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TO prepare Review the Learning Resources, including the case of Jane available in Chapter 9 of your Kress and Paylo (2019) course textbook

Sociology

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TO prepare

Review the Learning Resources, including the case of Jane available in Chapter 9 of your Kress and Paylo (2019) course textbook.

• Consider the diagnosis that would best fit Jane’s presenting concerns.
• Read the handout, Jane: Diagnostic Conceptualization Example, in the Learning Resources and render a diagnosis based on the case study.
• Think about the ethical concerns you will need to consider when delivering the diagnosis to Jane.

Diagnostic Conceptualization Template

Client Name Jane*

Case Conceptualization (Note: Include specific information about client symptoms and presenting concerns-

Jane is a 35-year-old Caucasian female who self-referred for treatment. Jane reports experiencing feelings of withdrawal, sadness, and hopelessness. She stated that she has struggled to maintain relationships and has lived with her mother her entire life. Jane's relationships are often volatile and characterized by others viewing her as "needy", "dramatic", "emotional" and "crazy." Jane declines any current religious involvement but noted some interest in exploring Buddhism and spirituality.

Jane has a history significant for sexual abuse by hier older brother and her brother's best friend. Jane reported that the abuse took place from the ages of 4 to 14 and stopped only when her brother left home. Jane reported that she has never disclosed the abuse to her mother. Jane has experienced instability in relationships with friends, and reported no support system beyond her mother. Jane struggles with individuation and often internalizes the interests of her others.

Jane tends to think very concretely and she struggles with a general negative outlook. She has a past history significant for severe self-injury (i.e., self-cutting). She's also had periods of suicidal thoughts but she reports no current suicidal ideation at the time of session. Jane also has a history of disordered eating but she reports that she has not engaged in any binge/purge behavior for approximately the past several years. reports that she has the ability to induce an asthma attack and she admitted to doing so at least twice weekly over the course of the past year in an effort to seek medical care. Jane reported that she enjoyed the attention associated with medical care.

Jane has a history of inappropriate boundaries with her previous counselor and she acknowledged going to great lengths to obtain her previous counselor's home address so that she could drive by her house.

Jane has previously attended college but is not currently enrolled. She was the first individual in her family to attend college and she reports that her mother was not supportive of her education. Jane reported that she would like to eventually return to school but she fears that she will be able to complete her studies until her medical care is addressed.

Diagnostic Impressions (Note: Be sure to use the ICD-10 code, name of the disorder, and all of the specifiers)

F60.3 Borderline Personality Disorder (Reason for Visit)

F33.1 Major Depressive Disorder, Recurrent, Moderate, Provisional

F43.1 Posttraumatic Stress Disorder, Provisional S.L. E.

Rationale for Diagnostic Impressions (Note: Use the DSM-5 to explain how the client's symptoms are reflected in the diagnostic criteria for each diagnosis that you render. If you do not render a diagnosis, you still must use the DSM-5 to explain why you chose not to render a diagnosis.)

DEESIT T

Jane's medical history includes past diagnoses of F33.1 Major Depressive Disorder, Recurrent, Moderate and F43.1 Posttraumatic Stress Disorder, Provisional. Based on her current presentation, it appears that reason visit is related to symptoms of F60.3 Borderline Personality Disorder. EL DOT COUN 6720

DIAGNOSTIC CONCEPTUALIZATION TEMPLATE

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The client does not have any current religious involvement but she reported some interest in pursuing Buddhism. The client is a first generation college student and she reports limited support for pursuing her education from her friends and family. The client has a limited social support system and spends the majority of her time with her mother.

Jane is not currently sexually active and she reports disconfort with the idea of intimacy. She appears to feel more comfortable with females; however, she is not currently in a relationship and does not appear to be actively seeking out romantic partners.

To prepare:

• Consider the diagnosis that would best fit Jane’s presenting concerns.
• Read the handout, Jane: Diagnostic Conceptualization Example, in the Learning Resources and render a diagnosis based on the case study.
• Think about the ethical concerns you will need to consider when delivering the diagnosis to Jane. you will practice the process of rendering a diagnosis to a fictional client, Jane. As you are role-playing a conversation with a client, you will want to take special care to provide information in an easy, understandable way.

The client has a history of inappropriate boundaries in relationships. The client previously engaged in stalking-type behavior toward her previous therapist. Thus, it is important that boundaries are enforced for the duration of the counseling relationships.Jane's medical history includes previous diagnoses of Major Depressive Disorder and Posttraumatic Stress Disorder. She has been diagnosed with asthma.