COUC 546
ANNA C SASE TUDY
JAMIESON FAULCON
SCHOOL C MOF LIINCAL ENTAL EALTH IBERTY NIVERSITY H , L U
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OVERVIEW
Client Concerns
Symptoms Behaviors Stressors
(Examples) Sadness Trouble sleeping Parents’ divorce
Fatigue No energy Strained family
relationships
Anxious Depressant Drinikng wine
Hopelessness Worrying about finances Husband death
Client Concerns: Using a table as in the example above, identify and list the client’s symptoms
and any other key issues/concerns noted. (Modify the chart size as needed.) For example, these
may include biological, psychological, social, and/or spiritual problems. If symptoms/behaviors
overlap, you only need to list them once.
Assessment
Beck Depression Inventory would be the assessment I would use because of the high
level of anxiety she has. The levels of the assessments with BDI will allow calmer symptom and
a better reassessment. Also BDI is more user friendly and it will help the level of anxiety come
down. When doing research and clinical practice for assessing depression BDI 1 is one of the
most used assessment (Chung-Ying Lin, 2018).
Diagnostic Impression
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Going over Anna symptoms and reading about her details, I have found that she would
diagnosed with anxiety disorder. Generalized Anxiety Disorder 300.02 (F41.1) would DSM-5
coding that would fit her.
Anna drinks often now and take pills to deal with a lot but they don’t cloud her mental
health.
Separation anxiety disorder 309.21 (F93.0) Anna is dealing with. The passing of her
husband created this fear of anxiety. She always thinking of her children wellbeing which was
bought upon her due to the loss of her husband.
Signs and Symptoms
DSM-5 Diagnostic Criteria: disorder name
and code number
Client’s Signs/Reported Symptoms:
Criterion A: Generalized Anxiety Disorder
300.02 (F41.1)
Muscle tension, fatigue, always worrying,
sleep disturbance,
Criterion B: Social Aniexty Disorder (social
Phobia) 300.23 (f40.10)
Drinking cause by anxiety
Criterion C:
Criterion D:
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Criterion E:
Other DSM-5 Conditions Considered
Major Depressive Disorder was shown from that client but I couldn’t diagnose her with it
because there were only 2 of the 9 symptoms that she had. A person must meet five or more
symptoms to be diagnosed as having MPD.
Developmental Theories and/or Systemic Factors
Erik’s developmental theories play a role in Anna which would be stage 6 intimacy vs.
isolation. Her loving relationships with the people around her are starting to fail. The long-term
friendship she had with her co-workers is overdue to her anxiety. This stage of development
needs to be worked on because she finds the love that’s she really is looking for again. Also stage
7 is something that needs to be worked on with Anna with Erik’s stages. This will help feel
useful when accomplishments happen when there are rough times while doing it.
Systemic factors are there with her grandkids not wanting to be around her. This could be
one of the main reasons she has depression.
Multicultural and/or Social Justice Considerations
At this time in Anna's life, her social life has been going down because of her job making
her retire due to her age. Her social life has been structured around her job since the death of her
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husband. Her age may play a role in a small form of discrimination. In her line of work a lot of
co-worked tend to be younger and this plays a role in social interest.
Treatment Recommendations
Key Issues for Treatment
The issue is Anna's social circle. There must be a plan put into getting her back into the
social mix with people. This will help relieve some stress.
Also there is another treatment out there to help with Anna coping. One of the many self-
help techniques I would want her to use is radical acceptance.
Recommendations for Individual Counseling
The counseling I would use to help Anna I would motivate her to start a social life again
and meet new people. This will help with her feeling alone. Also dealing with her anxiety I
would insert CBT, this would help highly with treating her anxiety.
Anna is still coping with the death of her late husband. Cognitive-behavioral (Tull, 2021)
would be the ideal treatment to help Anna deal with coping. There also may be a trace of PTSD
with Anna. There are different methods that can be used to help. In this treatment, it’s very
important to have goals. I would have her create some short-term goals and later some long-term
goals. These goals will have to be reachable goals. This would help with distress.
Specific Considerations
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The cultural background didn’t have much role to play in this case. Anna anxiety is
bought upon her by taking care of her mother and not being able to the wellbeing status of the
rest of family. Knowing about what the
While counseling I would focus a little more on her cultural. Taking care of mother have some
stress on her as well. I would help her find some options that will help take some of that
pressure of her. From my understand her cultural doesn’t believe in nursing homes. I think
getting an aid to come for a few hours would help a lot.
As a counselor I would manage my personal values while working with Anna by putting that to
the side. When helping someone I must understand that I must be open minded to different
backgrounds in order to help people.
References
https://www.verywellmind.com/cognitive-behavioral-coping-strategies-2797612
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders
(DSM-5®). American Psychiatric Pub
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