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·      2:2 sub : Diagnostic Case Reports

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There, you will see twelve different disorders listed. For this module, view the following disorders:

· Borderline Personality Disorder

· Substance Use

After clicking a disorder, click the Diagnostic Overview tab in the left column. This will cover the major diagnostic features of the disorder. After that, click the DSM-5 Features tab. You can then go though the Case History, Interview, and Treatment sections on the website. Finally, in the Assessment section, you can complete an optional multiple-choice quiz. You have to write a case report for each case study. You should use the format provided on the web page. There is a sample report that you can also view by clicking the link in the upper-right corner.

The format for the sample report is as follows:

Your Name
Instructor’s Name
Class/Section Number

Background

· Outline the major symptoms of this disorder.

· Briefly outline the client’s background (age, race, occupations, etc.).

· Describe any factors in the client’s background that might predispose him or her to this disorder.

Observations

· Describe any symptoms that you have observed that support the diagnosis. You can include direct quotes or behaviors that you may have observed.

· Describe any symptoms or behaviors that are inconsistent with the diagnosis.

· Provide any information that you have about the development of this disorder.

Diagnosis

· Did you observe any evidence of general medical conditions that might contribute to the development of this disorder?

· Did you observe any evidence of psychosocial and environmental problems that might contribute to this disorder?

· As per your observations, what is the client’s overall level of safety regarding the potential harm to self or others (suicidality or homicidality)?

· What cross-cultural issues, if any, affect the differential diagnosis?

Therapeutic Intervention

· In your opinion, what are the appropriate short-term goals of this intervention?

· In your opinion, what are the appropriate long-term goals of this intervention?

· Which therapeutic strategy seems the most appropriate in this case? Why?

· Which therapeutic modality seems the most appropriate in this case? Why?

Described the major symptoms of each disorder, outlined each person’s background, and described any factors in the person’s background that might predispose him or her to their disorder.

20

Described any symptoms that were observed that support each diagnosis and any symptoms or behaviors that are inconsistent with each diagnosis and provided relevant information from the case history about the development of each disorder

20

Described any evidence of psychosocial or medical issues that might have contributed to each disorder, identified any safety concerns regarding suicidality or homicidality, and discussed any cross-cultural issues affecting the differential diagnosis.

20

Discussed appropriate short-term and long-term goals of each intervention, discussed the most appropriate therapeutic strategy and therapeutic modality for each case, and presented appropriate reasoning for your selection.

20

Total:

100

Summary  of task Diagnosis overview borderline personality disorder consists of a set of emotional and behavioral traits including impulse of anger and self -destructiveness that create distress from the the individual and for the people around them. Personality disorders are Rico Carty differently than other disorders discussed in this series. I am therefore before discussing Porelin specifically we will explore the concept of person out this order is in general.Our Personality consists of characters patterns of thinking feeling believing and believe behaving. Interns a person is said to have a personality disorder when their doubts and behaviors create long-term difficulties for themselves or for those around them. Teachers orders are usually expressed by early adulthood and seem to produce any and personal styles that is rigid and inflexible.Personality disorders can be divided into three clusters. The first cluster include personalities that are odd or eccentric. The individual might express on usual speed habits and inappropriate or flat emotions . This cluster includes paranoid personality disorder , schizoid personality disorder  , and schizophrenia personality disorder. The second cluster includes personality that are  highly anxious or Fearful . These individuals have very little confidence and they may either be dependent on others or avoid interaction with other people all together. This cluster and close avoidant personality is ordered to pay his personality disorder and obsessive-compulsive personality disorder.The third clustering clothes personalities that are highly dramatic and erratic. These individuals might be especially manipulative  aggressive or impulse . This cluster include antisocial personality disorder narcissistic personality disorder and borderline personality disorder which is the focus of this module.Borderline personality disorder usually consist of a wide collection of sometimes vaguely defined symptoms. For example people with borderline personality disorder experiences bouts of extreme anger, depression and anxiety. In turns they sometimes cope with  these emotions by engaging in impulsive behavior , such as reckless driving indiscriminate sex or self mutilating behavior.They also may have vacillation  self images. For example one day they might see themselves as politically liberal but the next day build them selves as controversial. Even their sexual identity might be thrown into question by the almost Ceaseless process of shifting. One week they Maye regard themselves as homosexual the next as heterosexual. The frequent vacillation can contribute to increasing self doubt and decrease self confidence. As you might imagine these behaviors patterns lead to a stable relationships. People with borderline personality disorder will often clean two new France while others misinterpreting  an innocuous action as a sign of potential abandonment . In turn , they can suddenly switch from idolizing a friend to despising them. This is known ass splitting.The cause of borderline personality disorder are not well understood. Psychological research shows that the impulsive behavior seems in seeing if people with personality disorders are correlated with the low serotonin level. How to research suggest that physiological deficits reduce the person ability to regulate their emotions. Interns this leads to a multitude of interpersonal complication to make it even more difficult for these individuals to develop adaptive and interpersonal skillsPsychoanalytic research’s believe that  the symptoms of borderline personality disorder results from poor care giving during childhood . Specifically , they believe that the individuals parents encourage the child to be overly dependent on them and thereby inhibited the Chile’s individuation . Therefore as an adult the individual is overly sensitive to the judgment of others. Furthermore when they perceive themselves as billing to achieve their goals they participate self -Mutilation as a mean of self punishment. Borderline is a controversial diagnosis. Some researchers point out that it is this disproportionately diagnosed in women and hence they assert it in a form of discrimination. Others argue that the diagnosis is significantly over diagnosed and that now the diagnosis is assigned to people who are simply unpleasant or aggressive.

