Respond to at least two colleagues by explaining how they could use .docxcarlstromcurtis
Respond to at least two colleagues by explaining how they could use strategies to advocate for a client with a somatic symptom disorder given the reasons for advocacy they described.
Colleague 1: Brooke
Somatic symptom disorders are mental disorders that manifest with physical symptoms that are not always clear to explain with medical diagnosis (APA, 2013). One specific example of such a disorder is the Illness Anxiety Disorder (F45.21). This disorder is diagnosed when there is a pervasive and impacting preoccupation with having a serious medical condition in circumstances when no predisposition or existing symptomatology indicate there should be medical concern (APA, 2013). The diagnosed individual will exhibit heightened anxiety regarding their perceived condition. Furthermore, the diagnosis is classified as either “care-seeking type,” whereby the individual frequently seeks out medical guidance from professionals or “care-avoidant type: whereby the individual avoids medical care despite their ongoing concerns (APA, 2013).
This can present a unique challenge for guiding professionals, as the client is potentially in need of both medical and mental health care. Therefore, a biopsychosocial assessment is recommended to gain the most thorough, comprehensive picture of the client and their current set of circumstances. This multi aspect evaluation serves to understand the biological, or physical, contributors to the individual’s somatic diagnosis, while also delving into their perceptions and beliefs (psychological) and their social environment and experiences. When this information is gathered from these varied perspectives, intervention can be designed to target specific areas of need, with the understanding that medical care may be required, concurrently, with mental health support (Dimsdale, Patel, Xin and Kleinman, 2007).
Because of the complexity of such diagnoses, a multidisciplinary approach is deemed most effective when working with such clients. Because of the psychological involvement in this disorder, psychotherapy aimed at modifying existing thought patterns would be considered sound practice (Kirmayer and Sartorius, 2007). To expand, cognitive behavioral therapy (CBT) can be applied, increasing the client's awareness of their current thought patterns, possible triggers and strategies to combat negative thinking. Additionally, the prescription of medication to address the co-occurring anxiety or other resulting physical symptoms would be provided by a medical professional, such as a psychiatrist. This approach, widely accepted, allows for the client’s case to be viewed through different lenses.
While there is certainly significant validity in approaching such cases through a multidisciplinary team, the professionals required to ensure this effective intervention all have to be “on board.” This may require advocacy on the part of a social worker to convey the importance of employing this approach. It can b ...
AssignmentWrite a Respond to two of these #1&2 case studies.docxnormanibarber20063
Assignment:
Write a Respond to two of these #1&2 case studies using one or more of the following approaches:
Share additional interview and communication techniques that could be effective with your colleague’s selected patient.
Suggest additional health-related risks that might be considered.
Validate an idea with your own experience and additional research.
Each must have at least 2 references no more than 5 years old using APA Format
Response # 1
“The case of physician do not heal thyself”
Three questions I will ask the patient on a visit to my office and rationale thereof.
Major depressive disorder (MDD) is defined as “feelings of sadness and/or a loss of interest in activities once enjoyed. It can lead to a variety of emotional and physical problems and can decrease a person’s ability to function at work and at home” and it is one of the most common reasons patients present for medical care worldwide (McConnell, Carter & Patterson, 2019). Childhood traumatic experiences, including physical, sexual, and emotional abuse, neglect, and separation from caregivers, they posit significantly increase the risk of developing mental and physical illnesses later in life.
NO .1
Have you had any thoughts of death or suicide before? Are you having them now? And do you have a current plan to harm or kill yourself? What are the details of that plan?
McConnell,et .al, (2019) posit that clients with MDD often presents with feeling sad or depressed; lack of interest or pleasure in previously enjoyed activities; appetite changes (unintentional weight loss or gain); sleep difficulty (too much or little); lack of energy (fatigue); feeling of guiltiness or worthlessness; moving more slowly or pacing (others observe); difficulty with decision-making, concentration, and thinking; and/or suicidal thoughts.
Patient safety remains a central concern in every healthcare setting (Smith,2018). This patient did report several feelings of Suicide Ideation and Homicidal ideation so patients’ safety should be priority. Although the welfare of patients encompasses a broad range of concerns, the increasing prevalence of suicide in our society compels health care workers to ensure a safe healthcare environment for patients with suicidal ideation. These efforts include the elimination or, at least, the mitigation of physical setting characteristics that enable suicide attempts.
No 2.
Are you depressed? How does this problem make you feel? What makes the problem better?
According to DSM-5 (2013) diagnostic criteria, MDD requires five or more of the following symptoms during the same two-week period and represent a change from previous functioning; at least one symptom is either 1) depressed mood or 2) loss of interest or pleasure (American Psychiatric Association [APA], 2013).
According to the patient’s file, he has experienced five or more of the symptoms of MDD during the same two-week period, on more than one occasion, incl.
Respond to at least two colleagues by explaining how they could use .docxcarlstromcurtis
Respond to at least two colleagues by explaining how they could use strategies to advocate for a client with a somatic symptom disorder given the reasons for advocacy they described.
