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GUIDELINES FOR DISCUSSION POSTS
FIRST DISCUSSION POST
1. The purpose of this discussion is to make your first attempt at diagnosis of abnormal behavior and to think through the processes involved. Read the brief Case Study of Edgar below. Then, using what you learned in your reading in this unit (u01s1 Study), identify the type of disorder that best describes Edgar’s behavior. Once you have selected a group of disorders, review the outline of that group of disorders in the DSM-5 Classification to identify the codes involved. (Make sure you have read the section on Depressive Disorders in the DSM-5.)
Case Study of Edgar
Edgar is 25 years old and was hospitalized today after a suicide attempt in which he drove his car into a lake. This is his first depressive episode. It started six months ago and is characterized by a nearly continual depression, loss of interest in all activities, an unplanned loss of twenty-five pounds, hypersomnia (excessive sleepiness), an inability to concentrate and recurrent thoughts of killing himself. His mood state is severe, but there is no evidence of psychosis.
He began drinking five to eight beers per day in the last two months, clearly exacerbating his symptoms. Prior to the onset of these symptoms he consumed one to two beers per day. He uses no other drugs. Medical records indicate no medical conditions of concern. His marriage is in trouble due to his severe behavioral symptoms. His wife is thinking of leaving him; he was recently terminated from his job because he can’t get up to make it to work; and their house is in danger of being foreclosed on by the bank because he forgot to pay the mortgage for four months.
For your initial post in this discussion, address the following four aspects
***Record Edgar’s diagnosis or diagnoses as you see the issues in this case study. Do so in the following format.
Note: This is the essential format you will use for all diagnostics in this class and beyond. In other words, whenever a discussion question or assignment asks you to provide a diagnosis, be sure to list your choices in this format. It is also important to reference the DSM-5 in the section of your work that includes this formatted list of diagnostic codes and names. Here is the standard format:
DSM-5 Code number of disorder. ( ICD-10 number code, put in parentheses).
Name of the disorder detailed in the DSM-5. It is proper to list the most relevant or “principle” diagnostic label first and have one of the following phrases listed afterward (“principle diagnosis”) or (“reason for visit”).
Other Factors: In this section, you will list problems or situations that may require clinical attention but are not otherwise considered a mental illness. In other words, they are a list of stressors that that may be involved and impacting the case. You will want to consider “Other Conditions That May Be a Focus of Clinical Attention” starting on page 715 (toward the end of Section II of the DSM-5). Most codes you will list here begin with the letter “v” such as V60.0 (Z59.0) Homelessness. You should NOT list formal mental illness diagnoses in this section.
Example (Realize that this example diagnosis may or may not be accurate; it is offered as an example of the format to use when you arrive at your own diagnostic view of the case of Edgar):
296.23 (F32.2) | Major Depressive Disorder, Single Episode, Severe. |
305.00 (F10.10) | Alcohol Use Disorder. |
Other Factors: |
V61.10 (Z63.0) | Relationship Distress with Spouse or Intimate Partner. |
V62.29 (Z56.9) | Problem related to Employment (job loss). |
V60.9 (Z59.9) | Potential loss of housing due to job loss. |
*****Briefly describe the decision-making steps or process you used to arrive at your diagnosis or diagnoses of Edgar ******What did you find easy or difficult about this task at your current level of training in diagnostics? *****What more you would like to know to ensure that you have coded Edgar’s diagnostic issues accurately?
SECOND DISCUSSION POST
The purpose of this discussion is to think through some of the ambiguities that can make the diagnostic process more complex than it might at first appear.
Begin by carefully reading the Case Study of John. Pay particular attention to how the psychologist’s diagnosis changes as the case unfolds and more information is available about John. Imagine how much more difficult accurate diagnosis would have been if you had followed a particular diagnosis prematurely.
Some suggestions to help you prepare your initial post: Since you have not yet learned diagnostic specifics, just describe your evolving impressions in whatever terms seem the most accurately descriptive, and the reasons for those impressions. Turn to the DSM Decision Trees and DSM-5 diagnostic categories for assistance. A combination of narrative comment and a highlighted encoding DSM-5 diagnosis would work well.
Refer to the Case Study Response Guide to assist you with this discussion.
PLEASE REFER TO THE ATTACHED DOCUMENT NAMED DISCUSSION POST 2 For the case study.
