Use DSM 5 manual  Below are your first case you will be discussing. Make sure you provide a full diagnosis including any specifiers that may be relevant. I will be monitoring your work carefully for this first group of cases. The Case of Aleta Austin  Aleta Austin is a 26-year-old woman who was seen by  an LPC during her first clinic visit. When asked what brought her in, Aleta explained, "I work as an aide in a nursing home, and I was lifting a patient up from a chair to her wheelchair. Well, anyhow, all of a sudden I felt this terrible and very painful snap in the back of my neck. I lost my balance  and fell on the floor. As I was falling, I hit my arm real  bad, too. The next thing I knew, I was in the hospital, and they were doing some X-rays and an MRI. The doctors said I sprained my neck, and I might have a  hairline  fracture of my arm. They put some kind of neck brace on me and said I had to wear it for two weeks. I  didn't  need to have a cast on my arm, but I was supposed to be real careful."  Aleta continued, "I wasn't allowed to work for six weeks, so I got workmen's comp—but the checks stopped when the doctors  said  I  could  go back to  work. It has been four months, and they say  that's too  long to have  pain for the  injury I got. So now I have  money problems on top of everything else but I don't care what they say, I still hurt." Apparently without  realizing it, Aleta was rubbing her neck  while she was  talking. She went on, "After being discharged by those  doctors, I went to see several new ones. I thought, you  know, maybe the  first  ones  didn't  know what they  were  talking about." The LPC asked what other doctors Aleta  had  seen. "Well, over the past three months," she replied, "I saw two orthopedic surgeons, one neurologist, two chiropractors,  and  a massage therapist. I was  given  lots of different medicines  and  treatments, but I  still  didn't get much relief. One of the doctors  said  I  should  see a  shrink. He thought my problems were  all in my  head. Can you beat  that?" Aleta sounded very  annoyed. "That  really steamed me—doesn't he realize  I  really want to go back to work  and see  all my friends  again? Not only that, does he think I  like  being in constant  pain?  Does he  think  I  like  taking all this  medicine and not  getting any  relief from  any of  it?" The  practitioner asked  Aleta about the medica­ tions she is currently using. She answered,  "In  the beginning, they gave me  some  pain pills that helped some,  but the doctors  won't prescribe  anything for me now. They  think I'm  getting too used to  all  the  pills.  Now I can only  take  over-the-counter stuff  like, you know,  aspirin, Aleve,  Tylenol, Motrin—but they don't do much good. Nothing seems to  help  nowadays." When asked how she spent her days, she replied,  "I pretty much stay inside the house all day long. I have  a hard time finding a comfortable place to sit or lay down. My broth ...

1. Use DSM 5 manual
Below are your first case you will be discussing. Make sure you
provide a full diagnosis including any specifiers that may be
relevant. I will be monitoring your work carefully for this first
group of cases.
The Case of Aleta Austin
Aleta Austin is a 26-year-old woman who was seen by
an LPC during her first clinic visit. When asked what brought
her in, Aleta explained, "I work as an aide in a nursing home,
and I was lifting a patient up from a chair to her wheelchair.
Well, anyhow, all of a sudden I felt this terrible and very
painful snap in the back of my neck. I lost my balance
and fell on the floor. As I was falling, I hit my arm real
bad, too. The next thing I knew, I was in the hospital, and they
were doing some X-rays and an MRI. The doctors said I
sprained my neck, and I might have a
hairline
fracture of my arm. They put some kind of neck brace on me
and said I had to wear it for two weeks. I
didn't
need to have a cast on my arm, but I was supposed to be real
careful."
Aleta continued, "I wasn't allowed to work for six weeks, so I
got workmen's comp—but the checks stopped when the doctors
said
I
could
go back to
work. It has been four months, and they say
that's
too
long
to have

2. pain
for the
injury
I got. So now I have
money problems on top of everything else but I don't care what
they say, I still hurt." Apparently without
realizing
it, Aleta was rubbing her neck
while
she was
talking.
She went on, "After being discharged by those
doctors, I went to see several new ones. I thought, you
know, maybe the
first
ones
didn't
know what they
were
talking
about."
The LPC asked what other doctors Aleta
had
seen.
"Well, over the past three months," she replied, "I saw two
orthopedic surgeons, one neurologist, two chiropractors,
and
a massage therapist. I was
given
lots of different medicines