Colleague 1: Brooke
Somatic symptom disorders are mental disorders that manifest with physical symptoms that are not always clear to explain with medical diagnosis (APA, 2013). One specific example of such a disorder is the Illness Anxiety Disorder (F45.21). This disorder is diagnosed when there is a pervasive and impacting preoccupation with having a serious medical condition in circumstances when no predisposition or existing symptomatology indicate there should be medical concern (APA, 2013). The diagnosed individual will exhibit heightened anxiety regarding their perceived condition. Furthermore, the diagnosis is classified as either “care-seeking type,” whereby the individual frequently seeks out medical guidance from professionals or “care-avoidant type: whereby the individual avoids medical care despite their ongoing concerns (APA, 2013).
This can present a unique challenge for guiding professionals, as the client is potentially in need of both medical and mental health care. Therefore, a biopsychosocial assessment is recommended to gain the most thorough, comprehensive picture of the client and their current set of circumstances. This multi aspect evaluation serves to understand the biological, or physical, contributors to the individual’s somatic diagnosis, while also delving into their perceptions and beliefs (psychological) and their social environment and experiences. When this information is gathered from these varied perspectives, intervention can be designed to target specific areas of need, with the understanding that medical care may be required, concurrently, with mental health support (Dimsdale, Patel, Xin and Kleinman, 2007).
Because of the complexity of such diagnoses, a multidisciplinary approach is deemed most effective when working with such clients. Because of the psychological involvement in this disorder, psychotherapy aimed at modifying existing thought patterns would be considered sound practice (Kirmayer and Sartorius, 2007). To expand, cognitive behavioral therapy (CBT) can be applied, increasing the client's awareness of their current thought patterns, possible triggers and strategies to combat negative thinking. Additionally, the prescription of medication to address the co-occurring anxiety or other resulting physical symptoms would be provided by a medical professional, such as a psychiatrist. This approach, widely accepted, allows for the client’s case to be viewed through different lenses.
While there is certainly significant validity in approaching such cases through a multidisciplinary team, the professionals required to ensure this effective intervention all have to be “on board.” This may require advocacy on the part of a social worker to convey the importance of employing this approach. It can b ...
AssignmentWrite a Respond to two of these #1&2 case studies.docxnormanibarber20063
Assignment:
Write a Respond to two of these #1&2 case studies using one or more of the following approaches:
Share additional interview and communication techniques that could be effective with your colleague’s selected patient.
Suggest additional health-related risks that might be considered.
Validate an idea with your own experience and additional research.
Each must have at least 2 references no more than 5 years old using APA Format
Response # 1
“The case of physician do not heal thyself”
Three questions I will ask the patient on a visit to my office and rationale thereof.
Major depressive disorder (MDD) is defined as “feelings of sadness and/or a loss of interest in activities once enjoyed. It can lead to a variety of emotional and physical problems and can decrease a person’s ability to function at work and at home” and it is one of the most common reasons patients present for medical care worldwide (McConnell, Carter & Patterson, 2019). Childhood traumatic experiences, including physical, sexual, and emotional abuse, neglect, and separation from caregivers, they posit significantly increase the risk of developing mental and physical illnesses later in life.
NO .1
Have you had any thoughts of death or suicide before? Are you having them now? And do you have a current plan to harm or kill yourself? What are the details of that plan?
McConnell,et .al, (2019) posit that clients with MDD often presents with feeling sad or depressed; lack of interest or pleasure in previously enjoyed activities; appetite changes (unintentional weight loss or gain); sleep difficulty (too much or little); lack of energy (fatigue); feeling of guiltiness or worthlessness; moving more slowly or pacing (others observe); difficulty with decision-making, concentration, and thinking; and/or suicidal thoughts.
Patient safety remains a central concern in every healthcare setting (Smith,2018). This patient did report several feelings of Suicide Ideation and Homicidal ideation so patients’ safety should be priority. Although the welfare of patients encompasses a broad range of concerns, the increasing prevalence of suicide in our society compels health care workers to ensure a safe healthcare environment for patients with suicidal ideation. These efforts include the elimination or, at least, the mitigation of physical setting characteristics that enable suicide attempts.
No 2.
Are you depressed? How does this problem make you feel? What makes the problem better?
According to DSM-5 (2013) diagnostic criteria, MDD requires five or more of the following symptoms during the same two-week period and represent a change from previous functioning; at least one symptom is either 1) depressed mood or 2) loss of interest or pleasure (American Psychiatric Association [APA], 2013).
According to the patient’s file, he has experienced five or more of the symptoms of MDD during the same two-week period, on more than one occasion, incl.
Provide the reference for the study you found using APA guidelinespearlenehodge
Provide the reference for the study you found using APA guidelines. Be sure to provide a link to the article.
Habigzang, L. F., Aimèe Schneider, J., Petroli Frizzo, R., & Pinto Pizarro de Freitas, C. (2018). Evaluation of the impact of a cognitive-behavioral intervention for women in domestic violence situations in Brazil. Universitas Psychologica, 17(3), 52-62.
Stallard, P. (2022). Evidence-based practice in cognitive–behavioral therapy. Archives of Disease in Childhood, 107(2), 109-113
Identify the therapy that you chose.
