SOCW 6090 Wk 5 Discussion 1 - Diagnosis of Anxiety and Obsessive Compulsive and Related Disorders

Week 5: Anxiety Disorders, Obsessive Compulsive and Related Disorders, and Cultural Idioms of Illness

Anxiety disorders and obsessive-compulsive disorders (OCD) have a devastating impact on an individual’s ability to live, work, and conduct relationships. These disorders are often harder to identify than other conditions. Difficulty in diagnosis is compounded by the fact that expressions of anxiety differ widely from culture to culture. Anxiety is often co-occurring with depression and with OCD, as well as with trauma disorders. The boundaries between these illnesses can be blurred.

This week you examine those boundaries by analyzing a case from the anxiety and OCD spectrums. You also consider cultural idioms and the cultural formulation interview (CFI) of the DSM-5. The CFI is designed to help a social worker adapt diagnosis and treatment both to cultural variations and to the individual experience of a person within that culture. Given that anxiety may manifest in diverse ways due to cultural influences, you practice using the CFI to guide treatment conceptualization for anxiety.

Learning Objectives

Students will:

· Analyze a case study focused on an anxiety disorder utilizing steps of differential diagnosis

· Recommend an intervention for treating anxiety disorder

· Role-play a client interaction to complete a Cultural Formulation Interview

· Analyze cultural variables in mental health treatment planning

Learning Resources

Required Readings

Morrison, J. (2014). Diagnosis made easier (2nd ed.). New York, NY: Guilford Press.

· Chapter 12, “Diagnosing Anxiety, Fear, Obsessions and Worry” (pp. 167–184)

American Psychiatric Association. (2013a). Anxiety disorders. In Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author. doi:10.1176/appi.books.9780890425596.dsm05

American Psychiatric Association. (2013l). Obsessive compulsive and related disorders. In Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author. doi:10.1176/appi.books.9780890425596.dsm06

American Psychiatric Association. (2013d). Cultural formulation. In Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author. doi:10.1176/appi.books.9780890425596.CulturalFormulation

Diáz, E., Añez, L. M., Silva, M., Paris, M., & Davidson, L. (2017). Using the cultural formulation interview to build culturally sensitive services. Psychiatric Services, 68(2), 112–114. doi:10.1176/appi.ps.201600440

Document: How to Record in Collaborate Ultra (PDF)

Required Media

TEDx Talks. (2015, May 29). Living with #OCD | Samantha Pena | TEDxYouth@TCS [Video file]. Retrieved from https://www.youtube.com/watch?v=btO3kE2RrEY&feature=youtu.be

TEDx Talks. (2016a, October 11). My hidden OCD exposed | Anne Swanson | TEDxVermilionStreet [Video file]. Retrieved from https://www.youtube.com/watch?v=A3f4Gf5Q_2w

Optional Resources

American Psychiatric Association. (2013i). Glossary of cultural concepts of distress. In Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author. doi:10.1176/appi.books.9780890425596.GlossaryofCulturalConceptsofDistress

Dominguez, M. L. (2017). LGBTQIA people of color: Utilizing the cultural psychology model as a guide for the mental health assessment and treatment of patients with diverse identities. Journal of Gay & Lesbian Mental Health, 21(3), 203–220. doi:10.1080/19359705.2017.1320755

Document: Suggested Further Reading for SOCW 6090 (PDF)

 

Note: This is the same document introduced in Week 1.

Discussion: Diagnosis of Anxiety and Obsessive Compulsive and Related Disorders

Social workers take particular care when diagnosing anxiety due to its similarity to other conditions. In this Discussion, you carefully assess a client with anxiety disorder using the steps of differential diagnosis. You also recommend an intervention for treating the disorder.

To prepare: Read the Nahla case study. Review the decision trees for anxiety and OCD in the Morrison (2014) text and the podcasts on anxiety. Then access the Walden Library and research interventions for anxiety.

Provide a discussion Post of at least 500-words which you address the following topics, content, and headings:

· Provide the full DSM-5 diagnosis for the client. Remember, a full diagnosis should include the name of the disorder, ICD-10-CM code, specifiers, severity, and the Z codes (other conditions that may be a focus of clinical attention).  Keep in mind a diagnosis covers the most recent 12 months.

· Explain the diagnosis by matching the symptoms identified in the case to the specific criteria for the diagnosis.

· Discuss other disorders you considered for this diagnosis and eliminated (the differential diagnoses).

· Describe an evidence-based assessment scale that would assist in ongoing validation of your diagnosis.

· Recommend a specific intervention and explain why this intervention may be effective in treating the client. Support your recommendation with scholarly references and resources.

Note:  You do not need to include an APA reference to the DSM-5 in your response. However, your response should clearly be informed by the DSM-5, demonstrating an understanding of the risks and benefits of treatment to the client. You do need to include an APA reference for the assessment tool and any other resources you use to support your response.