T2

An interview with an Irani immigrant mother and her 23 year old daughter highlights the difference that their cultural lenses create in their mutual expectations. Very typical of children becoming Americanized, the daughter wants to fit into the social scene with her friends while the mother wants her to respect the cultural norms of her generation from Iran. The way she dresses, the fact that she doesn't live with her mother even though she is unmarried, the amount of time devoted to family, are all at issue in this session. Their therapist, who is also an Irani woman is present at the consultation. How do we assist families in this predicament? In an epilogue to the program Gonzalo makes his session transparent and provides afterthoughts about the work.

Mother and Daughter: A Cultural Tale. . (2003).[Video/DVD] Masterswork Productions. https://video.alexanderstreet.com/watch/mother-and-daughter-a-cultural-tale

. Note for the assignment, you are focusing on the family and not an individual assessment. You can speak to family members that stand out, but the main diagnosis and treatment should be family based.

To prepare:

Review this week’s Learning Resources and reflect on the insights they provide on family assessment. Be sure to review the resource on psychotherapy genograms.

Download the Comprehensive Psychiatric Evaluation Note Template and review the requirements of the documentation. There is also an exemplar provided with detailed guidance and examples.

View the Mother and Daughter: A Cultural Tale video in the Learning Resources and consider how you might assess the family in the case study.

The Assignment

Document the following for the family in the video, using the Comprehensive Evaluation Note Template:

Chief complaint

History of present illness

Past psychiatric history

Substance use history

Family psychiatric/substance use history

Psychosocial history/Developmental history

Medical history

Review of systems (ROS)

Physical assessment (if applicable)

Mental status exam

Differential diagnosis—Include a minimum of three differential diagnoses and include how you derived each diagnosis in accordance with DSM-5 diagnostic criteria

Case formulation and treatment plan

Include a psychotherapy genogram for the family

Note: For any item you are unable to address from the video, explain how you would gather this information and why it is important for diagnosis and treatment planning.