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Case Study #2 The purpose of this assignment is for you to practice applying what you are learning about mental health diagnoses, the diagnostic process, and infusing counseling principles into diagnosis

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Case Study #2

The purpose of this assignment is for you to practice applying what you are learning about mental
health diagnoses, the diagnostic process, and infusing counseling principles into diagnosis.
Accordingly, you will analyze 2 cases and engage in the diagnostic process for each. Arriving at the
correct diagnosis is not necessarily the key in this assignment; rather, the process of thinking through
each case is what this assignment is about. To that end, be thorough in your analysis of each case.
Case study #2 is due 4/24, 11:59pm EST.
Case Study #2: Watch the Intervention episode for Amy P.
Analyze each case in an 8-page (minimum) paper. You do not need a cover page or references, and strict
adherence to APA style is not necessary. You can also use first person language as needed. Your paper
should have sections that address the following topics (minimum 1 double-spaced page per section):
Relevant symptoms: What psychological, emotional, social, or biological/physiological symptoms do
you observe while listening to the case? In this section, don’t just list symptoms; you need to cluster
symptoms according to DSM-5 disorder criteria (think criterion A for various disorders). Also make
sure to be specific; for example, “anxiety” and “feeling anxious” are not symptoms, but feeling on edge,
worrying, shaking, etc. might be. Finally, discuss any relevant cultural considerations/issues that could
be impacting the case.
Substance/medical etiology: Discuss any relevant substances, medications, or medical conditions that
could explain the symptoms from the previous section. If possible, rule out any substance/medicationrelated
or medical diagnoses and clearly explain why you would rule them out. If these diagnoses
cannot be ruled out, justify why this is the case.
Stressors/Clinical History: Identify any potential stressors that occurred in relation to symptomology;
if there are any, do they explain the symptoms and why/why not? Discuss the timeline of symptoms to
the extent possible, including when the symptoms began, how long they last, and the frequency at
which they come and go. Note that timelines may vary for different sets of symptoms. If there are
gaps in the clinical history, note them as well.
Diagnostic impression: Offer a DSM-5 diagnosis (you can offer more than 1), including DSM-5 code
numbers, relevant subtypes and/or specifiers. Also include the ICD code numbers and the impact of
utilizing the DSM version compared to the ICD version on billing and epidemiological disease
monitoring. Clearly justify your diagnoses by linking the symptoms to the DSM-5 criteria and to the
clinical history. Make sure to address clinically significant distress and/or functional impairment
caused by symptoms for each diagnosis offered.
Rule Outs and Differential Diagnosis: What are potential competing mental health diagnoses for this
client that you can definitely rule out based on what you observed? What are potential mental health
diagnoses for this client that you cannot yet rule out, but would need to rule out if you continued
working with this client? Make sure to justify both in the context of the symptoms you listed and what
remains missing from the clinical picture.
Case conceptualization: How is it that this person came to have these particular problems? What
prevention efforts might have mitigated these problems? Where are these problems stemming from
(e.g., intrapsychic issues, early relationships, learned behaviors, faulty cognitions)? What cultural
factors are relevant to this person’s problems? What ethical and legal considerations specific to
clinical mental health counseling might be at play here? What are this person’s strengths? You are
encouraged to utilize counseling theory to inform this section.
Treatment recommendations: What type of intervention/treatment would you implement with the
client? What crisis intervention models would have been helpful and when? If you were working with
this client, what would be your treatment goals be? Which counseling theories would you draw upon
to help this client? Why? Would the person benefit from psychotropic medications? Why or why not?
Personal reactions: What are your personal reactions to this case? What was it like for you to try to
diagnose this case? What was easy for you and what was more of a struggle with this case study?
Moving forward, what can you do to get stronger with diagnosis?
Relevant Accreditation Standards Met:
Course Objective CACREP Standard*
1. CMHC 5. C. 2. d.
2. CMHC 5. C. 2. b.; 5. C. 2. g.
3. CMHC 5. C. 2. l.
4. CMHC 5. C. 2. h.
5. CMHC 5. C. 2. j.
6. 2. F. 5. m.
View Rubric
PYCL 584 Sig Assignment Case Study
Criteria Ratings Pts
Relevant symptoms
view longer description / 2 pts
Substance/Medical
Etiology
view longer description
/ 2 pts
2 pts
Met
Identifies the most
relevant symptoms
and cultural factors
pertaining to
disorders present.
1 pts
Marginal
Identifies many
relevant symptoms
and cultural factors
pertaining to the
disorder, but also
includes several
non-relevant
symptoms.
