After reading the case below, please complete the five axes of the DSM-V and highlight your next steps as a clinician:
Suzanne Whitfield is a 36-year-old woman who lost her job. Allegedly, she was caught stealing money from her cashier's drawer. She is single and has six children. Earlier this month, Suzanne has been diagnosed with bulimia, post-traumatic stress disorder due to rape, and narcissistic personality disorder. She refuses to take medication, and lately, she has been too depressed to care for her children. Suzanne spends all day lying on a chair and staring out the window. She has not bathed in a week, and the children have not attended school for the last three days. Suzanne received an eviction notice and has $18 to last her until she gets another job or secures a loan. All of her family lives on the west coast, and Suzanne relocated to New Jersey after falling in love with Scott. Scott is in prison because he robbed a local drug store to supply his substance abuse habits. Suzanne is very low and reports that she feels hopeless.
Axis 1:
- Bulimia
- Post-traumatic stress disorder due to rape
- Narcissistic personality disorder
Axis 2:
No information provided
Axis 3:
- Unemployment
- Financial difficulties
- Lack of support system
Axis 4:
- Recent eviction notice
- Lack of resources
- Unstable living situation
- Parental neglect
Axis 5:
- Severe depression
- Feelings of hopelessness
Next Steps:
As a clinician, the next steps would be to:
1. Assess the immediate safety and well-being of Suzanne and her children.
2. Explore the reasons behind Suzanne's refusal to take medication and address any concerns or barriers she may have.
3. Develop a treatment plan that addresses Suzanne's mental health disorders, including therapy and potential medication options.
4. Connect Suzanne with resources for financial assistance, such as job placement services or loan programs.
5. Coordinate with child protective services to ensure the safety and well-being of Suzanne's children.
6. Explore potential support systems for Suzanne, such as local community organizations or support groups.
7. Monitor Suzanne's progress and adjust the treatment plan as needed.