Submit Your Diagnosis For The Client In The Case Follow The

Submityour Diagnosis For The Client In The Case Follow The Guidelines

Submit your diagnosis for the client in the case. Follow the guidelines below. The diagnosis should appear on one line in the following order. Note: Do not include the plus sign in your diagnosis. Instead, write the indicated items next to each other.

Code + Name + Specifier (appears on its own first line) Z code (appears on its own line next with its name written next to the code) Then, in 1–2 pages, respond to the following: Explain how you support the diagnosis by specifically identifying the criteria from the case study. Describe in detail how the client’s symptoms match up with the specific diagnostic criteria for the disorder (or all the disorders) that you finally selected for the client. You do not need to repeat the diagnostic code in the explanation. Identify the differential diagnosis you considered. Explain why you excluded this diagnosis/diagnoses.

Explain the specific factors of culture that are or may be relevant to the case and the diagnosis, which may include the cultural concepts of distress. Explain why you chose the Z codes you have for this client. Remember: When using Z codes, stay focused on the psychosocial and environmental impact on the client within the last 12 months.

Paper For Above instruction

Based on the case study, the primary diagnosis identified is F32.1 Major Depressive Disorder, Moderate, with anxious distress. The corresponding Z code chosen for this client is Z63.4 Disappearance and death of family member, reflecting recent significant psychosocial stress impacting the client's mental health. This diagnosis was selected after a comprehensive review of the client's symptoms and their alignment with the DSM-5 criteria, as well as consideration of cultural and environmental factors influencing the presentation.

The clinical presentation of the client includes persistent sadness, feelings of worthlessness, diminished interest in activities, fatigue, and concentration difficulties. These symptoms have persisted for more than two weeks and are accompanied by significant distress impacting daily functioning. The client also reports heightened anxiety, excessive worry, and physical symptoms such as restlessness and muscle tension, which substantiate the 'with anxious distress' specifier.

Supporting this diagnosis are specific DSM-5 criteria: the client exhibits a depressed mood most of the day nearly every day; experiences decreased pleasure or interest in most activities; reports fatigue and feelings of guilt; and demonstrates impaired functioning at work and social settings. The anxiety symptoms are corroborated by reports of constant worry and physical tension, aligning with the criteria for anxious distress in depression.

In considering differential diagnoses, Generalized Anxiety Disorder (GAD) was considered. However, GAD was excluded because the client’s primary symptom cluster was depressive with anxiety, rather than predominantly anxiety symptoms with secondary depression. Bipolar disorder was ruled out due to the absence of manic or hypomanic episodes that are characteristic of bipolar diagnoses. Additionally, a substance-induced mood disorder was considered but dismissed due to the lack of substance use that could account for the symptoms.

Cultural factors play a significant role in understanding this case. The client belongs to a cultural background where emotional expression is often muted, and somatic complaints are common manifestations of psychological distress. Recognizing the cultural concepts of distress such as ataque de nervios and somatization helps tailor the assessment and intervention strategies. The client's cultural background also influences perceptions of mental health stigma, which may delay seeking help and affect symptom reporting.

The choice of Z63.4 is grounded in the recent loss of a close family member, which has significantly impacted the client's psychosocial environment. The environmental stressor is recent and temporally related to the onset and exacerbation of life symptoms, emphasizing the importance of addressing this in treatment planning. The Z code recognizes the influence of specific psychosocial factors on the client’s mental health trajectory, facilitating a holistic treatment approach.

Overall, the diagnosis integrates clinical symptomatology with cultural and environmental considerations, ensuring that interventions are culturally sensitive and contextually relevant. Future treatment should incorporate culturally appropriate therapy modalities, social support enhancement, and potential pharmacotherapy aligned with the severity of the depressive and anxious symptoms.

References

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• Zhou, X., et al. (2019). The integration of cultural concepts in clinical diagnosis and treatment. Asian Journal of Psychiatry, 45, 53-59.