Diagnosis features for borderline personality disorderDSM5 list numerous traits of people with borderline this order these traits can be divided into five categories1Emotional traits 2behavior traits 3Traits involving identity 4Traits involved relationship5Trait under conditions of stress
Case history Becky has been diagnosed with borderline personality disorder. My conversation with Patty was one of the most compelling every billing interview I have ever conducted. At the time of the interview Becky was 24 years old and she was in rolled in one of my university classes. When she heard about this project she approached me and volunteered to participate. She explained that she wanted to overcome that this order and she thought they practicing in these interviews and being forthright with her problems would help her move towards recovery.As you will see Becky is a bright and ambitious  women. At the same time she is deeply trouble. As an adolescent she remember getting into a vicious fight with her family and friends. She spiraled in and out of relationships first analyzing a person and then scorning them. She was raised in a mourner church well she wants found great meaning in faith she now renounces it.Becky has very little sense of who she is and believes that her Personna is a fraud. For example she currently works in a customer relationships for a loan Corporation. She is quite good at her work and she receive compliments and promotions, but she somehow she believes that she is not really legitimate. Even when people like and it might hurt she feels disingenuous and believes that she has somehow fooled them . As you’ll see Becky expresses serious self doubt it internal conflict. In turn she sometime direct this anger towards herself in the form of self-mutilation. Be forewarned that some of description of this self -mutilation can be pretty disturbing, to be frank there was something disturbing about the interview. I remember feeling both disturbed by what Becky had to say and concerned on her behalf.Interestingly the crew reacted differently. The director perceived Becky as contrived it and insincere. She believe Becky enjoyed manipulating people. I do not agree but I will leave it to you to decide for yourself Becky is currently living with her father and while she inmates that this is less than ideal she knows that it is better than living alone. Although she has problems dealing with people she is most self injury us when she lives alone.Interview with Becky Child hood Do you think there was anything out about you when you were a child?Becky‘s response: I was so desperate for my mom to teach and like one on me not her me Napoca seeing on her that I told her that I was Sexually molested by these six grade boys , and I was in the second grade and that never happened and I knew it was wrong what I was saying what I was doing I knew I was doing it for attention .I was hungry for the response she gave me for my whole life I’ve told Phillips like that you know well Phillips is kind of a common way of putting it but you know either you know I’m going in to be tested for cancer or you know I mean I haven’t done it since high school but just this the stories so that I would get her attention. Or with Sean the guy I was in love with their high school I told him that this guy was harassing me when Att worked at Wendy’s just something to get that caring and go get that attention that I need it or wanted . What were you like when you were in high school?Well I was desperate to be alone I grew up Mormon and we stopped or when I was 15 so by the time I was at school I should say we had just moved and I was brand new and high school and I’ve met up with a group of friends that went to a Baptist church so I started going to youth group with them and septic Christ and went through the whole rigmarole going to youth Bible every day Wednesday and going to church every Sunday read in the Bible listen to Christian music And at that point I wasn’t really being my true self but I had a sense of being whole a sesame of belonging having people care about me wanted to do things to take care of them. Knowing that there are better things in life. What do you think is the main cause of your mental problem?Well we can start at the one on the Avenue learn to therapy is that the root of colors of everything and that my mother she grew up in as an abused child married then she was both my mother and father were brought up more me Mary when she was 19 she had got back from his mission so he was 23 she get pregnant with me on her honeymoon she have five kids in six years with some one who didn’t deal with anything and so my mom turned to me to be a confident or of some sort. If she’d get frustrated I was the one that she would take it out on whether it be mentally or physically and just everything about her I was there to reassure her that she was doing a good job that she was a good person but yes I understood about yours and dadsex life that it’s too bad that type of thing you know I remember being five years old and sitting on the toilet next to my mom while she is putting on her make up and telling me about how her  and her father had molested and had sex with two of her sisters and she was very graphic and detail in at five years old I do not realize really think I needed to know that you know question I could be five or six it was kind of fuzzy about the time but so she was just always very  manipulating and parents aren’t perfect I don’t want to be like her but I know in a lot of ways I am.What therapy most effective Open and honesty if miss understood address right away . 
