6090 Wk 5 Discussion Post Responses

Respond to the colleagues post contained below by covering the following topics.

· Explain whether you agree with your colleague’s identified diagnosis and recommended treatment and why.

· Explain any additional factors that your colleague should take into consideration for treatment planning.

Colleague #1: T. Williams 

wk 5 Discussion

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 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.

 

Nahla is a 29 year old hetrosexual African American female who is diagnosed with

 F42    Obsessive-Compulsive Disorder,With poor insight

F41.0   Panic Disorder, unspecified 

Z63.0    Relationship distress with spouse or intimate partner

 

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

In clients with Obsessive-Compulsive Disorder the diagnostic criteria that they must meet to properly define this diagnosis are recurrent and persistent thought, urges or images that are experienced, at some time during the disturbance  as intrusive and unwanted and  that in most individuals cause marked anxiety or distress. Nahlaattempts to suppress her thoughts by scrubbing her house clean. By scrubbing her house clean to a point that she became unable to manage her time, this behavior met the criteria of The obsessions or compulsions are time consuming or cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.  

The obsessive compulsive symptoms Nahla displays are not attributable to the physiological effects of a substance , or another  medical condition.  Because Nahla believes her house may not be in order if she gets a visitor, she must scrub the house clean and  this fits the criteria to specify this diagnosis With poor insight: The individual things obsessive-compulsive disorder beliefs are probably true.

The panic disorder diagnostic criteria was met with sweating, feeling dizzy, nausea and shortness of breath. Nahla stated feelings of dizziness, sweating, feeling nauseous and trouble breathing when she looked at the house which triggered these feelings. 

Due to Nahla wanting to be married and her boyfriend Dion is not ready,  and they argue because she would like for Dion to help out more around the house in case she gets a visitor and the house is not in order, this causes relationship distress. 

 

 

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

I considered the following disorder F91.9   UnSpecified DIsruptive, Impulse- Control, and Conduct Disorder ( in friends homes) because the constant scrubbing of the house causes a disruption in the functioning of the household, the relationship and Nahla’s ability to effectively manage her time. 

 

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

The best evidence based assessment scale that would assist in ongoing validation of my diagnosis is the Cultural Formulation Interview (CFI). Because Nahla’s family background was comprised of two brothers from her father and stepmother as well as being raised in a military environment, developing an understanding of the culture of this client by focusing on the aspects of the problem, how the problem is framed and her perceived needs over a period of time, would help validate the diagnosis. 

 

Recommend a specific intervention and explain why this intervention may be effective in treating the client. 

The intervention that I feel would be most appropriate for this client is  Problem Solving Therapy. Person, problem, place and process are very instrumental in helping to strengthen the client social worker relationship. By building trust, the social worker is able to help the client to open up and address the key areas of person, problem, place and process to help begin the intervention. Problem -solving is considered an important aspect of social competence ( D’Zurilla, 1986), and it calls for the establishment of specific problem solving skills (Turner 2017).

 

Reference

Turner, F. J. (2017). Social Work Treatment. [MBS Direct]. Retrieved from https://mbsdirect.vitalsource.com/#/books/9780190239619/.

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Colleague #2: A. Spermbay 

WEEK5

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Diagnosis of Anxiety and Obsessive Compulsive and Related Disorders

The anxiety disorders and obsessive-compulsive disorders (OCD) are major conditions which people from across the globe are diagnosed with. The anxiety disorders symptoms vary from one patient to another. The conditions are characterized by anxiety and people’s actions and other mental illnesses listed in DSM-5 criteria. In the case study, Nahla, the twenty-nine-year-old lady, suffers from an anxiety disorder, and the symptoms she is experiencing have the relations of severe anxiety. The fear of receiving a visitor and the house is not well-cleaned, worries her, and even triggers arguments with the husband, Dion. The extent of anxiety Nahla is suffering is not normal but adaptive, which hinders the patient’s normal operations. Nahla shows physical and psychological, and functional symptoms. Sweating, nausea, and breathing issue are some physical signs, while worries and anxiety are psychological signs. The substance use and depression represent the functional changes which the patient is undergoing.

Organizing the anxiety and OCD conditions offers a reliable treatment that can result in deaths if their diagnosis is not well organized. The anxiety disorder diagnosis is made via a decision tree, which represents the presence or the absence of social issues predicting the application of evidence-based or the non-evidence-based treatment. According to the decision tree, patients with severe social problems receive an extensive diagnosis compared to those not diagnosed with evidence-based treatment (Morrison, 2014). The intervention of evidence-based treatment and evidence-based psychological therapy helps to treat anxiety disorders according to the spectrum of diagnoses in DSM-5. The billable code, which shows the particular medical diagnosis of anxiety disorders mainly from the physiological condition, is ICD-10-CM F06.4.For the submission and regulations of HIPAA, the code validity is the year 2020 (CDC, 2017a). The code also represents conditions or anxiety terms, which are as a result of medical conditions or untreated anxiety disorder. The treatment of mental health plan is influenced culturally. The reason is that different people have their way of describing mental illness symptoms. Every culture has its way of expressing mental illness, meaning creating a further understanding of the entire condition (Díaz et al. 2017).

Centers for Disease Control and Prevention. (2017a). ICD-10-CM official guidelines for coding and reporting: FY 2017 (October 1, 2016–September 30, 2017). Retrieved from http://www.cdc.gov/nchs/data/icd/10cmguidelines_2017_final.pdf

Díaz, 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.

Morrison, J. (2014). Diagnosis made easier(2nd ed.): Principles and techniques for mental health clinicians. Guilford Publications.

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