I chose Cognitive Behavioral Therapy and its application in Ella’s case study. CBT focuses on identifying the root causes of harmful behavior. This therapeutic approach aims to identify the various biases brought about by these unhelpful methods of thinking and find ways to deal with the issues the patient is facing (Stallard, 2022).
Briefly paraphrase, in 2–3 sentences, the methodological context (i.e., research method, how data was collected, and the instruments used) of the study and the findings.
Habigzang et al. (2018) did a study to evaluate CBT’s impact on survivors of domestic violence in Brazil. As one of the ways to assist these survivors, the researchers utilized CBT to help these women, who were also dealing with psychiatric disorders such as PTSD, anxiety disorders, and substance abuse as a result of domestic abuse. CBT was used to negate the impacts of the violence. The researchers utilized the Mindfulness-Based Stress Reduction (MBSR) technique to assess the effects of CBT on the sample to determine the effectiveness of the treatment approach (Habigzang et al., 2018). They performed a pre-test evaluation, which was followed by the use of CBT, and then a post-test evaluation on 11 participants. The study initially had 120 participants, but several participants were ineligible for the study due to inconsistent attending sessions and cognitive hindrances. The study identified that CBT was very effective in helping the clients to deal with the psychological effects of the abuse (Habigzang et al., 2018).
Explain how the findings are applicable or appropriate for the client in your case study.
Cognitive Behavioral Therapy can be beneficial to Ella. It can help Ella deal with the post-traumatic stress disorder she may be dealing with due to the verbal, psychological, and physical abuse she has dealt with in the past (Stallard, 2022). According to the report, she has begun exhibiting signs of acute distress and trauma, which could be signs of PTSD. CBT can be beneficial in helping Ella deal with this PTSD and helping her learn to cope with the past traumas she has experienced.
Determine whether you would use or not use the therapy you selected for the client in your selected case study (consider how culturally relevant it is, how aligned it is with social work ethics, etc.) and explain why.
While working with Ella, I would use cognitive behavioral therapy as one of the treatment approaches. This i ...
AssignmentRead a selection of your colleagues responses..docxnormanibarber20063
Assignment:
Read
a selection of your colleagues' responses.
Respond
to at least
two
of your colleagues by comparing your assessment tool to theirs. APA Format with at least two references in each responses no more than five years old
Response Post #1
Main Post - Brief Psychiatric Rating Scale
Week 2 Discussion - Assessment and Diagnosis in Psychotherapy
Main Post
Assessment Tools
It is paramount as health care professionals to be skillful in assessing clients to be able to diagnose, plan, and produce optimal care yielding full or partial recovery of the clients. Various assessment and measuring tools are available for mental health providers to help measure illness, diagnose clients, and measure a client’s response to treatment that will help supplement data obtained from the clinical interview. Though assessments usually span the entire treatment cycle, a thoughtfully constructed initial intake meeting can be a great tool to establish and reinforce the required therapeutic alliances between client and therapist, provide reassurance, ease anxiety, and enhance information gathering process required for an accurate diagnosis and suitable treatment plan (Wheeler, 2014).
Brief Psychiatric Rating Scale
The Brief Psychiatric Rating Scale (BPRS) was developed in the sixties. It is still one of the most popular behavioral rating scales/instruments use today by clinicians to quickly gather information about the possible presence and severity of various psychiatric symptoms and to assess changes in symptoms in response to medications (Zanello et al., 2013). Originally, the BPRS was a 16-item scale, it was later extended to the standard 18-item version and currently expanded to a 24-item scale to measure additional aspects of schizophrenia symptoms thereby increasing its sensitivity to psychotic and affective disorders and to be used for patients living in the community (Shafer et al., 2017).
The 18-item BPRS assess the following symptoms: somatic concern, anxiety, emotional withdrawal, conceptual disorganization, guilt feelings, tension, mannerisms and posturing, grandiosity, depressive mood, hostility, suspiciousness, hallucinatory behavior, motor retardation, uncooperativeness, unusual thought content, blunted affect, excitement, and disorientation (Yee et al., 2017). The manual of administration of the 24-item BPRS offers a more detailed semi-structured interview with more probe questions for each symptom, and providing supplementary rules for the rating (e.g., delusions) including a well-defined anchor point (Zanello et al., 2013). The recent analysis of the 24-item BPRS produced a four-factor solution: Negative Symptoms, Positive Symptoms, Manic-hostility, and Anxiety–Depression (Zanello et al., 2013). The current BPRS is rated on a seven-point Likert-type scale. A rating of “1” indicates the absence of symptoms, ratings of “2–3” indicate “very mild” to “mild” symptoms that are considered to have nonpathological inte.