Substance Abuse Summery taskA psychoactive drug is a substance that alter our thoughts feelings and behaviors. A very wide variety of substance have psychoactive priorities including B alcohol marijuana cocaine tobacco and heroin. For the more by definition all of these medications prescribed to treat psychological disorders including lithium right now and antidepressant medication also psychoactive drugs.Psycho active drugs very dramatically in terms of their potential benefit dangerous side effects. In general there is an effort to allow relatively being excepted such as U to remain illegal well dangerous substance such as cocaine and heroin are made illegal. Finally when a substance is dangerous but can’t be beneficial when used judicious it is restrictive and only available up on recommendation of a position.Unfortunately the pattern of legalization is uneven. For example tobacco alcohol two of the most popular psychoactive drugs we may legally and spite of a long history of addiction and lethal outcome.Almost everyone has ingested a psychoactive substance at sometime in their life. For psychologists the question is when does this use become pathology? As you would expect there is no easy answer in this issue has been the debated for decades . the imprecise term addiction is used less often has been replaced by languages that focus on the effect of drugs use of individuals life.  currently the diagnosis and stactical manual identifies four types of conditions related to the use of drugs
What’s the DSM 5 criteria for substance abuse The person experiencing drugs Tolerate as evidence by the need for increased amount of drugs achieve intoxication   diminished intoxication after imbibing  the same amount of drugsThe person experience drug withdrawal Expand with drawl symptoms typically up the substance the use of related drugs to avoid symptoms of withdrawalThe person takes the substance in does that are larger than that attended amount and over a long time them intended.The person has made multiple unsuccessful efforts to quit.The person spends a great deal of time occurring using and recovering from the substance. the person giving up social and professional opportunities to become the substitutes. The person continues to use the drugs in spite of negative side effects and consequences.Case history When Bobby was 16 year old she was living on the street she was a heroin addict and her life revolved around selling her body buying drugs and satisfying and overwhelmingly opiate addiction. When Bobby with nine years old her life was already challenging her mom was mostly absent and Bobby M is that she was desperate for positive attention. In about this time she was sexually abused by men in her household in spite of this she desperately wanted to think of herself as a good girl.I live begin to crumble when she was about 12 years old she feel with an older crowd of kids and began smoking cigarettes and drinking alcohol at 13 she started smoking marijuana and ran away from home. And this course of the next three years she experimented with a variety of hallucinogens amphetamines and  barbiturates. Impact her own mother introduced her to HAIR and Bobby’s live quickly spare out of her control and remains cell for the next 10 years.at this time of this interview Bobby had been sober for about 10 years she currently in the squally with her five-year-old son and her boyfriend in a small suburban house. Although she is drug-free she still considers herself and attic amid she is afraid that she might result using drugs for the more she’s deal where is the scars of her previous life. One Bobby junk so I asked her about the track marks on her arm she explains that she was scratched by a cat. She also carries emotional scars when I first met her Bobby seem warm friendly and outgoing a charm and no more me in many respects all of that is true. But I spoke to her gradually it also became clear she is a damaged person. I am not trying to be mean or unkind here and I invite you to watch the video and come to your own conclusion. But it seem to me that she seems happy she is also deeply fighting. While she seems strong willed she will she is also terribly fragile. Bobby is working hard to maintain a normal life for her small family. She has a part-time job and is learning to cope with the special challenges of living HIV. In spite of her many challenges she is determined to live a happy life and for filling life.
Interview Bobby is white and works as waitressMe:what were you like as a child Bobby :And I 9 years old I always knew I wanted attention I wanted to mama my life my mom was in and out of my life . Sexual abuse started at 9  I don’t say anything did think any one would listen .Me: what happen as you got older?Bobby :As I got older I stated to act out more drinking acting out more being promiscuous . I knew it was wrong but I was doing them anyway . I wanted my dad to pay attention to me I Convince myself an early age that that didn’t love me. And he and so he didn’t show it like I show it to my son by the kisses and the hugs a lot of times it was a smack across the face or a knee in the stomach he wasn’t there. So I was trying to get  other people outside to you know boys  the bad girls to pay attention.Me :was your mother a role model for you ? Everybody kept telling me I was like my mom you look just like your mom you’re just you’re just like your mom and that was hard. Because my mom I know the feeling of everybody around me didn’t like my mom. And was very angry with her. And so it was just like I feel bad that message up oh I’m a bad horrible person I must be hurting so many people.
Treatment suggested 

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