Mental Health Consultation
\nPSY645 Psychopathology
\nthis assignment, you will take on the role of a mental health professional providing a consultation to a colleague. Your colleague in this case happens to be a licensed clinical psychologist. Carefully review the Fictional Mental Health Consultation Scenario which provides information on your colleague\u2019s patient and specific questions your colleague has posed to you as a consultant. Once you have reviewed the scenario, research a minimum of two peer-reviewed articles in the Library related to the situation(s) presented in the scenario and how these have been approached and treated in previous cases.<\/p>\n
Write an Assessment of the patient\u2019s symptoms and presenting problems within the context of at least three theoretical orientation (e.g., cognitive, behavioral, humanistic, biological, sociocultural, evolutionary, psychoanalytic, integrative, etc.). NOTE: Be clear that you are writing about theoretical orientations and using the theoretical orientations to explain the client\u2019s symptoms and presenting problems. Do not use the theoretical orientations to discuss any therapy or treatment approaches. Your application of the theoretical orientations should answer the question: How did this client develop the symptoms and current presenting problems? For example, \u201cBased on the cognitive perspective, how did this client develop the symptoms and current presenting problem?\u201d \u201cBased on the humanisitic perspective, how did this client develop the symptoms and current presenting problem?\u201d Etc. To conclude, justify the use of diagnostic manuals and handbooks besides the DSM-5 that might be used to assess this prospective patient.<\/p>\n
The Mental Health Consultation:<\/p>\n
Must be two to three double-spaced pages in length (not including title and references pages) and must be formatted according to APA style as outlined in the Writing Center Links to an external site..
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\nBob\u2019s case was forwarded to me from a colleague who needs to make a provisional
\ndiagnosis. My colleague admitted the patient to the crisis house he works at and a diagnosis is
\nneeded within 24 hours in order for him to continue to stay there. However, my colleague is at a
\nloss on how to diagnose him due to the lack of information and participation. Therefore, he
\nforwarded me the information and asked me to Help with the diagnosis. I will do my best to
\nassess and diagnose the patient with the limited information given.
\nPatient Background Information
\nA 38 year old male named Bob appeared at the crisis house late last night. He was not
\nwell groomed and very disordered. He stated repeatedly that \u201cthe police are after me\u201d but he
\ncouldn\u2019t explain why they might be looking for him. He was indirect with his speech and
\nseemed to have an elevated body temperature while obviously being agitated. He mentioned that
\n\u201cfor years\u201d he had been in psychiatric treatment; however, he would not disclose any of his past
\ndiagnoses. He also refused to complete a release of information form so his medical history
\ncouldn\u2019t be accessed. It was explained to Bob that in order for him to receive help, it was
\nessential to know his medical history. He then went on to scream \u201cyou work for the police, don\u2019t
\nyou? I bet you\u2019re a cop\u201d. Due to him being at risk for decompensation, he was allowed to stay
\nat the crisis house until further notice.
\nAssessment
\nSince Bob will not sign a release of information form it can make it difficult to diagnose
\nhim with no access to his medical records. He also will not inform anyone of what his previous
\ndiagnoses are so it is challenging trying to understand what may be going on with him with such
\nlittle information.
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\nSymptoms and Presenting Problems
\nBased on the information provided about Bob, one of his symptoms include delusions
\nwhich can be a sign of a psychotic disorder. He mentioned that \u201cthe police are after me\u201d but
\ncouldn\u2019t give a logical explanation as to what would make him believe they were indeed
\nfollowing him. Of the many types of delusions, he may be experiencing a form of persecution
\ndelusions in which he believes he is \u201cbeing hounded, followed, or otherwise interfered with\u201d
\n(Morrison, J., 2014). Other symptoms that he exhibited included increased body temperature,
\npsychomotor agitation, disordered speech, and he was not groomed. Unfortunately because he
\nwill not complete a release of information form that would disclose his medical records to be
\ncertain of this, there is no way to know for sure if or what psychotic disorder he may suffer from.
\nTheoretical Orientation. These symptoms displayed are related to one of the four major
\nschools of psychological therapy. Based on the symptoms and behavior being shown, Bob\u2019s
\nproblems seem to stem from a behavioral approach. According to the text, behavioral approach
\ntheories can be determined by external events and past learning experiences can drive a person\u2019s
\npresent behavior (Bennett, P., 2011). Therefore, with the information presented, it is in my
\nopinion that Bob had a previous experience with the police which has him experiences delusions
\nabout police being after him.
\nOther Perspectives and Theoretical Orientations
\nWhen looking at Bob\u2019s scenario from an alternate viewpoint, I would say that a psychoanalytic or
\ncognitive behavioral approach could apply to his case. A psychoanalytic approach \u201cviews childhood
\ntrauma and the unconscious as the causes of problems in adulthood\u201d (Bennett, P., 2011). Bob could be
\nexperiencing delusions about cops being after him due to a previous encounter with the police as a child
\nor young adult, which could be causing some unwanted memories bringing about delusions. Cognitive
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\nbehavioral approaches \u201cassumes that the critical element of psychopathology is inappropriate,
\ndysfunctional, cognitions\u201d (Bennett, P., 2011). With cognitive approaches, there tend to be a phobia or
\nphobias in which individuals have troubles getting past them. It is possible for Bob to have a phobia of
\npolice officers in which he has begun to think that everyone is working for the cops or that the cops are
\nfollowing him around.
\nConclusion
\nThe DSM-5 is probably the most frequently used book to diagnose individuals of certain
\nconditions. Another book that is similar to the DSM-5 that could be used to assess the patient is the
\nPsychodynamic Diagnostic Manual (PDM). It is a manual that focuses on various treatments and mental
\ndisorders. The PDM is a \u201ccollaborative project ( help with nursing paper writing from experts with MSN & DNP degrees) of Div. 39, the American Psychoanalytic Association, the
\nInternational Psychoanalytical Association, the American Academy of Psychoanalysis and the National
\nMembership Committee on Psychoanalysis in Clinical Social Work\u201d (Packard, E., 2007). Both the DSM5 and the PDM could Help with assessing this patient to discuss and discover and diagnosis he may have.
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\nReferences
\nBennett, P. (2011). Abnormal and clinical psychology : An introductory textbook (3rd ed.).
\nBerkshire, England: Open University Press. Retrieved from http:\/\/www.ebrary.com
\nMorrison, J. (2014). DSM-5 made easy: The clinician\u2019s guide to diagnosis. New York, NY: The
\nGuilford Press. Retrieved from https:\/\/redshelf.com
\nPackard, E. (2007, January). A new tool for psychotherapists. Retrieved March 9, 2020, from
\nhttps:\/\/www.apa.org\/monitor\/jan07\/tool
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