Students are asked to provide the following in this paper:
DSM-5 diagnosis for the provided vignette. Students should provide a thorough explanation for their diagnosis, including the consideration of any cultural factors. Please feel free to “talk through” your diagnosis to demonstrate your knowledge. Don’t forget to include diagnostic specifiers, if relevant (i.e., mild, moderate, severe, with XYZ features, etc.).
Next, students are asked to identify a potential theoretical orientation for treatment of this disorder. You may need to do a brief literature review or review of your textbooks to determine what orientations might be best suited for this diagnosis.
Lastly, students are asked to make suggestions for 2-3 MAPS goals for the client (see below for reminders about how to set MAPS/SMART goals).
This paper should be 3 pages and utilize APA style. Please remember to include a Reference page.
Please use subheadings for this paper: Diagnosis, Treatment Orientation, Goals
See attached rubric for more complete details.
Reminder:
MAPS = measurable, attainable, positive, specific.
Another common acronym for goal-setting is SMART = specific, measurable, attainable, realistic, tangible.
Both of these methods are helpful tools to use when youre designing treatment goals. You can keep these general “rules” in mind when you’re thinking about the goals that would be best suited for your client from the vignette.
Vignette:
“Nancy Ingram, a 33-year-old stock analyst and married mother of two children, was brought to the emergency room after 10 days of what her husband described as ‘another crazy cycle,’ marked by a hair-trigger temper, tearfulness, and almost no sleep. He noted that these ‘dark periods’ had gone on as long as he had known her but that she had experienced at least half a dozen of these episodes in the prior year. He said they typically improved within a few weeks of restarting her fluoxetine.
Ms. Ingrams’ husband said he had decided to bring her to the ER after he discovered that she had recently created a blog entitled Nancy Ingram’s Best Stock Picks. Such an activity was not only out of character but, given her job as s stock analyst for a large investment bank, was stricly against company policy. He said that she had been working on these stock picks around the clock, forgoing her own meals as well as her responsibilities at work and with her children. She countered that she was fine and that her blog would ‘make them as rich as Croesus.’
Ms. Ingram described her general mood as ‘down,’ interspersed with recurrent bouts of enhanced dysphoria, insomnia, and uncharacteristically rapid speech and hyperaltertness. On examination, she was pacing the room angrily. She was dressed in jeans and a shirt that was carelessly unbuttoned. Her eyes appeared glazed and unfocused. She responded to the examiner’s entrance by sitting down and explianing that this was all a miscommunication, that she was fine and needed to get home immediately to tend to her business. Her speeach was rapid, pressured, and very difficult to interrupt. She admitted to not sleeping but denied that it was a problem. She denied hallucinations but admitted, with a smile, to a unique ability to predict the stock market. Her insight into the situation appeared poor and her judgment was deemed to be impaired.”
