Given Kathy's presentation of symptoms, she meets the DSM-5 diagnostic criteria for: Group of answer choices schizophrenia dissociative identity disorder Bipolar I disorder Dissociative fugue
Added by Daniel P.
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However, since the specific symptoms are not provided in your question, I will outline a general approach to diagnosing based on the options given. Show more…
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Dorothea is a 42-year-old socialite who has never been hospitalized or sought treatment for mental health problems before. A new concert hall is to be formally opened with the last concert of his career by a world-renowned tenor. Dorothea, due to her position on the cultural council, has assumed the responsibility for coordinating that event. However, construction problems, including strikes, have made it uncertain whether finishing details will meet the deadline. The set designer has been volatile, threatening to walk out on the project unless the materials meet his meticulous specifications. Dorothea has had to calm this volatile man while attempting to coax disputing groups to negotiate. She also has increased responsibility at home as her nanny has had to leave to visit a sick relative. In the midst of these difficulties, her best friend was decapitated in a tragic car crash. Dorothea herself is an only child, and she had been close to her best friend since grade school. People have often commented that the two women were like sisters. Immediately following the funeral, Dorothea became increasingly tense and jittery and only able to sleep 2-3 hours a night. Two days later, she sees a woman driving a car just like the one her friend had driven. She is puzzled, and after a few hours, she becomes convinced that her friend is alive, that the accident had been staged, along with the funeral, as part of a plot. She became distrustful of everyone, except her husband, and believes that the plot is directed towards deceiving her. She believes that her phone is tapped and her neighbors are terrorists who are out to sabotage the opening of the concert hall. She believes that her rooms in her house are bugged and refuses to allow packages to be delivered to her home for fear that they contain bombs or a biological agent. She has also begun to hear soft muted voices that she cannot clearly make out. Upon examination by the psychiatrist in the ER, her husband reports that in the past, Dorothea has experienced periods of paranoia and delusional thoughts, but with time and a decrease in stress, the symptoms have dissipated. What would Dorothea's current diagnosis be? What is your rationale?
Akash M.
Match each example below with one of the following psychological disorders: dissociative fugue, dissociative identity disorder, antisocial personality disorder, borderline personality disorder, paranoid schizophrenia, catatonic schizophrenia. Norma has frequent memory gaps and cannot account for her whereabouts during certain periods of time. While being interviewed by a clinical psychologist, she began speaking in a childlike voice. She claimed that her name was Donna and that she was only 6 years old. Moments later, she seemed to revert to her adult voice and had no recollection of claiming that her name was Donna. ______________________
Haricharan G.
Helen Bates was a 27-year-old single administrative assistant who presented for counseling for mood problems. She had recently begun an intensive outpatient program after a first lifetime hospitalization for an impulsive overdose following the breakup of a 2-year relationship. She said she had become increasingly sad and hopeless for 1-2 months in anticipation of the breakup. A month prior to her admission, she started seeing a new psychotherapist who told her that she had "borderline traits" and "situational mood swings." During these 4-8 weeks, Ms. Bates' mood has been moderately depressed throughout the day on most days with no diurnal variation and intact mood reactivity. She had recently gained about 10 pounds from "overeating comfort food and junk." She denied prominent irritability or argumentativeness. She described her self-esteem as "none" and had found it hard to feel motivation or to concentrate on routine tasks. By contrast, sometimes she would have "bursts" of nonstop thinking about her estranged boyfriend and devising ways to "get him back," alternating with "grieving his loss." She described times of being flooded with strategies to regain his interest (including purchasing a full-page newspaper "open letter" to him) and recently found herself awake until 5:00 or 6:00 am journaling or calling friends in the middle of the night, "for support." She would then "trudge through the day" without fatigue after only 2-3 hours of sleep. These symptoms began prior to her hospitalization. She denied drug or alcohol misuse and self-injurious behavior. Until this break-up, she denied a history of particularly intense or chaotic relationships as well as a history of suicidal behavior. Ms. Bates saw a counselor in high school for "moodiness" and poor grades. She became "depressed" in college. At that time, she began antidepressants and psychotherapy but improved quickly, stopping both after a few weeks. While in the hospital following her suicide attempt, she started medications at bedtime for "sleep." Ms. Bates was the youngest of three children who grew up in a middle-class suburban home. She attended public school and a state college as "mostly a B student" and hoped someday to go to law school. She described herself as having been a "quiet, anxious" child and "not a troublemaker." Her older brother abused multiple substances, although Ms. Bates said she herself had never used illicit substances. Her young sister was treated for "panic attacks and depression," and Ms. Bates knew of several aunts and cousins who she thought were "depressed." Based on the above case, what diagnosis would you provide (with appropriate specifiers)? How did you arrive at the above diagnosis? Use the below outline to help organize some of your diagnostic process- Diagnostic Process Establish all symptoms the patient is exhibiting Are the symptoms better explained by typical behavior? Are the symptoms better explained by a general medical condition? Are the symptoms better explained by substance use? Create a list of disorders that are likely diagnoses Evaluate each item on the list for reasons it may or may not be the disorder Establish the primary diagnosis.
Supreeta N.
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