0 pts
Not Met
Identifies few or no
relevant symptoms
or cultural factors
pertaining to
present disorders.
2 pts
Met
Discusses the most
relevant
substances,
medications, and/or
medical conditions
and justifies any
rule outs.
1 pts
Marginal
Discusses some
relevant
substances,
medications, and/or
medical conditions,
but also includes
some non-relevant
ones as well OR
contains minor
inaccuracies in
justification of rule
outs.
0 pts
Not Met
Discusses few or no
relevant
substances,
medications, and/or
medical conditions
OR contains major
inaccuracies in
justification or rule
outs OR no
discussion of rule
outs.
PYCL 584 Sig Assignment Case Study
Criteria Ratings Pts
Stressors/Clinical
History
view longer description
/ 2 pts
Diagnostic
impression
view longer description
/ 2 pts
2 pts
Met
Identifies relevant
stressors (if any)
and their relation
to symptoms AND
provides an indepth
discussion of
clinical history.
1 pts
Marginal
Identifies some
relevant stressors
(if any) but also
includes nonrelevant
ones OR
does not link
stressors to
symptoms OR
offers a brief
discussion of
clinical history.
0 pts
Not Met
Identifies stressors
(if any) that bear no
resemblance to the
correct ones OR
offers not
discussion of
clinical history.
2 pts
Met
Identifies correct
diagnoses including
DSM-5 and ICD
code numbers,
relevant subtypes
and/or specifiers,
along with
justification.
1 pts
Marginal
Identifies correct
diagnoses, but not
code numbers OR
relevant subtypes
and/or specifiers
OR identifies
diagnoses that are
close to the correct
ones.
0 pts
Not Met
Identifies diagnoses
that bear no
resemblance to the
correct ones.
PYCL 584 Sig Assignment Case Study
Criteria Ratings Pts
Rule Outs and
Differential
Diagnoses
view longer description
/ 2 pts
Case
Conceptualization
view longer description
/ 2 pts
2 pts
Met
Identifies other
disorders that are
the “chief rivals” of
the correct
diagnosis/ disorder
AND clearly
justifies why
disorders
can/cannot be ruled
out.
1 pts
Marginal
Identifies other
disorders that are
much less likely to
rival the correct
diagnosis/disorder
OR does not clearly
justify why
disorders
can/cannot be ruled
out.
0 pts
Not Met
Identifies other
disorders that are
not at all likely to
rival the correct
diagnosis/disorder
OR does not justify
why disorders
can/cannot be ruled
out.
2 pts
Met
Provides a clear,
theory-based
discussion of
symptoms,
prevention,
cultural, and
strengths-based
factors.
1 pts
Marginal
Provides a theorybased
discussion of
symptoms,
prevention,
cultural, and
strengths-based
factors with minor
inaccuracies.
0 pts
Not Met
Does not discuss
symptoms,
prevention, culture,
or client strengths
OR does not
integrate
counseling theory
or integrates
theory incorrectly.
PYCL 584 Sig Assignment Case Study
Criteria Ratings Pts
Treatment
recommendation
view longer description
/ 2 pts
Prevention, Crisis
Intervention, and
Medication
Approaches
view longer description
/ 2 pts
2 pts
Met
Identifies clear,
ethically informed,
treatment
interventions,
goals, and theorybased
approaches
that are reasonably
connected to the
diagnoses and
symptoms.
1 pts
Marginal
Identifies
treatment
interventions,
goals, and theorybased
approaches
that are tentatively
connected to the
diagnoses and
symptoms.
0 pts
Not Met
Identifies
treatment
interventions,
goals, and theorybased
approaches
that are not at all
connected to the
diagnoses and
symptoms OR does
not identify
interventions,
goals, or theorybased
approaches.
2 pts
Met
Identifies clear
prevention, crisis
intervention, and
medication
strategies that are
reasonably
connected to the
diagnoses and
symptoms.
1 pts
Marginal
Identifies
prevention, crisis
intervention, and
medication
strategies that are
tentatively
connected to the
diagnoses and
symptoms.
0 pts
Not Met
Identifies
prevention, crisis
intervention, and
medication
strategies that are
not at all connected
to the diagnoses
and symptoms OR
does not identify
prevention, crisis
intervention, and
medication
strategies.
PYCL 584 Sig Assignment Case Study
Criteria Ratings Pts
Personal reactions
view longer description / 2 pts
Grammar/Quality of
writing
view longer description
/ 2 pts
Total Points: 0