Presenting Concerns: Case of Jenny
Jenny presents a key concern with regard to her inability to maintain steady relationships with others, which is hampering her ability to create a life for herself. That can be seen from the fact that she left her most recent relationship due to the fact that they did not seem to be enjoying being together. Jenny is showing notable signs of giving up in her life, which can be attributed to the struggles that she may have experienced with her mother. The concerns are important to consider in trying to build an effective understanding of her underlying mental condition.
Differential Diagnosis: Case of Jenny
Differential diagnosis in the case of Jenny focused on evaluating her ability to make decisions, which would serve as one of the key determinants of her condition. Additionally, Jenny’s diagnosis also focused on evaluating whether she is experiencing feelings of being low in energy or being slowed down. On the other hand, Jenny’s diagnosis also focused on whether she was experiencing feelings of loneliness or worrying too much about things, which would serve as a key determinant of whether indeed she may be experiencing depression as a key mental condition. It was equally important to evaluate Jenny’s position with regard to her view on the future, which would help towards determining whether indeed Jenny may experience feelings of hopelessness. The consideration of these symptoms was essential in trying to define the probable symptoms that would relate to Jenny’s mental condition to help in building her capacity to deal with the condition effectively.
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Symptom Checklists: Case of Jenny
From the symptom checklist, Jenny may be most likely suffering from depression. Depression is a mental condition characterized by feelings of low energy and loneliness, as well as, worrying too much about a wide array of things (Erford, Johnson, & Bardoshi, 2016). In this case, it is clear that indeed Jenny presents these symptoms, which may define her condition as being related to depression considering that it becomes hard for her to maintain a clear state of mind. Jenny is showing signs of hopelessness towards her future, which is affecting her capacity to make informed decisions that would define her successes in life.
Systemic Assessments: Case of Jenny
Systemic assessments are essential towards evaluating some of the key risk factors that would act as contributors to a client’s mental condition impacting his or her ability to live a positive lifestyle (Patel, Harvey, & Forrester, 2018). In the case of Jenny, the systemic assessment focused more on the relationship that she had created with her mother, especially taking into account the fact that they encountered a wide array of challenges together. The assessments point to the fact that Jenny believes that it is within her position to ensure that her mother is well protected, which is affecting her ability to create a future for herself.
DSM and ICD Diagnosis: Case of Jenny
The DSM and ICD diagnosis codes that would relate to Jenny’s mental condition are 296.33 and F32.9 respectively (Doernberg & Hollander, 2016). The codes have been selected taking into account that Jenny is showing signs of mild depression taking into account that is has become extremely challenging for her to move beyond the thoughts of the challenges that they had experienced with her mother. The codes reflect on a diagnosis of mild depression that would relate to her actual mental health status reflecting on the fact that it has become hard for her to maximize on her capacity towards building an effective life for herself.
Medication Referral/Consultation: Case of Jenny
The consultation that would be most appropriate for Jenny would be cognitive behavioral therapy (CBT). CBT is an approach that would allow clients to reflect on their past experiences in a bid to finding a clear path through which to overcome such challenges that may affect their capacity to connect with the lives that they lead (Grande, Newmeyer, Underwood, & Williams III, 2014). In the case of Jenny, the idea of going through CBT would help her overcome the negative thoughts that she has developed with regard to the fact that her mother would only be safe with her around. The therapy will help her understand the value of having to create a life for herself as a way of improving overall capacity to achieve best possible outcomes.
Presenting Concerns: Case of Marisol
The main presenting concern in the case of Marisol is the fact that he has been unable to open up herself to forming new relationships and only focuses on the relationships that she had created a long time ago. From the case, it is clear that although Marisol has worked in different environments, it has become extremely challenging for her to actually be in any position that would allow her to open up to new relationships. The impact that this has had in her life is that it has resulted in her inability to find person to date.