3. and
treatments, but I
still
didn't
get much relief. One of the doctors
said
I
should
see a
shrink.
He thought my problems were
all
in my
head. Can you beat
that?"
Aleta sounded very
annoyed. "That
really
steamed me—doesn't he realize
I
really
want to go back to work
and
see
all
my friends
again? Not only that, does he think I
like

4. being in constant
pain?
Does he
think
I
like
taking
all
this
medicine and not
getting
any
relief
from
any
of
it?"
The
practitioner
asked
Aleta
about the medica-
tions
she is currently using.
She answered,
"In
the beginning, they gave me
some

5. pain
pills
that helped some,
but
the doctors
won't prescribe
anything
for me now. They
think
I'm
getting too used to
all
the
pills.
Now I can only
take
over-the-counter stuff
like,
you know,
aspirin,
Aleve,
Tylenol, Motrin—but they don't do much good. Nothing seems
to
help
nowadays."
When asked how she spent her days, she replied,
"I pretty much stay inside the house all day long. I have
a hard time finding a comfortable place to sit or lay down. My
brother, Chad, brought over his favorite recliner chair for me to

6. use, and that does help some. Most of the time I watch TV,
sleep, or play with my dogs." Aleta volunteered that she and her
husband are "in the middle of getting a divorce after being
married
five years." She stated, "It was his idea, but I guess it's
all for the best. During the time we were married, I
realized that I am a lesbian, so
...
I always felt different
from other women and
a
little confused about this. I
tried really hard to
just
bury these feelings—my family
sort of freaked out. It's so hard to come to terms with
this. . . . But I can't believe he wants a divorce after all
the time we've been together. He doesn't know about me being
gay,
and
he told me he isn't seeing anyone
else—he
just
said he was tired of me being sick
all
the
time. I don't believe him." Aleta studied her fingernails
for a moment. "Well,
like
I
said, maybe it's for the best.
He's absolutely no use to me now."
The practitioner

7. asked
Aleta to say a
little
more
about
that.
As it happens,
Aleta's
parents
had
moved
into
her home three months ago, "so they
could
help
out
while
I
was
recovering,"
she
explained.
"My dad
works
full-time,
as a barber, but he

8. finds
the
time
to mow
the
grass,
run
errands,
and
do the house
repairs.
I'm
starting to get a
little
behind on my bills,
and
Dad
tries
to
help
out a
little
in
that
department,
too."

9. Aleta
repeatedly stated she wanted to go back to work; however, she
also
said,
"It's
kinda
nice
to
have
Mom
and
Dad around
the
house
right
now.
Mom
fixes
all
my
favorite
foods—
[laughing]
I
know
I'm
gonna
gain
ten pounds before she
leaves
to go back home!"
"You know, my mom

10. told
me
that
when she was
younger, she had problems
like
me. I guess when she
was a teenager she had problems with
pain
in her back
for a
really
long time.
Isn't
that weird? Mom said when she was around 20 she had trouble
with
really
bad headaches
and
something
with
her breathing—she
doesn't
like
to
talk
about it much." Aleta related
that
she once asked her Aunt

11. Dolly
(her
mother's oldest sister) about it, and she
had
just
said, "Oh, it's
just
something the Walker women get when they are
young'uns."
When asked
if
she had experienced any previous
psychological problems such as
hallucinations,
delu-
sions, depression, suicidal ideation, or anxiety, Aleta
laughed, and said, "My lord, no. Aside from
this
neck
and arm pain, my health has been somewhat good." She
described herself having frequent bouts of low back pain,
headaches, and "sometimes my jaw hurts real bad, off and on,"
she offered, "but overall I don't have any serious medical
problems."
During the relating of her past medical history, the
LPC observed that Aleta's train of thought had been derailed
somehow. Sure enough, she inter-rupted herself, "You know,
I’ve been thinking about
the question you
just
asked, the question about

12. psychological problems. Does sibling rivalry count as a
psychological problem?" She continued, "When Chad, my
brother, and I were growing up, we fought like we were mortal
enemies. I mean we hated each
other. I always felt
like
Chad was Mom's favorite, so I
grew up feeling like a Secondhand Rose, it was awful."
The session continued along these lines for another I5 minutes
or so. When the time was up and Aleta was walking out the
door, she said to the LPC "You know, it's really great to have
all of my mother's attention right now because I’m in so much
pain."