Kimberly Posttraumatic Stress Disorder & Bipolar I Disorder Case Study

Kimberly Posttraumatic Stress Disorder & Bipolar I Disorder Case Study Kimberly Posttraumatic Stress Disorder & Bipolar I Disorder Case Study ORDER NOW FOR CUSTOMIZED AND ORIGINAL NURSING PAPERS Unformatted Attachment Preview CASE STUDY 1 Case Study of Kimberly: Part One Azlan Allen 11/30/2020 CASE STUDY OF KIMBERLY 2 Case Study of Kimberly: Part One What diagnostic possibilities does Kimberly’s case present? Reflecting on the main diagnosis made, Kimberly’s case offers a good example of someone suffering from the 309.81 (F43.10) Posttraumatic stress disorder. Also, it shows the signs of a 297.40 (F31.13) Bipolar I disorder. This means that Kimberly is suffering from several issues at the same time. Possible Diagnosis (APA, 2013): 309.81 (F43.10) Posttraumatic stress disorder 297.40 (F31.13) Bipolar I disorder What evidence in the case history presents these possibilities for you? Differential diagnosis evidence data offered was based on the given self-injury issues and behaviors. Additionally, there was an association of self-mutilation that tends to trigger a traumatic health issue. This could be associated with the possibility of depression development, although it was not diagnosed. What kind of questions might you ask to evaluate each diagnostic possibility? Regarding PTSD, the following questions will be asked (Shalev et al., 2019): 1. How were the interactions with peers before the loss of interest in it? 2. What made you lose interest in staying with friends and maintaining relationships? CASE STUDY OF KIMBERLY 3 3. What events could have arisen during the camping trip? 4. How do you feel about the last year? Bipolar 1 Disorder: 1. What are your perceptions of family relationships now? 2. How do you relate to them during this period while you are facing an eating disorder? What possible answers would incline you toward or away from each of your various possibilities? The traumatic event happened during the camping trip. In this case, Kimberly was in the company of her friends. The related signs and symptoms were associated together with behavior on seeking the attention of others. Most particularly, her parent’s attention. What is further diagnostic evaluation needed to clarify Kimberly’s diagnosis? There is a need for Kimberly to connect with a psychotherapist who will help in understanding the erratic behavior. It would be a beneficial move, as the psychotherapist can gather more information concerning Kimberly’s issues such as background and experiences. She will have an easier time explaining to the psychotherapist rather than the family (Riggs et al., 2019). Kimberly Posttraumatic Stress Disorder & Bipolar I Disorder Case Study. It’s recommendable that doctors can check her eating disorders by exploring the issues she faces. CASE STUDY OF KIMBERLY 4 References American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th edition). American Psychiatric Association. Riggs, D. W., Pearce, R., Pfeffer, C. A., Hines, S., White, F., & Ruspini, E. (2019). Transnormativity in the psy disciplines: Constructing pathology in the Diagnostic and Statistical Manual of Mental Disorders and Standards of Care. American Psychologist, 74(8), 912. Shalev, A. Y., Gevonden, M., Ratanatharathorn, A., Laska, E., Van Der Mei, W. F., Qi, W., … & Matsuoka, Y. J. (2019). Estimating the risk of PTSD in recent trauma survivors: results of the International Consortium to Predict PTSD (ICPP). World Psychiatry, 18(1), 77-87. CASE STUDY OF KIMBERLY 5 Case Study of Kimberly (Part One) Case Study of Kimberly, Part One Kimberly is a 17-year-old female brought in for an evaluation by her mother, Diana. Even before you meet them, you hear the commotion in the waiting room, which concludes with Kimberly calling Diana a “stupid fucking bitch” and kicking a chair across the room. Once in your office, the contrast between them is striking. The family lives in one of the pricier suburbs, and Diana works as an advertising executive. She is successful and well regarded, as is her husband, Kimberly’s father, who works in international banking. Diana says that he regrets not being present, but there was a sudden meeting in Barcelona that required his attention. Diana is well-dressed, poised, and soft-spoken. Kimberly, on the other hand, is quite gaunt, surly, noticeably unwashed, and dressed in full anarchist punk regalia. You count 11 piercings, some quite large, involving her tongue, lower lip, both nostrils, one eyebrow, and both ears; there may be more hidden by her dramatically dyed and styled hair. Diana gives the following account as Kimberly shreds a Styrofoam cup, dropping the small pieces on the carpet, sighing loudly, scowling, and mumbling, “Bullshit.” Diana notes that she and her husband have “bent over backwards” to accept Kimberly’s “lifestyle choices” and her friends. Kimberly has not been appreciative, but they understand that adolescence is a difficult time. In the past few months, however, Kimberly has lost 25 pounds and has become verbally abusive. She also displays dramatic mood swings and is physically violent, and she is completely disengaged from school, family, and her old friends. She has also taken to hoarding strange objects, and Diana has noticed strange burns on Kimberly’s arms. Diana has concluded that Kimberly has developed an eating disorder and is perhaps engaging in self-mutilation. Diana fears for Kimberly’s health and for the loss of educational