Tiana has an older brother and sister and one younger brother. CHIEF COMPLAINT : “My mom wanted me to go to therapy. She thinks I should be more social like my older sister was at this age. I do not agree. I can handle my life. I am doing fine. My grades are good.” HISTORY OF PRESENT ILLNESS : Tiana admitted to throwing up when she overeats several
  • 3. times per week. She finds herself eating a lot of sweets when she is under stress and is concerned about gaining weight. She found websites on the Internet describing ways to keep her weight down. Tiana reports that she was much heavier when younger and wants to confirm she doesn’t get like that again. Her fear of gaining weight contributes to her not engaging in social interaction with others. If her peers see what she eats, they may judge her so she chooses not to socialize a lot. Tiana reported that she is stressed in school trying to get good grades. She doesn’t want to socialize, it makes her anxious and she needs to focus on her school. She has attempted to attend school activities, but they just brought up a lot of anxiety with all the students looking at each other. She thinks her behavior and anxiety would be prominent. She did not mind attending parties as a young child but once she got in her teen years, it became uncomfortable. Tiana noted that at times over the past year she has very strange experiences of being overwhelmed with fear. A couple of times when she tried to attend a social situation she began sweating and had chest pains and chills. Reluctantly, Tiana admitted to bingeing to calm her down from these episodes. PAST PSYCHIATRIC HISTORY : Tiana denies any history of psychiatric problems in the past. Tiana denies any alcohol or drug use. MEDICAL HISTORY: Tiana is allergic to penicillin and has a lactose intolerance. She wears glasses for reading. PSYCHOSOCIAL AND DEVELOPMENTAL HISTORY : Tiana’s parents were married when her mother was 19-years- old. Tiana’s sister was born the following year. Two years later, her brother was born. Tiana was born one year after that, then 4 years later her younger brother was born. Tiana reports
  • 4. her mother started worrying about her when she began high school. Tiana’s mother said that Tiana began isolating. Tiana states she “adores her father” because he was never the disciplinarian. Tiana reports that when she was in junior high school, her maternal aunt, who was dying of cancer, came to live with the family and this was very stressful for the family. Tiana reports she was always an above-average student. She said she was always very focused on school and wants to get into a good college. She is concerned that she may move away to college and would have to connect with people she does not know. This thought builds anxiety in her. Currently, Tiana is friendly with a student that sits next to her in chemistry class. She does not talk much about herself since she does not want her classmate to know of her behaviors. Tiana works during summer vacation in the library. She does not have to interact with many people in her work so this makes her comfortable. Tiana also babysits. MENTAL STATUS EXAMINATION : Tiana presented as a slightly overweight, somewhat disheveled, African-American female. She was anxious during the interview. Her facial expression was mobile. Her affect during the initial interview was constricted and her mood dysphoric. Tiana’s speech was normal. Her thinking was logical. Tiana denied hallucinations. She denied suicidal and homicidal ideation. Tiana was oriented to person, place, and time. Her fund of knowledge was excellent for her age. Tiana was able to calculate serial sevens easily and accurately. Tiana repeated 7 digits forward and 3 in reverse. Her recent and remote memory was intact, and she recalled 3 items after five minutes. Tiana was able to give appropriate interpretations for 3 of 3 proverbs.
  • 5. Her social and personal judgment was appropriate. When asked how she sees herself in 5 years, Tiana replied, “Hopefully graduating from college .” If Tiana could change something about herself, she would “try to be more comfortable around people