THIRD DISCUSSION POST
For this discussion, refer to the psychological diagnosis you chose to read for a single diagnostic code in DSM-5 text in the study in this unit (u02s1).
Each of us has a different background of experience. Keeping your experience level in mind, along with what you personally need to glean from such a diagnostic manual, please provide your analysis of how effectively the manual covered the following aspects of the diagnosis you read about.
Be sure to address what was effective and helpful in the DSM’s presentation, what you feel is missing or could be improved, any cultural or diversity issues that might be of concern, and what you personally need to know more about.
FOURTH DISCUSSION POST
Read the Case Study of Marvin.
In addition to anxiety being a symptom of mental health diagnoses, it can also be a symptom of certain medical illnesses.
Note: You may want to pay particular attention to the sections of your DSM-5 text (pages 226–233 and 257–263) that review substance or medication-induced anxiety or obsessive-compulsive disorders, as well as possible medical reasons for the disorders.
Any of the listed medical conditions might contribute to Marvin’s anxiety and obsessive-compulsive behaviors.
Be sure to support your conclusions well. Think about these issues carefully before you begin to write this post. It will be particularly important for you to answer these questions:
FIFTH DISCUSSION POST
Review the Case Study of Marvin. Using the medical illness you choose to write about in this unit’s first discussion, respond to the following:
Defend your answer.
Record the diagnosis you would give Marvin if he clearly displays this medical condition in addition to his anxiety and obsessive-compulsive symptoms. Review the Case Study Response Guide to assist you with this discussion.
Review the other posts of other learners, and respond to at least two of them. What did you learn from their research and writing? Do you agree with their diagnosis? Why or why not? Explain your position.
SIXTH DISCUSSION POST
In your Diagnostic and Statistical Manual of Mental Disorders (5th Edition) text, critique the strengths and weaknesses of the Bipolar Disorders section, including such factors as its structure and organization, ease of use, and the primary research and methodological considerations that were used to establish the criteria for these disorders.
In particular, assess how you differentiate between Bipolar I Disorder, Bipolar II Disorder, and a Cyclothymic Disorder, and how these came to be viewed as different diagnoses in the development of the DSM. This will entail some research outside of required course materials.
SEVENTH DISCUSSION POST
Based on the material presented in the Case Study of Bill:
Review the Case Study Response Guide to assist you with this discussion.
EIGTH DISCUSSION POST
We now revisit the case of Bill from the previous unit. Imagine you have conducted a second interview with him. After pondering the case presented in this unit’s readings:
Review the Case Study Response Guide to assist you with this discussion.
NINTH DISCUSSION POST
Find and report on psychological literature that addresses these three issues:
Be sure to cite references for each of these sections.
TENTH DISCUSSION POST
Respond to the following in your initial post:
ELEVENTH DISCUSSION POST
Review the Case Study of Ben, Part 1. Use the Case Study Response Guide to guide your analysis of how you might apply the DSM-5 to diagnose Ben’s condition.
For your initial post in this discussion, though, rather than providing a diagnosis, submit your responses to these questions:
12th DISCUSSION POST
Respond to the following in your initial post:
13th DISCUSSION POST
Review the Case Study of Ben, Part 3. Imagine now that you had not seen Part 2 but instead, after Ben Part 1, you read Part 3. For your initial post in this discussion, submit your response to these questions:
14th DISCUSSION POST
Respond to the following in your initial post:
15th DISCUSSION POST
Choose one of the disorders covered in the chapters of the DSM-5 that you read for this unit.
16th DISCUSSION POST
Choose any of the childhood or adolescent disorders covered in the assigned readings in this unit except bipolar disorder. Discover and review sources of information on the disorder. Then respond to these topics:
17th DISCUSSION POST
In recent years, there have been heated controversies about attention-deficit hyperactivity disorder (ADHD). Perhaps the most heated current controversy involves the diagnosis of bipolar disorder in children and adolescents.
18th DISCUSSION POST
Based upon your reading of all sources, respond to the following:
The journal articles assigned for this unit can serve as one set of ideas, but feel free to use other sources.
19th DISCUSSION POST
Based upon your reading of all sources, respond to the following:
The journal articles assigned for this unit can serve as one set of ideas, but feel free to use other sources.
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