opportunity that will occur if Kimberly continues nonparticipation in the expensive private school she attends. When you ask Kimberly her view on her mother’s concerns, she says, “Whatever.” You take some initial background information. Kimberly has one sister, four years older, who attends an Ivy League school on the East coast. Her sister had “eating disorder issues” in her freshman year in college, but worked through them in therapy and is now doing well. Kimberly Posttraumatic Stress Disorder & Bipolar I Disorder Case Study. Diana reports that Kimberly was without problems until last year, when she began hanging around “a rougher element.” Kimberly and her friends often spent weekends in a cabin in an isolated rural area, and Diana initially discounted the dangers of these rougher companions, thinking, “How bad can they be if they are into nature?” When questioned, Diana says that Kimberly has been hoarding all sorts of odd flasks and containers, “just junk,” but Diana has not otherwise examined them because they smell bad. “They must be filthy; I wonder if she got them out of a dumpster.” She also reports that Kimberly has broken furniture, driven one of the family sports cars through the rose garden in a rage, and very recently physically threatened the housekeeper when she attempted to clean Kimberly’s room, to the extent that the housekeeper quit. Diana has spoken to her other daughter’s therapist, who suggested that as the eating disorder worsens, Kimberly’s self-esteem is plummeting, and as a result she associates more with “degrading people and objects.” The therapist speculated that Kimberly might be giving herself cigarette burns. Diana also notes that Kimberly has taken up cigarette smoking in this period, and “smokes like a chimney.” 1 CRITERIA NONPERFORMANCE BASIC PROFICIENT DISTINGUISHED Demonstrate the ability to make differential diagnoses among disorders. 30% Does not make differential diagnoses among disorders. Makes differential diagnoses among disorders that are incomplete or unclear. Demonstrates the ability to make differential diagnoses among disorders. Kimberly Posttraumatic Stress Disorder & Bipolar I Disorder Case Study. Demonstrates the ability to make differential diagnoses among disorders, providing clearly articulated rationales for the decisions made. Select historical and behavioral data of significance to varying diagnostic categories. 30% Fails to select historical and behavioral data of significance to varying diagnostic categories. Selects historical and behavioral data that is not clearly significant to varying diagnostic categories. Selects historical and behavioral data of significance to varying diagnostic categories. Selects historical and behavioral data of significance to varying diagnostic categories, clarifying how the data is relevant in each case. Assess the need for further Does not assess the Assesses the need for Assesses the need for Assesses the need for further medical and psychological diagnostic evaluations. 30% need for further medical and psychological diagnostic evaluations. further medical and psychological diagnostic evaluations, but with one or more significant omissions. further medical and psychological diagnostic evaluations. medical and psychological diagnostic evaluations, providing clear reasons for these evaluations. Communicate using the accepted form and style of the profession. 10% Does not use the accepted form and style of the profession. Communicate using the accepted form and style of the profession, but inconsistently, and with significant, repeated errors. Kimberly Posttraumatic Stress Disorder & Bipolar I Disorder Case Study. Communicates using the accepted form and style of the profession. Communicates with clarity and precision, using the accepted form and style of the profession, with no significant errors in citations or formatting. PSY6210 Case Study Response Guide Use this outline to structure your case assignments. 1. Case Summary • • Provide a brief summary of what you have learned about the individual reviewed in the case. Include information about the individual in terms of demographics and general history, and the sources of that information, and the reason that the individual was referred, and by whom. Summarize any information you may have about evaluations that have been conducted, including the results. 2. Clinical Impression (Diagnosis) Write the clinical impression in the DSM-5 format: XXX.xx (Yyy.yy) Primary Diagnoses (list in order of salience). (DSM-5 Code is first, as in XXX.xx, and ICD-10 codes next, in parentheses.) OTHER FACTORS: Use the V and Z codes, or simply appropriate descriptors to psychosocial and contextual factors of importance to the diagnostic case. These replace the DSM-IV-TR Axis IV & V used to address these concerns. 3. Recommendations Explain any recommendations for interventions, treatment, and/or disposition. 4. Questions Address the specific questions that were asked in the instructions for this assignment. Here is a sample assignment question and an appropriate brief response: Question: Describe what further information you would need to accurately diagnose this case. Response: To diagnose this case accurately, I would also need to review any pertinent medical records. I would want to interview this client’s mother, with whom he lives, to corroborate the clinical interview data supplied by the client, and to learn more about his developmental history. 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