making a differential diagnosis 3

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Prior to beginning work on this assignment, please read Chapter 1: Differential Diagnosis Step by Step in DSM-5: Handbook of Differential Diagnosis and review the same case study you used to write your Weeks One and Two discussion forums and Week Three Assignment.

For this assignment, you will create a differential diagnosis for the patient in your chosen case. This assignment continues the work you started in the Weeks One and Two discussion forums and the Week Three assignment. Be sure to follow the instructions in Chapter 1: Differential Diagnosis Step by Step when creating your differential diagnosis. Your assignment must include the following:

  • Recommend a diagnosis based on the patient’s symptoms, presenting problems, and history.
  • Assess the validity of your diagnosis using a sociocultural perspective.
  • Compare at least one evidence-based and one non-evidence-based treatment option for the diagnosis. Research a minimum of two peer-reviewed sources to support your choices.
  • Propose and provide an explanation for a minimum of two historical perspectives and two theoretical orientations that are inappropriate alternates for the conceptualizations in this case.

The Making a Differential Diagnosis assignment

  • Must be three to five double-spaced pages in length (not including title and references pages) and formatted according to APA style as outlined in the Ashford Writing Center (Links to an external site.).
  • Must include a separate title page with the following:
    • Title of paper
    • Student’s name
    • Course name and number
    • Instructor’s name
    • Date submitted
  • Must use at least two peer-reviewed sources in addition to the course text.
  • Must document all sources in APA style as outlined in the Ashford Writing Center.
  • Must include a separate references page that is formatted according to APA style as outlined in the Ashford Writing Center.

Week one Homework

Receptionist: Hello, thank you for calling The Vines Health Clinic. How may I help you?

Julia: Hello, my name is Julia. I’m 19 and I was told that I needed to contact your offices for services. Apparently, my mother thinks that there is something wrong with me. Well, I won’t say just my mother, my roommate was the one who opened her big mouth to my mom. I don’t know why she couldn’t just mind her own business. She’s just mad because I haven’t been hanging out with her lately.

Receptionist: Ok. Ok. You’re talking a little fast. Can you slow down so I can make sure I have all the information I need to help you?

Julia: I don’t think there’s nothing wrong, I’m just trying to live my best life. Why is it that when I finally feel and look healthy everyone has something to say. Why can’t everyone just leave me alone?

Julia crying: I was told that I was gaining weight and I should try a diet, so I did. I realized how easy it was for me to lose weight by exercising and sticking to a diet. I am down to a weight that I am happy with so I don’t really understand what the problem is. I realize when I came home for thanksgiving it took a while for my mom to get used to my weight loss but I think I look fantastic. Why can’t I do what I want to do, why is there someone always think and talking negatively?

Receptionist: I understand

Julia: Now I’m pissed because I have to talk to you. I’m sure you’re going to evaluate me and, let me guess, tell me what my problem is. I don’t need your help. I’m only here so I can keep my scholarship. So doc what do you think. Can you cure me? There is nothing you can do that I can’t do for myself.

Receptionist: Julia I have a doctor available later this afternoon. Will 4:30 work for you?

Julia: I guess how long will it take. What’s the doctor’s name?

Receptionist: Dr. Browning. She is great. Make sure to bring your ID. I look forward to seeing you later this afternoon.

Julia: OK Thanks. See you later.

Week Two homework

Case 18-Julia

Me: Hello, Julia my name is Dr. Browning. How are you doing?

Julia: I’m ok… I guess just a little nervous.

Me: It’s only natural to be a little nervous. That’s ok. I will be doing you intake.

Julia: What do you do in an intake?

Me: I will be asking a few questions to find out the best way we can help you.

Julia: Ok but is this going to be confidential?

Me: Of course. Anything that you tell me will be kept with in the wall of this room. Well, Let us get started then. How old are you?

Julia: 19

Me: Are you in college.

Julia: Yes. I just finished my first year of college.

Me: So why are you here today?

Julia: Everyone things I have a problem because I have lost a little weight. My mom started panicking when she saw me and now the school say’s before I can run track again I had to come see you.

Me: I thank you for sharing this with me. I can see that track is very important to you.

Julia: I’m on scholarship for track. So yes I love track.

Me. Oh Wow you must be good. Well, let’s see what we can do to keep you running.

Three questions:

Why do you think that your mom is so concerned with your well-being right now?

Julia: I don’t know. It’s probably of her way of keeping control over me.

I think it’s important to find out what the relationship is like between the mother and her daughter. It may be the root of some of her issues.

Me: Have you ever known anyone with an eating disorder?

Julia: Yes.

I would ask this question because many time patients only think about the extreme when it comes to disorders. So knowing what it looks like may help.

Me: What do you consider to be healthy?

Julia: A skinny person who doesn’t eat a lot and has a lot of energy.

Everyone’s perception on what healthy means can be different. To know how she defines healthy will help to determine the kind of help she will need.

6 days ago

 
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