07 Jul THE DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDER (DSM) CRITERIA.
An important part of the skills you will develop in this course is the ability to design appropriate interventions, and that includes designing an assessment strategy appropriate to the particular client treated. In this assignment, you will create an assessment strategy based on the information provided in the vignette. This assignment is to be completed individually.
Given below is the vignette.
Tasks:
You are the therapist Laurel chose to work with, and you give Laurel an appointment to conduct an intake in order to start the assessment process. During that appointment, she relays to you the information mentioned in the vignette. Using the information found in the vignette, provide a preliminary diagnosis of the client according to The Diagnostic and Statistical Manual of Mental Disorder (DSM) criteria.
Create a 2- to 3-page paper describing the assessment tools you will use. In your paper, include the following:
A description of the steps you will take to make Laurel feel comfortable in confiding in you.
A description of what methods you will use to continue with the assessment process, knowing this may take three to four visits. Be specific if you are considering using any instruments or questionnaires. Explain the rationale for using each method and indicate what information you expect to find by using them.
Given the information you know at this point, what would be your provisional diagnosis of Laurel?
Look at a diagnosis for this exercise.
You may consider rule-outs. Any diagnosis you give should have an explanation of the criteria or symptoms supporting your choice.
While facilitating emphasize the following:
Students may need close guidance in the completion of this assignment. You should encourage students to contact you via e-mails with any questions they have early in the week.
To be able to complete this assignment successfully, students should have a basic understanding of psychopathology (maladaptive behavior) and be familiar with the use of DSM.
Guidelines to assess the assignment are as follows:
· Students should talk about establishing rapport with the client, as well as asking the client what the therapist can do to make the client feel safe during the sessions.
· Students should talk about being supportive and not confrontational during the assessment process.
· Students should mention discussing issues of confidentiality with the client.
· Assessment methods should include:
o Obtaining the client’s psychosocial history (including family, social, educational, vocational, relationships, legal, medical, mental health, and substance abuse)
o Conducting a mental status exam (MSE)
o Obtaining collateral information (medical records or other pertinent records) if the client gives permission; at least mentioning they would ask the client
o Psychological testing as appropriate (if therapist is qualified to do so), such as objective and projective measures
· Risk assessment—whether client is safe from self-harming or other harming thoughts or behaviors
· The provisional diagnosis should include (with appropriate DSM code):
o Ruling out posttraumatic stress disorder
o Ruling out a depressive disorder (either major depressive disorder or dysthymic disorder)
o Acute stress disorder by history
You will post general feedback about this assignment after all of them have been graded and individual feedback given to students. If there are trends in mistakes, they should be specifically pointed out with a detailed explanation.
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