Reply to Comment· Collapse SubdiscussionEmilia EgwimEmil.docxlillie234567
Reply to Comment
·
Collapse SubdiscussionEmilia Egwim
Emilia Egwim
8:33amDec 21 at 8:33am
Manage Discussion Entry
Discussion for Comprehensive Focused Soap Psychiatric Evaluation
Hello Lovelyne
Great presentation; I really enjoy reading your presentation about your patient Joey which is very informative. Autism Spectrum disorder is a neurodevelopmental disorder that is associated with tenacious predicaments in social communication and interaction in addition with limited, continual model of behaviors. According to study by Fitzpatrick et al; indicated that aggression behavior are noted to be increased in individual with ASD than when compared with other neurodevelopmental impairments (2016). This aggressive behavioral issues has been indicated by studies to relate with obstructive consequences for children diagnosed with ASD and their care providers resulting in reduced quality of life, heightened stress levels and decreased accessibility of educational and social adaptation/acceptance. Studies indicated that establishing effective therapeutic and pharmacological intervention approach for treatment as well as preventing aggressive behavior is imperative for reaching to better outcomes for individual with ASD. The patient in this case presentation had history of ASD and endorses aggression and self-injuries behaviors which have been indicated by various studies to associated with ASD and other manifestation including hyperactive, impulsive, inattentive behavior, unusual mood or emotional reaction.
To answer your question “
Is Risperidone FDA approved for patients with Autism”
Based on various studies, Risperidone and aripiprazole are approved by FDA and recommended for treatment of schizophrenia and bipolar for adult and adolescent including children with Autism Spectrum disorder around age 5 to 16 years. The Risperidone an antipsychotic medication was recommended to treat the aggression, irritability and mood swings associated with ASD. According to study; Risperidone has been effecting in treating symptoms of aggression and irritability between the age of 5 and 6 years distinctly that is associated with ASD, however, there’s no FDA approved medication for treatment of core sign and symptoms of ASD (Alayouf et al, 2021). There have been several controversy surrounding the use of Risperidone in which several clinician trials conducted reported that the medication was effective for the agitation, aggression and irritability often observed in autism patient, but was less effective in treating the core symptoms of Autism and other argument including the undesirable side effects that are associated with the medication and most significant of which is weight gain from an increased appetite. Other several medication as well as off-label prescription has been indicated to be effective such as treatment with SSRIs, CNS stimulants, NMDA-receptor antagonists, and including other agents (LeClerc & Easley, 2015). I completely agree with th.
FINANCIAL ANALYSIS REPORT 2
Decision Tree: Personality Disorders
Frank Jones
Sam’s University
Nurs 3333: PMHNP Role IV
Dr. Joe Mark
October 20 , 2010
Running head: DECISION TREE 1
DECISION TREE 6
Decision Tree: Personality Disorders
As described by the American Psychiatric Association (APA) (2013), ‘‘personality disorder is an enduring pattern of inner experience and behavior that deviates markedly from the expectations of the individual’s culture, is pervasive and inflexible, has an onset in adolescence or early adulthood, is stable over time, and leads to distress or impairment’’. There are different types of personality disorders classified into three clusters. Cluster A individuals are described as the odd or eccentric, cluster B as the dramatic, emotional, or erratic and cluster C as the anxious or fearful. The purpose of this paper is to discuss the case study of a young woman with personality disorder. This paper will explore threes decisions relating to differential diagnosis, psychotherapy and psychopharmacology based on the presented clinical manifestations.
Decision One
The clinical manifestation presented in the case study are indicative of more than one personality disorder, specifically borderline personality disorder (BPD) and antisocial personality disorder (ASPD). Patients exhibits a fear of abandonment which aligns with BPD. The patient mentioned an interpersonal relationship involvement which she exhibited idolization for the man of her interest, and now is devaluing the man. This is also evident in BPD as outlined by diagnostic criteria set forth by the APA (2013).
My diagnosis for this patient is ASPD, because the client exhibits clinical manifestations of ASPD than BPD. One of the reasons that led me to the diagnosis of ASPD is the client’s lack of remorse. The client stole from a friend, instead of being sorry, client’s blames friend instead. Client exhibits lack of respect for social norm and failure to comply with the law as evidenced by more than one record of arrest. The client fails to upholding financial obligation and is deceitful. Client shows irresponsibility evidenced by inability to keep a job. These presentations are evident in clients with ASPD as outlined in the DSM-5.
The two personality disorders which are classified as cluster B personality disorders by the APA (2013) have clinical manifestations which overlap, thus needs to be ruled out as differential diagnoses for each other. As described on the DSM-5 diagnostic criteria, BPD and ASD have similar features of impulsivity, aggression and manipulative behaviors, which client exhibits in the case study. The differing manifes ...
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Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Provide the reference for the study you found using APA guidelinespearlenehodge
Provide the reference for the study you found using APA guidelines. Be sure to provide a link to the article.
Habigzang, L. F., Aimèe Schneider, J., Petroli Frizzo, R., & Pinto Pizarro de Freitas, C. (2018). Evaluation of the impact of a cognitive-behavioral intervention for women in domestic violence situations in Brazil. Universitas Psychologica, 17(3), 52-62.
Stallard, P. (2022). Evidence-based practice in cognitive–behavioral therapy. Archives of Disease in Childhood, 107(2), 109-113
Identify the therapy that you chose.
I chose Cognitive Behavioral Therapy and its application in Ella’s case study. CBT focuses on identifying the root causes of harmful behavior. This therapeutic approach aims to identify the various biases brought about by these unhelpful methods of thinking and find ways to deal with the issues the patient is facing (Stallard, 2022).
Briefly paraphrase, in 2–3 sentences, the methodological context (i.e., research method, how data was collected, and the instruments used) of the study and the findings.
