Assignment: CASE of Sigmund Diagnostic Symptoms

Assignment: CASE of Sigmund Diagnostic Symptoms

Briefly summarize your case, highlighting the diagnostic symptoms seen in the case.

Describe your decision-making process for identifying the key problems in the case and the differential eliminations for your case.

Identify the diagnosis chosen by you and your partner for the client in the case. Explain the diagnosis by providing the supporting DSM-5 criteria with specific examples of how your client met those criteria.

Post a fully coded DSM-5 diagnosis. Remember, a full diagnosis should include the name of the disorder, ICD-10-CM code, specifiers, severity, and the Z codes (other conditions that may be a focus of clinical attention).pp7

Assignment: CASE of Sigmund Diagnostic Symptoms

CASE of Sigmund
INTAKE DATE: FEBRUARY 2019

DEMOGRAPHIC DATA:

This is a voluntary intake for this 53 year old Jewish male. Sigmund has had several psychiatric hospitalizations in the past. Sigmund has been married for 29 years and has been separated from his wife for the past ten months. He has been living alone for the past five months. His wife and three daughters live two blocks from him. Sigmund has had difficulty in jobs and has not been at any job longer than three years.

CHIEF COMPLAINT:

“I miss my family and do not want to live without them”.

Assignment: CASE of Sigmund Diagnostic Symptoms

HISTORY OF ILLNESS:

Sigmund reports first seeking psychiatric treatment when he was sixteen years old. He was prescribed anti-depressants, but does not remember what kind. Since they helped his mood he remained on anti-depressants for several years. In his late teens he began drinking. His use of alcohol continued into his early thirties. At thirty four years old he attempted suicide after his wife and children left him. He was hospitalized in a psychiatric unit for thirty days. At that time Sigmund was put on lithium, with continued successful results for several years, resulting in reconciliation.

In December 2018 Sigmund returned to his psychiatrist because he was becoming depressed again, feeling sad, fearful and suicidal. He was given Parnate. Soon after, both Sigmund and the psychiatrist did not think this was working very well and the psychiatrist added Ritalin to his medication regiment. During the next three months Sigmund felt on top of the world sometimes lasting for 10 days. He then would have angry outbursts. His wife asked him to leave the home. He then took an overdose of Klonopin. Sigmund was then prescribed ECT (shock treatment). Sigmund returned home after the shock treatment but reported that it was an inhumane experience and felt anger towards his wife believing she forced him to receive ECT to return home.

Assignment: CASE of Sigmund Diagnostic Symptoms

Sigmund continued on anti-depressants and lithium. Mrs. Sigmund was getting continuously concerned about their financial state because Sigmund would constantly be buying big items that they could not afford. They would have arguments about this all the time. By the end of August he was asked to leave his home again because he used pills as a suicidal gesture. He began drinking again to cope with the separation. This use and behavior continued up to his current presentation for intake.

PSYCHOSOCIAL HISTORY:

Sigmund reports growing up as tumultuous. His mother beat him and would lock him out of the house when she became angry. His mother separated from his father on several occasions and sometimes would throw Sigmund out of the house with the father. His mother made all the decisions and his father played a more passive role. Both parents would often have physical fights and Sigmund would try to break up the fighting from as early as he can remember.

Sigmund is the only child from his parents union. He has an older brother from his mother’s previous marriage. Sigmund does not have any contact with his brother. Sigmund was initially considered an underachiever in the early years of school. He had trouble being in fights with other kids because they use to make fun of his wrinkled clothes. Sigmund always wanted to be a doctor. He spent the following five years after college graduation taking courses but never completed his graduate studies.

Sigmund has no legal history. He worked in the family business through high school and college. He became a project coordinator at his next job. He stayed there three years.

Assignment: CASE of Sigmund Diagnostic Symptoms

MEDICAL HISTORY:

Sigmund states he currently takes Synthroid for a thyroid problem and this helps him keep his weight down.

FAMILY ISSUES AND DYNAMICS:

Sigmund was first married at age twenty one years old. He reports not loving his first wife but liked the stability of her family and asked her to marry him. They spent one year together. He physically abused her from the beginning of their marriage. Mrs. Sigmund the first had an affair that ended the marriage. Mrs. Sigmund reports Sigmund had spoken to her several times about getting involved with other men for sexual pleasure with his knowledge and she states she just followed through with his wishes. They had no children.

Six months after his first divorce Sigmund married again. He reports not loving his second wife but thought it was better to be married. The second Mrs. Sigmund had one child from a previous marriage who Sigmund adopted. They had two other children.

The first ten years of their marriage Sigmund reports physically abusing his wife. He reports hitting the oldest child once. He stopped the physical abuse when Mrs. Sigmund asked for a divorce the first time. Sigmund reports he always wants people around him. He believed his wife was becoming more distant from him over the past several years which he could not take. Their fighting increased, although he would not become physical with her now.

Assignment: CASE of Sigmund Diagnostic Symptoms

MENTAL STATUS EXAM:

Sigmund presents as a neatly dressed male who appears younger than his stated age. His hair is a bit disheveled. His nails are neatly groomed. Facial expressions are appropriate to thought content. Motor activity is appropriate. Thoughts are logical and organized. There is no evidence of hallucinations. Sigmund admits to a history of suicidal ideation, gestures and attempts. His mood is depressed. During the interview Sigmund talked fast. Sigmund is oriented to time, place and person. His intelligence appears above average…

ORDER NOW FOR AN ORIGINAL PAPER!!! Assignment: CASE of Sigmund Diagnostic Symptoms

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

• Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
• Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
• One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
• I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

• Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
• In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
• Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
• Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

• Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
• Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
• I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

• I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
• As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
• It is best to paraphrase content and cite your source.

 

LopesWrite Policy

• For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
• Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
• Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
• Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

• The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
• Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
• If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
• I do not accept assignments that are two or more weeks late unless we have worked out an extension.
• As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

• Communication is so very important. There are multiple ways to communicate with me: 
  • Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
  • Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.