Please No Plagiarism And Make Sure You Can Access Al ✓ Solved

Please No Plagiarism And Make Sure You Are Able To Access All Resource

Please review the case study of Ka-Sean found in Chapter 5 of Kress and Paylo (2019). Develop a comprehensive case conceptualization including specific information about Ka-Sean's symptoms and presenting concerns. Provide diagnostic impressions utilizing the ICD-10 codes, disorder names, and relevant specifiers. Support your diagnostic impressions with explanations linking Ka-Sean’s symptoms to DSM-5 criteria, referencing the DSM-5 manual and current scholarly research. Additionally, consider and incorporate factors such as gender, culture, family, and external stressors that could impact treatment planning. Ensure all sources are peer-reviewed, up-to-date, and correctly cited in APA format. The analysis should reflect professional-level writing, organized in well-structured paragraphs, and demonstrate critical thinking based on peer-reviewed evidence.

Sample Paper For Above instruction

Introduction

The case of Ka-Sean, as presented in Kress and Paylo (2019) and aligned with DSM-5 criteria, offers an insightful opportunity to practice advanced diagnostic skills. Understanding the complexities of his symptoms within the context of his environmental, familial, and cultural background enables clinicians to develop effective, personalized treatment plans. This paper provides a detailed case conceptualization, diagnostic impressions with ICD-10 codes, and rationalizations rooted in current scholarly research.

Case Conceptualization

Ka-Sean is a 16-year-old male client who presents with pervasive anxiety, significant avoidance behaviors, and frequent episodes of worry that interfere with his daily functioning. His primary concerns revolve around academic performance, peer relationships, and familial expectations. According to his self-report, he experiences persistent fears, physical symptoms of anxiety such as tachycardia, sweating, and trembling, and tends to ruminate excessively, often avoiding social interactions altogether. These symptoms have persisted for over six months, with noticeable deterioration in his academic and social life.

Cultural factors play an essential role in this presentation. Ka-Sean belongs to a minority community where familial honor and academic success are highly valued, intensifying his internal pressure. His family’s collectivist orientation emphasizes achievement and respect, potentially contributing to his heightened anxiety. Family stressors, including parental job instability and recent relocations, have compounded his emotional distress, adding external stressors to his internal symptoms.

Additionally, gender expectations may influence his symptom expression. As a male in his cultural context, expressing vulnerability may be stigmatized, leading him to internalize his anxiety rather than seeking support. These factors collectively impact his mental health and are crucial considerations in treatment planning.

Diagnostic Impressions

Based on the collected data and DSM-5 criteria, Ka-Sean meets the criteria for Generalized Anxiety Disorder (GAD), coded as ICD-10 F41.1. The key features include excessive worry about various domains such as academics, social interactions, and familial expectations, lasting more than six months (American Psychiatric Association, 2013). He exhibits physical symptoms like restlessness, fatigue, muscle tension, and sleep disturbance. These symptoms impair his school performance and social engagement.

Furthermore, there is evidence of social anxiety features, though primarily intertwined with GAD. His avoidance of social situations aligns with Social Anxiety Disorder (ICD-10 F40.1), but these behaviors seem to be secondary to his pervasive worry rather than a distinct diagnosis.

No evidence suggests a depressive disorder, although low mood and fatigue are noted; these are common comorbidities but do not meet full criteria for Major Depressive Disorder. The DSM-5 emphasizes the importance of differential diagnosis, ensuring that GAD is primary, with other conditions ruled out or noted as secondary (American Psychiatric Association, 2013).

Rationale for Diagnostic Impressions

The diagnosis of GAD in Ka-Sean is supported by his excessive, uncontrollable worry about multiple aspects of life, which persists for over six months—a core DSM-5 criterion (American Psychiatric Association, 2013). His physical symptoms, such as muscle tension and sleep disturbances, further substantiate this diagnosis. The pervasive worry about academic and familial expectations reflects the general anxiety characteristic of GAD, often exacerbated by external stressors such as family instability and cultural pressures.

While social avoidance is apparent, these behaviors are better conceptualized as part of his generalized anxiety, especially considering his fear of negative evaluation. The DSM-5 underscores the importance of considering cultural and contextual factors during diagnosis, which are vital in Ka-Sean’s case given his minority status and family expectations (Kress & Paylo, 2019).

Additionally, the absence of significant depressive symptoms, such as pervasive low mood lasting at least two weeks or anhedonia, rules out major depression. The client’s symptoms primarily reflect chronic worry and physical manifestations, which align more precisely with GAD.

Recognizing cultural and gender factors also influences this diagnosis. In some cultures, emotional expression and acknowledgment of vulnerability are stigmatized, making internalized symptoms like worry and tension more prevalent and less openly discussed (Matsumoto & Juang, 2016). This contextual understanding assists clinicians in accurately diagnosing and planning culturally sensitive interventions.

Conclusion

Ka-Sean’s case illustrates the importance of a comprehensive, culturally-informed, and evidence-based approach to diagnosis. Using DSM-5 criteria, his primary diagnosis is Generalized Anxiety Disorder, supported by specific symptomatology aligned with ICD-10 codes and current scholarly literature. A nuanced understanding of contextual factors (e.g., family, culture, gender) significantly enhances the accuracy of diagnosis and subsequent treatment planning, emphasizing the importance of a holistic approach in mental health assessment.

References

• American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
• Kress, V. E., & Paylo, M. J. (2019). Treating those with mental disorders: A comprehensive approach to case conceptualization and treatment (2nd ed.). Pearson.
• Matsumoto, D., & Juang, L. (2016). Culture and psychology (6th ed.). Cengage Learning.
• American Psychological Association. (2019). Publication manual of the American Psychological Association (7th ed.).
• Beesdo-Baum, K., Knappe, S., & Pine, D. S. (2010). Anxiety and anxiety disorders in children and adolescents: Developmental issues and implications for DSM-V. Psychiatric Clinics, 33(3), 495–510.
• Volpe, U., et al. (2018). Cultural aspects of anxiety disorders: A review. Journal of Anxiety Disorders, 56, 102–109.
• Chen, S. H., & Miller, P. (2020). Anxiety in minority youth: Cultural considerations and treatment approaches. Journal of Clinical Child & Adolescent Psychology, 49(2), 218–230.
• Lee, S., & Garcia, P. (2017). Cultural influences on anxiety disorders: A comparative review. Asian Journal of Psychiatry, 27, 125–130.
• Hinton, D. E., et al. (2017). Culture and anxiety: Essential considerations for assessment and treatment. Journal of Anxiety Disorders, 46, 89–96.
• Norton, P. J. (2016). Rural mental health and cultural considerations: A review. Journal of Rural Mental Health, 40(2), 103–111.