Habigzang et al. (2018) did a study to evaluate CBT’s impact on survivors of domestic violence in Brazil. As one of the ways to assist these survivors, the researchers utilized CBT to help these women, who were also dealing with psychiatric disorders such as PTSD, anxiety disorders, and substance abuse as a result of domestic abuse. CBT was used to negate the impacts of the violence. The researchers utilized the Mindfulness-Based Stress Reduction (MBSR) technique to assess the effects of CBT on the sample to determine the effectiveness of the treatment approach (Habigzang et al., 2018). They performed a pre-test evaluation, which was followed by the use of CBT, and then a post-test evaluation on 11 participants. The study initially had 120 participants, but several participants were ineligible for the study due to inconsistent attending sessions and cognitive hindrances. The study identified that CBT was very effective in helping the clients to deal with the psychological effects of the abuse (Habigzang et al., 2018).
Explain how the findings are applicable or appropriate for the client in your case study.
Cognitive Behavioral Therapy can be beneficial to Ella. It can help Ella deal with the post-traumatic stress disorder she may be dealing with due to the verbal, psychological, and physical abuse she has dealt with in the past (Stallard, 2022). According to the report, she has begun exhibiting signs of acute distress and trauma, which could be signs of PTSD. CBT can be beneficial in helping Ella deal with this PTSD and helping her learn to cope with the past traumas she has experienced.
Determine whether you would use or not use the therapy you selected for the client in your selected case study (consider how culturally relevant it is, how aligned it is with social work ethics, etc.) and explain why.
While working with Ella, I would use cognitive behavioral therapy as one of the treatment approaches. This i ...
AssignmentRead a selection of your colleagues responses..docxnormanibarber20063
Assignment:
Read
a selection of your colleagues' responses.
Respond
to at least
two
of your colleagues by comparing your assessment tool to theirs. APA Format with at least two references in each responses no more than five years old
Response Post #1
Main Post - Brief Psychiatric Rating Scale
Week 2 Discussion - Assessment and Diagnosis in Psychotherapy
Main Post
Assessment Tools
It is paramount as health care professionals to be skillful in assessing clients to be able to diagnose, plan, and produce optimal care yielding full or partial recovery of the clients. Various assessment and measuring tools are available for mental health providers to help measure illness, diagnose clients, and measure a client’s response to treatment that will help supplement data obtained from the clinical interview. Though assessments usually span the entire treatment cycle, a thoughtfully constructed initial intake meeting can be a great tool to establish and reinforce the required therapeutic alliances between client and therapist, provide reassurance, ease anxiety, and enhance information gathering process required for an accurate diagnosis and suitable treatment plan (Wheeler, 2014).
Brief Psychiatric Rating Scale
The Brief Psychiatric Rating Scale (BPRS) was developed in the sixties. It is still one of the most popular behavioral rating scales/instruments use today by clinicians to quickly gather information about the possible presence and severity of various psychiatric symptoms and to assess changes in symptoms in response to medications (Zanello et al., 2013). Originally, the BPRS was a 16-item scale, it was later extended to the standard 18-item version and currently expanded to a 24-item scale to measure additional aspects of schizophrenia symptoms thereby increasing its sensitivity to psychotic and affective disorders and to be used for patients living in the community (Shafer et al., 2017).
The 18-item BPRS assess the following symptoms: somatic concern, anxiety, emotional withdrawal, conceptual disorganization, guilt feelings, tension, mannerisms and posturing, grandiosity, depressive mood, hostility, suspiciousness, hallucinatory behavior, motor retardation, uncooperativeness, unusual thought content, blunted affect, excitement, and disorientation (Yee et al., 2017). The manual of administration of the 24-item BPRS offers a more detailed semi-structured interview with more probe questions for each symptom, and providing supplementary rules for the rating (e.g., delusions) including a well-defined anchor point (Zanello et al., 2013). The recent analysis of the 24-item BPRS produced a four-factor solution: Negative Symptoms, Positive Symptoms, Manic-hostility, and Anxiety–Depression (Zanello et al., 2013). The current BPRS is rated on a seven-point Likert-type scale. A rating of “1” indicates the absence of symptoms, ratings of “2–3” indicate “very mild” to “mild” symptoms that are considered to have nonpathological inte.
Reply to Comment· Collapse SubdiscussionEmilia EgwimEmil.docxlillie234567
Reply to Comment
·
Collapse SubdiscussionEmilia Egwim
Emilia Egwim
8:33amDec 21 at 8:33am
Manage Discussion Entry
Discussion for Comprehensive Focused Soap Psychiatric Evaluation
Hello Lovelyne
Great presentation; I really enjoy reading your presentation about your patient Joey which is very informative. Autism Spectrum disorder is a neurodevelopmental disorder that is associated with tenacious predicaments in social communication and interaction in addition with limited, continual model of behaviors. According to study by Fitzpatrick et al; indicated that aggression behavior are noted to be increased in individual with ASD than when compared with other neurodevelopmental impairments (2016). This aggressive behavioral issues has been indicated by studies to relate with obstructive consequences for children diagnosed with ASD and their care providers resulting in reduced quality of life, heightened stress levels and decreased accessibility of educational and social adaptation/acceptance. Studies indicated that establishing effective therapeutic and pharmacological intervention approach for treatment as well as preventing aggressive behavior is imperative for reaching to better outcomes for individual with ASD. The patient in this case presentation had history of ASD and endorses aggression and self-injuries behaviors which have been indicated by various studies to associated with ASD and other manifestation including hyperactive, impulsive, inattentive behavior, unusual mood or emotional reaction.
