Psychopathology: A Case Study

Cassie presents with multidimensional and complex problems. The problems are inter related and need to be addressed concurrently. This client presents with a history of anxiety and childhood sexual abuse which manifests as post traumatic stress disorder [PTSD], social phobia (social anxiety disorder) and depression. Wagner (2008) reports a strong association between social anxiety disorder and depression. Post traumatic stress disorder [PTSD] in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DMS-5; American Psychiatric Association [APA], 2013) specifically includes sexual violation as one of the diagnostic criteria for PTSD. Consequentially, co-morbid symptoms create dis-regulated behaviours which may have long

Abnormal behavior relates to the influence of psychological factors, biological factors as well as the social factors referring to inadequate relationships. In the face of diverse definition, abnormal behavior refers to the deviating from norm, which norm is the typical behavior or characteristic of the population. As such, Jim behavior is abnormal because it violates moral and conventional mores of the society (Violates societal standards), as such causing social discomfort to others. For instance, Jim fails to recognize the social cues in conversation thereby annoying other interlocutors. Jim is this case is behaving in a manner counterproductive to his own well being by

It is sometimes argued that “the creators of DSM-III and DSM-IV sacrificed validity for the sake of reliability”(Wakefield, 1992, cited in Gray, 2002, p 614). This refers to greater emphasis being placed upon superficial symptoms and less upon underlying symptoms and possible cause which could have an important influence upon individuals (Gray, 2002). Since behavior always involve interaction between the individual and their environment, it can be difficult to assess whether the disorder is within the person or whether it is an environmental influence such as a traumatic experience or related to poverty (Gray, 2002, p.612). This can cause problems when diagnosing is extremely difficult to scientifically distinguish between people’s normal responses or whether it is something more (Gray, 2002).

Explain how individuals experience discrimination due to misinformation, assumptions and stereotypes about mental ill health.

Mental illness in this manner is the belief that such illnesses can be identified and classified (As in the DSM & ICD)

Since the discrete nature of the DSM relies on a yes-no approach to classification, patient is either afflicted with a certain mental illness, or not. On the discussion of the not criminally responsible individual, this means that if an individual answers incorrectly or does not provide the right information, they may not be properly characterized under a certain disorder. This may not necessarily mean that the individual does not possess this certain disorder. Furthermore, disorders that have not yet been discovered by psychiatrist will not be found within the DSM manual. The obvious consequence for this would mean that individuals who have special types of disorders might not be diagnosed at all and if they are, they may be diagnosed under incorrect categories due to a lack of understanding. A second criticism of the DSM-IV is that the cut-off points for each disorder are often chosen with little empirical justification. Merely relying on the number of symptoms and the duration of which they appear could mean that those who do not meet the cut-off points for a given category are simply funnelled into the criminal justice system without receiving the quality of mental health attention that they may require. In certain cases, having only two symptoms instead of the required three to possess a certain mental disorder would mean that you do not have that disorder at all. This sort of information should be considered as potentially being sufficient to leave someone in a position where they do not appreciate the nature and quality of their actions. Even if these factors are insufficient to warrant an acquittal based on an entry of NCRMD, it should at the very least be used as a mitigating

Clearly, it would be in the best interests of society to address the problem with substance use disorder. There are ten separate classes of drugs, which include alcohol, caffeine, cannabis, hallucinogens stimulants, and unknown substances (American Psychiatric Association, 2013). In order to diagnose someone with substance use disorder the DSM 5 (2013) lists eleven separate criteria. The individual may require higher amounts or longer periods than was originally planned. Obtaining, using and recovering from the effects of the drug may take the majority of their time. The daily routine revolves around the drug. When the

The DSM is a classified system used by psychiatrist and other clinical professions in order to diagnose clients and patients who show signs of some type of disorder. The two advantages of using this model or classification system ranges from the validity of an assessment used by clinicians and other health care professionals. Build around the concepts and purposes for the DSM model is that it supports a number of standard assessments of diagnosing different treatment providers. Furthermore, (Comer, J. 2016) suggest that the DSM-5 requires clinicians to provide both categorical and dimensional information which is part of being consistent in diagnosing. From a categorical perspective this refers to the name of a particular category of a disorder which is indicated on behalf of the client’s symptoms. From the dimensional perspective it is a rating of how the client symptoms and the severity of the dysfunction through various dimensions.

Since, he is in denial of having a problem with drug use, it is this counselors professional opinion that the client has met the criteria for Opioid Use Disorder because Keane has demonstrated compulsive, prolonged self-administration of an opioid that he has no legitimate medical purpose to

Within the realms of psychology, classification systems are imperative and allow for appropriate organization and proper descriptions of a patient’s psychological diagnosis. (Hunsley, J. & Lee, M. Catherine, 2010). Classification is a central element of all branches of science and social science, and is how clinicians perform their job to diagnose patients. The two, main types of classification systems are the categorical approach and the dimensional approach. In a broad view, the categorical approach is an one in which a person or object is determined to either be a member of a specific category or not, and the dimensional approach is based on the assumption that the object or person being classified differs in the extent to which they possess certain characteristics and properties (Hunsley & Lee, 2010). The controversy over dimensional versus categorical approaches to diagnosis as manifested in the recent development and publication of the DSM-V is a debate that is one to take note of. Numerous limitations and benefits to both the categorical and dimensional approaches exist, and are widely discussed by researchers when speaking of the production of the DSM-V in regards to personality disorders (PDs). This paper will mainly focus on the diagnosing of one with Narcissistic Personality Disorder (NPD), and how the changes from the categorical approach to dimensional approach in the recent

Understanding their relationship and impact the two disorders have on one another is important for a variety of reasons. Comorbidity is said to be the “rule rather than the exception”, meaning that the disorders co-occur more frequently than by chance so it is best to consider this co-occurrence as the norm rather than a coincidence (Hall et al., 2009). Taking into consideration that different disorders naturally occur together is important when studying individuals who present the symptoms of more than one disorder. Understanding this comorbidity can also provide useful information for treatment, since comorbid disorders are often not diagnosed because the presence of more than one disorder, especially concurrently, may be missed by clinicians. Additionally,

According to Erford (2010) defines diagnosis as a framework used to identify problems or the focus of intervention. Mental health settings typically use the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition- Text Revision (DSM-IV- TR) (American Psychiatric Association, 2001). Diagnosis is the recognition of a problem that becomes the objective and goals of the counseling intervention it is also the detection of a disease, disorder, or syndrome based on some form of systematic assessment. “The problems associated with diagnosis include identifying clients by their diagnosis as opposed to focusing on their unique situations and experiences” (Erford, 2010 p.285). Understanding the implication of a diagnosis on the client and the counseling relationship is something that all professional counselors need to consider. To develop a treatment plan counselors uses the DSM- IV- TR which includes a five axial system that comprises of clinical disorders and other factors that are the focus of treatment, long-standing socio-emotional problems, medical conditions, environmental stressors, level of symptom distress, and functional impairment. This five axial system is intended to provide a comprehensive diagnostic picture. Professional counselors need to be diligent regarding the use of diagnosis. It is an ethical requirement that counselors providing diagnostic formulations be adequately trained in the use of DSM- IV- TR and that

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While mental health professionals have had mixed feelings about the use of diagnostic labels in counseling, the diagnosis is another common outcome of the assessment process. Mears (2010) reports the advantage of diagnostic classifications as their usefulness in written and verbal interactions about the specific problems a client might experience. An example of this is when a diagnosis documented in a case conceptualization or treatment plan increases the ease of communication between clinicians or billing agencies.

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