Differential Diagnosis: Case of Marisol
From the analysis of Marisol’s diagnosis, what is clear is that she has developed feelings of being very critical of others, which has impacted on her capacity to actually view others as being friendly towards her. Additionally, Marisol shows signs of being very shy and uneasy, especially when dealing with persons from the opposite sex, which has hampered has efforts towards forming sexual relationships. On the other hand, it is clear that Marisol has feelings of other people being very unfriendly taking into account that it remains challenging for her to actually build a proactive avenue through which to maximize on her ability to form a relationship that she would consider as being viable.
Symptom Checklists: Case of Marisol
From the symptom checklist, Marisol is most likely suffering from interpersonal sensitivity. Interpersonal sensitivity reflects on the fact that a person is able to assess others’ abilities and traits to determine whether indeed an individual may be worth having as a friend or partner in a relationship (Bardhoshi, Duncan, & Erford, 2016). In the case of Marisol, what is clear from the diagnosis is that she has been on the forefront towards evaluating others in a manner that is rather proactive in a bid to determining whether the person would be friendly in nature. The outcome of this is that Marisol has experienced major challenges in trying to build positive relationships that would be of value to her.
Systemic Assessments: Case of Marisol
In the case of Marisol, systemic assessment would focus on both the relationships she has created with her long time friends and her immediate family. Systemic assessment seeks to determine how long-term relations may affect one’s ability to create standard through which to create new relationships (Monk, Ruhlmann, Nelson Goff, & Ogolsky, 2018). The focus on Marisol’s ability to maintain her long-term relationships suggests that she remains very critical of the persons that she allows close to her. The idea is that she will use her ability to assess others as a tool through which to determine whether the others are persons that she would like to interact with in any way possible. In most cases, this has led to her decision to ignore such relationships regardless of the fact that she is expected to create such relationships.
DSM and ICD Diagnosis: Case of Marisol
The DSM and ICD diagnosis codes that would relate to the case of Marisol are 300.9 and F60.0 respectively. The codes are effectively towards highlighting the fact that indeed Marisol is facing a key challenge with regard to her ability to overcome her fear of being hurt by others, which impacts on her capacity to achieve the best outcomes in her relationships. The codes reflect on Marisol’s case as having resulted from her personality, which is somewhat affected by the fact that she always remains very critical of her friends in a manner that does not align with the overall expectations in life.
Medication Referral/Consultation: Case of Marisol
The consultation that would be most appropriate for Marisol would be cognitive behavioral therapy. The use of therapy would be of great value towards ensuring that Marisol is able to open up about the fears that she has developed with regard to her inability to form relationships. Additionally, the therapy sessions would also help Marisol in ensuring that she understands the value of having positive relationships in her life with the sole focus being towards improving her capacity to form relationships.
References
Bardhoshi, G., Duncan, K., & Erford, B. T. (2016). Psychometric meta‐analysis of the English version of the Beck Anxiety Inventory. Journal of Counseling & Development , 94 (3), 356-373.
Doernberg, E., & Hollander, E. (2016). Neurodevelopmental Disorders (ASD and ADHD): DSM-5, ICD-10, and ICD-11. CNS spectrums , 21 (4), 295-299.
Erford, B. T., Johnson, E., & Bardoshi, G. (2016). Meta-Analysis of the English Version of the Beck Depression Inventory–Second Edition. Measurement and evaluation in counseling and development , 49 (1), 3-33.
Grande, T. L., Newmeyer, M. D., Underwood, L. A., & Williams III, C. R. (2014). Path analysis of the SCL-90-R: Exploring use in outpatient assessment. Measurement and Evaluation in Counseling and Development , 47 (4), 271-290.
Monk, J. K., Ruhlmann, L. M., Nelson Goff, B. S., & Ogolsky, B. G. (2018). Brief‐Systemic Programs for Promoting Mental Health and Relationship Functioning in Military Couples and Families. Journal of Family Theory & Review , 10 (3), 566-586.
Patel, R., Harvey, J., & Forrester, A. (2018). Systemic limitations in the delivery of mental health care in prisons in England. International journal of law and psychiatry , 60 , 17-25.