To answer your question “
Is Risperidone FDA approved for patients with Autism”
Based on various studies, Risperidone and aripiprazole are approved by FDA and recommended for treatment of schizophrenia and bipolar for adult and adolescent including children with Autism Spectrum disorder around age 5 to 16 years. The Risperidone an antipsychotic medication was recommended to treat the aggression, irritability and mood swings associated with ASD. According to study; Risperidone has been effecting in treating symptoms of aggression and irritability between the age of 5 and 6 years distinctly that is associated with ASD, however, there’s no FDA approved medication for treatment of core sign and symptoms of ASD (Alayouf et al, 2021). There have been several controversy surrounding the use of Risperidone in which several clinician trials conducted reported that the medication was effective for the agitation, aggression and irritability often observed in autism patient, but was less effective in treating the core symptoms of Autism and other argument including the undesirable side effects that are associated with the medication and most significant of which is weight gain from an increased appetite. Other several medication as well as off-label prescription has been indicated to be effective such as treatment with SSRIs, CNS stimulants, NMDA-receptor antagonists, and including other agents (LeClerc & Easley, 2015). I completely agree with th.
FINANCIAL ANALYSIS REPORT 2
Decision Tree: Personality Disorders
Frank Jones
Sam’s University
Nurs 3333: PMHNP Role IV
Dr. Joe Mark
October 20 , 2010
Running head: DECISION TREE 1
DECISION TREE 6
Decision Tree: Personality Disorders
As described by the American Psychiatric Association (APA) (2013), ‘‘personality disorder is an enduring pattern of inner experience and behavior that deviates markedly from the expectations of the individual’s culture, is pervasive and inflexible, has an onset in adolescence or early adulthood, is stable over time, and leads to distress or impairment’’. There are different types of personality disorders classified into three clusters. Cluster A individuals are described as the odd or eccentric, cluster B as the dramatic, emotional, or erratic and cluster C as the anxious or fearful. The purpose of this paper is to discuss the case study of a young woman with personality disorder. This paper will explore threes decisions relating to differential diagnosis, psychotherapy and psychopharmacology based on the presented clinical manifestations.
Decision One
The clinical manifestation presented in the case study are indicative of more than one personality disorder, specifically borderline personality disorder (BPD) and antisocial personality disorder (ASPD). Patients exhibits a fear of abandonment which aligns with BPD. The patient mentioned an interpersonal relationship involvement which she exhibited idolization for the man of her interest, and now is devaluing the man. This is also evident in BPD as outlined by diagnostic criteria set forth by the APA (2013).
My diagnosis for this patient is ASPD, because the client exhibits clinical manifestations of ASPD than BPD. One of the reasons that led me to the diagnosis of ASPD is the client’s lack of remorse. The client stole from a friend, instead of being sorry, client’s blames friend instead. Client exhibits lack of respect for social norm and failure to comply with the law as evidenced by more than one record of arrest. The client fails to upholding financial obligation and is deceitful. Client shows irresponsibility evidenced by inability to keep a job. These presentations are evident in clients with ASPD as outlined in the DSM-5.
The two personality disorders which are classified as cluster B personality disorders by the APA (2013) have clinical manifestations which overlap, thus needs to be ruled out as differential diagnoses for each other. As described on the DSM-5 diagnostic criteria, BPD and ASD have similar features of impulsivity, aggression and manipulative behaviors, which client exhibits in the case study. The differing manifes ...
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Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
2. Case
Description
33 year-old
female
LGBTQ+ (bisexual)
yoga instructor and part-time worker
history of childhood abuse - sexual assault,
domestic violence
brother died by suicide 3 years ago
abusive ex partners - caregiver of one of them
who was paralyzed
self-referred
seeking help for psychosocial symptoms
including communication issues, relationship
difficulties, stress, depression, and anxiety
Miley
3. Engagement
Mental Status Exam & Intake
Behavior - engaged and
cooperative; poor eye
contact
Affect - Constricted
Speech - Expansive,
pressured, hyperverbal
Appearance - clean,
well groomed
Orientation - oriented
to person, time and
place
Mood - anxious and
depressed
Appetite - decreased and
binging; health conscious
Judgement - good but
confused thoughts as
well as symptoms
Suicidality - none
Insight - lacks insight
but aware of need of
treatment
Sleep - unsatisfying
and middle insomnia
(can't stay asleep)
Homocidality - absent
5. THE "Problem"
First focusing on emotional regulation -
developing coping skills, sessions with partner,
appropriate assessment and building rapport
Identification
At 6-month treatment review, switching to
focus on traumatic experience after
discussing no changes in symptoms
Prioritization
6. Conceptual
definition
"the effect bad stuff from her past has on her ability to fully be herself today"
keeping it simple as well as relevant
increasing insight without re-traumatizing
client's self-determination
7. Operational Definition
"Individual trauma results from an event, series
of events, or set of circumstances that is
experienced by an individual as physically or
emotionally harmful or life threatening and
that has lasting adverse effects on the
individual’s functioning and mental, physical,
social, emotional, or spiritual well-being" (p.7)
SAMHSA (2014)
trauma responses - avoidance, disassociation,
hyper-arousal, re-experiencing, detachment,
upsetting memories, sleep, appetite (Conradi,
Wherry & Kisiel, 2011).
