PSY 270 DSM-IV Evaluation--Appendix H
PSY 270 DSM-IV Evaluation--Appendix H
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Date Created: 11/12/15
DSMIV Evaluation 1 Name Axia College PSY 270 Instructor December 6 2009 DSMIV Evaluation 2 The Diagnostic and Statistical Manual of Mental Disorders DSM is used by mental health professionals to assist in the diagnosis of a variety of mental disorders The DSMIV consists of a classification system which helps distinguish symptoms of one mental disorder from another The following case studies have been diagnosed according to the DSMIV criteria Case Study 1 Schizoid Personality Disorder Josephine suffers from Schizoid Personality Disorder Her symptoms include lack of close relationships emotional coldness and detachment and solitary tendencies DSMIV 1994 pp3 l7 Josephine prefers to be alone and she also does not seek out meaningful relationships Her disorder has taken a negative toll on her quality of life due to the fact that she is unable to hold a steady job Although the causal factors are not exactly known a link between genetics and early childhood environmental factors seems to be in uential in the development of the disorder A lack of nurturance throughout childhood could have been a risk factor in Josephine s case The nature of Schizoid Personality Disorder can make treatment difficult in most cases Treatment for J osephine s particular case should involve a combination of psychotherapy and medication The psychotherapy will help her develop positive behaviors while the medication can help suppress symptoms of depression and anxiety which should encourage positive emotional behaviors Mayo Clinic 2009 Case Study 2 Narcissistic Personality Disorder DSMIV Evaluation 3 According to the DSMIV criteria Luis suffers from Narcissistic Personality Disorder Luis is constantly seeking admiration from his coworkers and has irrational beliefs that he is better than those around him He also shows signs of the following symptoms exploitive behavior lack of empathy monopolization of conversations and a constant need for admiration DSMIV 1994 pp3l7 Although Luis has remained in the same position as an office assistant for ten years he continues to believe that he will soon become a CEO of the company which means that he suffers from patterns of grandiosity resulting in illogical fantasies of infinite success and power DSMIV 1994 pp3l7 The causal factors of Narcissistic Personality Disorder are not known but it has been speculated that the disorder could be a result of a dysfunctional childhood Genetics and psychobiology have also been linked to the disorder May Clinic 2009 A thorough psychological evaluation would be needed to pinpoint the causal factors in Luis case Psychotherapy is the typical treatment method for Narcissistic Personality Disorder Cognitive behavioral therapy would be the best option for Luis because it would help him identify and recognize the dysfunctional thoughts and actions that he currently displays Mayo Clinic 2009 Case Study 3 Somatoform Disorder Anissa is experiencing a somatoform disorder Although Anissa feels numbness in her hands there is not medical explanation for her physical symptom which allows for the classification as a somatization disorder DSMIV 1994 pp 317 The causal factors for this disorder can range from genetics and environment to the inability to properly express emotions DSMIV Evaluation 4 Yates 2008 In Anissa s case it seems as though her inability to express her emotions about her traumatic experience has resulted in the development of a somatoform disorder Psychotherapy may help Anissa uncover her true feelings and emotions about her traumatic experience which seems to be the cause of her somatoform disorder If Anissa can work through her own emotions it may help alleviate the physical symptoms caused by her somatoform disorder Case Study 4 Dissociative Amnesia Karen is suffering from dissociative amnesia disorder Karen s dissociative amnesia is a result of the trauma that she experienced after losing her child Severe trauma seems to be the leading cause of dissociative amnesia among children and adults Basically Karen s temporary amnesia is an unconscious psychological mechanism to protect herself from the recent trauma of losing her child Mayo Clinic 2009 One treatment option that can help Karen would be hypnosis Hypnosis is often used in cases of dissociative disorders because it helps the patients remember the traumatic events that led to the development of the disorder Mayo Clinic 2009 Karen would also benefit from an antidepressant which would help her cope more effectively with her loss Case Study 5 Schizophrenia Tony is displaying symptoms associated with Schizophrenia Tony s indicating symptoms include lack of selfcare delusions hallucinations social withdrawal loss of reality and disorganized speech DSMIV 1994 pp3l7 Tony is experiencing a mixture of both DSMIV Evaluation 5 negative and positive symptoms of schizophrenia Although Tony has not experienced these symptoms for a six month period it seems as though his current behavior will lead to an eventual diagnosis of schizophrenia Genetics and environment are two probably causes of schizophrenia Brain abnormalities are also relevant causes Problems with certain neurotransmitters within the brain such as dopamine can contribute to the development of schizophrenia A family history of schizophrenia is also a risk factor Mayo Clinic 2009 Treatment for schizophrenia is an ongoing process throughout the individual s entire life Tony would likely benefit from atypical antipsychotic medications which cater to both negative and positive symptoms of schizophrenia Tony would also need to seek psychotherapy to help him develop mechanisms to cope with the symptoms brought on by schizophrenia Mayo Clinic 2009 All cases of mental disorders are different which is why it is extremely important to understand the patients individual case Although the DSMIV is beneficial in pinpointing certain symptoms it cannot analyze the patient as an individual and it cannot take into account factors that may affect the individual s behavior which is why the role of the psychiatrist or clinician is imperative to a proper diagnosis Diagnosis of a mental disorder should always be based upon criteria from the DSMIV as well as information gathered from direct observation of the patient DSMIV Evaluation l6 References American Psychiatric Association 1994 Diagnostic and statistical manual of mental disorders 4th ed Washington DC Author Yates W 2008 Somatoform Disorders WebMD Retrieved December 6 2009 from httpemedicinemedscapecomarticle294908 overview Mayo Clinic 2009 Dissociative Disorders Retrieved December 6 2009 from httDwwwmavocliniccomhealtl dissociative disordersDSOOS 74 Mayo Clinic 2009 Narcissistic Personality Disorder Retrieved December 6 2009 from httpwwwmavocliniccomhealtl narcissistic Dersonalitv disorderD80065 2 Mayo Clinic 2009 Schizoid Personality Disorder Retrieved December 6 2009 from httoWwwmavocliniccomhealtl schizoid Dersonalitv disorderDS00865 Mayo Clinic 2009 Schizophrenia Retrieved December 6 2009 from httpwwwmavocliniccomhealtl schizophreniaDS00l96
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