Apply The Course Material By Answering
Apply The Course Material By Answering T
For this assignment, you will apply the course material by answering the following questions in a 2-4 page, double-spaced paper. You will need a cover page, which includes your name, the name of the class and section, and the date. Describe how you will identify the specific psychological disorder through actual symptoms using the DSM-IV TR, based on your experience working with two different clients, each exhibiting a different disorder discussed this week. For each client, recommend two different treatment options based on the four main approaches (Psychodynamic, Humanistic, Cognitive, and Behavioral). Specify which techniques you might employ from each approach to help the client. Discuss the ethical obligations of psychology professionals when selecting the best treatment, supported by course readings and APA formatting. Your paper should include a cover page, 2-4 pages of main content, and a reference page, formatted according to APA guidelines, with correct in-text citations. Ensure your writing demonstrates organization, clarity, and originality, with proper grammar and mechanics.
Paper For Above instruction
Psychological disorders encompass a wide array of conditions characterized by distinct symptoms and underlying causes, necessitating accurate identification and tailored treatment approaches. As a practicing psychology professional, working with clients exhibiting different disorders requires careful diagnosis using established criteria such as those outlined in the DSM-IV TR, and selecting ethically appropriate interventions grounded in theoretical frameworks. This paper explores the process of diagnosing two hypothetical clients with different disorders, proposes suitable treatment options aligned with major psychological approaches, and discusses ethical considerations in treatment selection.
Client 1: Generalized Anxiety Disorder
The first client presents symptoms consistent with Generalized Anxiety Disorder (GAD), including persistent, excessive worry about multiple aspects of life, restlessness, fatigue, difficulty concentrating, irritability, muscle tension, and sleep disturbances. According to the DSM-IV TR (American Psychiatric Association, 2000), the diagnosis of GAD hinges on these symptoms lasting at least six months, causing significant distress or impairment, and not being attributable to substance use or another medical condition.
In diagnosing GAD, the clinician utilizes the client’s self-reported experiences and behavioral observations, comparing these to the diagnostic criteria outlined in DSM-IV TR. The key features include uncontrollable worry and physical symptoms of tension, which distinguish GAD from normative anxiety. Neuropsychological assessments and clinical interviews further confirm the diagnosis, ensuring that other possible disorders such as panic disorder or depressive disorders are ruled out.
Client 2: Major Depressive Disorder
The second client exhibits symptoms indicative of Major Depressive Disorder (MDD), including persistent depressed mood, anhedonia (loss of interest or pleasure), significant weight change, insomnia or hypersomnia, fatigue, feelings of worthlessness or excessive guilt, difficulty concentrating, and recurrent thoughts of death or suicide. These symptoms must persist for at least two weeks and impair social, occupational, or other areas of functioning, as specified in the DSM-IV TR (American Psychiatric Association, 2000).
The clinician conducts a thorough clinical interview, explores the duration and severity of symptoms, and rules out substance abuse or medical conditions. The diagnostic process emphasizes gathering detailed client history and correlating symptom profiles with DSM criteria, ensuring precision in diagnosis and avoiding misclassification with bipolar disorder or other mood disorders.
Treatment Options for Each Client
GAD Client
For the client with GAD, two treatment approaches are particularly beneficial: Cognitive-Behavioral Therapy (CBT) and Humanistic Therapy. CBT focuses on identifying and restructuring maladaptive thought patterns that fuel worry and physical tension (Beck, 2011). Techniques include cognitive restructuring exercises to challenge catastrophic thinking, and systematic desensitization to reduce physical anxiety responses through relaxation and exposure.
Humanistic therapy offers an alternative approach emphasizing personal growth and self-acceptance (Rogers, 1961). Techniques such as unconditional positive regard and empathetic listening help the client explore underlying concerns and develop healthier self-perceptions, fostering resilience against anxiety triggers.
MDD Client
Supportive treatment options for the client with MDD include Behavioral Activation and Psychodynamic Therapy. Behavioral Activation involves encouraging clients to engage in rewarding activities to counteract behavioral withdrawal common in depression (Martell, 2010). This technique emphasizes small, achievable goals to rebuild positive reinforcement mechanisms.
Psychodynamic therapy delves into unconscious conflicts and past experiences that may contribute to depressive symptoms (Shedler, 2010). Techniques involve exploring childhood relationships and unresolved conflicts, aiming to increase insight and emotional processing.
Ethical Obligations in Treatment Selection
Ethically, psychologists are bound by principles outlined in the American Psychological Association’s Ethical Principles of Psychologists and Code of Conduct (APA, 2017). This includes competence in chosen treatment modalities, informed consent, and appropriate client care, including monitoring progress and modifying interventions as necessary. Psychologists must also consider the client's preferences, cultural background, and potential risks, ensuring that interventions are evidence-based and aligned with best practices.
For instance, selecting cognitive therapy for GAD is supported by extensive research demonstrating its effectiveness, yet the therapist must ensure the client understands and consents to the approach (Hofmann, Asnaani, Vonk, Sawyer, & Fang, 2012). Similarly, maintaining client confidentiality and rigorously evaluating risks, such as suicidal ideation in depression, are fundamental ethical responsibilities (American Psychological Association, 2017).
Conclusion
Accurate diagnosis using DSM-IV TR criteria is crucial in developing effective treatment plans for psychological disorders. Combining theoretical approaches, tailored interventions, and ethical vigilance ensures holistic and responsible care. As psychology professionals, our goal is to support clients through evidence-based treatment while respecting their dignity and autonomy, fostering recovery and well-being.
References
- American Psychiatric Association. (2000). DSM-IV-TR diagnostic & statistical manual of mental disorders (4th ed., text rev.).
- American Psychological Association. (2017). Ethical principles of psychologists and code of conduct.
- Beck, J. S. (2011). Cognitive behavior therapy: Basics and beyond. Guilford Press.
- Hofmann, S. G., Asnaani, A., Vonk, I. J., Sawyer, A. T., & Fang, A. (2012). The efficacy of cognitive behavioral therapy: A review of meta-analyses. Cognitive Therapy and Research, 36(5), 427-440.
- Martell, C. R. (2010). Behavioral activation for depression: A clinician's guide. Guilford Press.
- Rogers, C. R. (1961). On becoming a person: A therapist's view of psychotherapy. Houghton Mifflin.
- Shedler, J. (2010). The efficacy of psychodynamic psychotherapy. American Psychologist, 65(2), 98-109.
- Hofmann, S. G., & Smits, J. A. (2008). Cognitive-behavioral therapy for adult anxiety disorders: A meta-analysis of randomized placebo-controlled trials. Journal of Clinical Psychiatry, 69(4), 621-632.
- Rush, A. J., et al. (2006). The Duke antidepressant response criteria. Journal of Clinical Psychiatry, 67(Suppl 8), 122-126.
- Kazdin, A. E. (2017). Parent, child, and family intervention. In Handbook of clinical psychology (pp. 564-602). Wiley.