Holistic Functioning
emotional dysregulation - depression and
anxiety
Psychiatric symptoms
8. Measurement Strategy
Measures reliable and valid observable
outcomes across 19 domains including
ADL, traumatic stress, substance use,
family relationships, and more
(Schwartz, 1999) - observational
Functional Assessment
and Rating Sale (FARS)
9-item scale assesses for depression
symptoms over the last two weeks
(agency policy) - effective with clients
who are not ready for in depth trauma
assessment (Fallot & Harris, 2011)
self-report
Patient Health
Questionnaire (PHQ-9)
Generalized Anxiety
Disorder (GAD-7)
7 question brief self-report measuring
anxious symptoms over the past two
weeks (agency policy) - she has
enough insight into these symptoms
so opportunity for psychoeducation
self-report
agency policy - once every year
changing strategy to every month
clinician - verbal to help with psychoeducation
9. Objectives
reduce symptoms of detachment,
avoidance, and repression
Traumatic stress
reduce intensity, frequency and
duration of dpressive symptoms
Depression
reduce intensity, frequency and
duration of anxious symptoms
Anxiety
Goals
"I want to have more focus on the now and
become the person I am meant to be"
Client states:
1) traumatic experience
2) emotional regulation
Treatment plan
10. Intervention options
person centered as well as trauma-
informed, self-paced, possibility of
changing how client views self while also
respecting boundaries. Supports the natural
tendency of the person to move towards
"autonomous determination, expansion and
effectiveness, and constructive social
behavior" (Joseph, 2004, p. 103).
Trauma-Focussed Cognitive
Behavioral Therapy (TF-CBT)
more client centered but lacks trauma-
informed approaches. client alleges to be
competent in these techniques but when
assigned as homework it seems to be
ineffective. Needs a new approach that is
not closely related to her work/personal
life even thought I thought using this
would be a strengths-based approach
Mindfulness Based Stress
Reduction (MBSR)
brief, intense, more trauma-informed
than client centered. However, client's
behavioral status seemed
unpredictable and client was dealing
with active triggers at home.
Importance of a stabilization in early
stages of therapy (Sanderson, 2006);
client desired during intake
Eye Movement Desensitization
and Reprocessing (EMDR)
11. Trauma-
informed
practice
Person-
centered
theory
"Equipped with this self-belief and sense of control,
young people were able to successfully navigate the
difficulty of discussing trauma, a process that was so
fundamental to recovery and ultimately, responsible for
the transformative life changes described in future
outlook and self-perception” (Eastwood, 2021, p. 746).
A person with PTSD has a disorganized self-structure
who is trying to find themselves, grow, and cooperate
with others. Theory highlights that the client will be
motivated by their self-actualizing tendency to
appropriately reintegrate their story under a supportive
therapeutic environment (Joseph, 2004).
12. TF-CBT
Randomized clinical trials showed that trauma informed therapies were more
effective in reducing chronic PTSD symptoms than non-trauma focused therapies
(Bison et al., 2013)
ABC triangle (affect, behavior and cognition)
Three main stages of TF-CBT (Cohen & Mannarino, 2015)
Stabilization - psychoeducation, coping skills, emotional expression and
regulation, relaxation
Trauma Narration and Processing
Integration and Consolidation - gradual exposure, safety and future planning
19. looking at symptoms holistically worked for client
increase sense of control over evaluation process (SAMHSA, 2014)
missed appointments, appropriateness of PCL-5
effect of current triggers and fear of re-traumatizing (SAMHSA, 2014)
important of emotional awareness/regulation before gradual exposure stage of TF-CBT
under-diagnosing vs. over-diagnosing
adjustment disorder at start did not allow us to do direct trauma work
correlation of change in strategy with change in scores (doesn't imply causation)
client was against pharmacological interventions
Interpretation
20. Limitations
Strengths
adaptable strategies
triangulation of results- self-reports
+observational data
good balance between person-
centered and trauma-informed
exposure
inconsistent measures
lack of individualization - all
measures were standardized
need for more agency provided
research on trauma screening and
evaluation
21. Agency evaluation
strict protocols that lack trauma-informed assessments and screening
a lot of screenings given at intake with little follow up
need for more frequent evaluation - once a year not enough
treatment plan review every six months
PTSD clients often irregular or stop services before that time
lack of policies around clinician boundaries
what if a client with extreme symptoms refuses psychiatric interventions
diagnosing down not always beneficial to clients with PTSD especially if they have
cooccurring illnesses like substance use issues (SAMHSA, 2014)
MSW interns ultimately are working with supervisor's clients so lack of
independent work
22. 30-year-old white Christian woman
hx of childhood sexual slavery, human trafficking, and domestic violence
flat affect, distorted cognitions, auditory and visual hallucinations in and out of in-
patient treatments, refuses psychiatric interventions including meds
client safety - high risk of self-harm and disassociation
chronic PTSD with depersonalization symptoms
as a clinician not feeling "intimidated" by client - personal history/boundaries
professional committment vs. competence (NASW, Code of Ethics, 2008)
Outcomes - deciding to step back to avoid counter-transference after consulting
my personal care team (professors, supervision, therapists); feeling affirmed in my
ability to say no in similar future cases
Ethics Case
23. Justice & Diversity Case
49-year old white transgender nonbinary pansexual
gender dysphoria diagnosis - client goal to determine gender affirming change process
personal background- as a member of LGBTQ+ intimately knowing the history of our
struggles with accessing health services (Lawlis et al., 2019)
real challenges this client is facing - transphobic physicians and work place, confusing
terminology/process, and unsupportive family
World Professional Organization for Transgender Health (WPOTH) recommends the
following to assess readiness (Coleman et al., 2012)
have a persistent and well-documented history of gender dysphoria,
the capacity to make an informed decision and consent to treatment
adult/age of majority in country
reasonably control medical and mental health concerns
Outcome - after developing a plan with client wrote a referal letter for physician
24. 40-year old black man from low-income background
ADHD and chronic PTSD
seeking referral letter for Supplemental Security Income or Social Security Disability Insurance
(SSI/SSDI)
history of early childhood domestic violence, sexual abuse, and substance use
faced incarceration multiple times as a juvenile and adult
lack of agency protocol for referral letters/release of information (ROI)
confusing request from the social security administration (SSA) with little instructions
early interventions like disability benefits for folks with history of mental illness provide easier
transition from jail to community (McCaultey & Samples, 2017)
SSI/SSDI benefits are automatically suspended once a person is sent to prison and if a person
received benefits before incarceration, they will most likely be required to reapply after release
(SSA, 2015)
Outcome - research into disability issues for incarcerated individuals; consolidating client
history across note-taking platforms; writing templates for ROIs for supervisor's future cases
Policy Case
25. Bisson J. I., Roberts, N. P., Andrew, M., Cooper, R., Lewis, C., & Bisson, J. I. (2013). Psychological therapies for chronic post‐traumatic stress disorder (PTSD) in adults. Cochrane Library, 2015(8),
CD003388–CD003388. https://doi.org/10.1002/14651858.CD003388.pub4
Cohen, J. A., & Mannarino, A. P., (2015). Trauma-focused Cognitive Behavior Therapy for Traumatized Children and Families. Child and Adolescent Psychiatric Clinics of North America. 24 (3): 557–570.
doi:10.1016/j.chc.2015.02.005.
Coleman et al. (2012). Standards of Care for the Health of Transsexual, Transgender, and Gender Nonconforming People, 7. The World Professional Organization for Transgender Health. URL:
www.wpath.org
Conradi, L., Wherry, J., & Kisiel, C. (2011). Linking Child Welfare and Mental Health Using Trauma-Informed Screening and Assessment Practices. Child Welfare, 90(6), 129–148.
Eastwood, O., Peters, W., Cohen, J., Murray, L., Rice, S., Alvarez-Jimenez, M., & Bendall, S. (2021). “Like a huge weight lifted off my shoulders”: Exploring young peoples’ experiences of treatment in a
pilot trial of trauma-focused cognitive behavioral therapy. Psychotherapy Research, 31(6), 737–751. https://doi.org/10.1080/10503307.2020.1851794
Fallot, R. D. & Harris, M. (2001). A trauma-informed approach to screening and assessment. In M. Harris & R. D. Fallot (Eds.), Using trauma theory to design service systems (pp. 23–31). San Francisco:
Jossey-Bass.
Joseph, S. (2004). Client-centred therapy, post-traumatic stress disorder and post-traumatic growth: Theoretical perspectives and practical implications. Psychology and Psychotherapy, 77(1), 101–
119. https://doi.org/10.1348/147608304322874281
Lawlis, S. M. Watson, K., Hawks, E. M., Lewis, A. L., Hester, L., Ostermeyer, B. K., & Middleman, A. B. (2019). Health Services for LGBTQ+ Patients. Psychiatric Annals, 49(10), 426–435.
https://doi.org/10.3928/00485713-20190910-01
National Association of Social Workers. (2008). Preamble to the code of ethics. Retrieved May 4, 2008, http://www.socialworkers.org/pubs/Code/code.asp
Sanderson, C. (2006). Working with Adult Survivors of Child Sexual Abuse. Counselling adult survivors of child sexual abuse (3rd ed.). J. Kingsley. 101-149
Substance Abuse and Mental Health Services Administration. (2014). SAMHSA’s Concept of Trauma and Guidance for a Trauma-Informed Approach (HHS publication no. (SMA) 14-4884). Rockville,
MD: Sub-stance Abuse and Mental Health Services Administration. https://ncsacw.samhsa.gov/userfiles/files/SAMHSA_Trauma.pdf
Schwartz, R. C. (1999). Reliability and validity of the Functional Assessment Rating Scale. Psychological Reports, 84, 389-391.
References