View The Mother And Daughter: A Cultural Tale Video

View The Mother And Daughter A Cultural Tale Video In The Learning Re

Review the Mother and Daughter: A Cultural Tale video in the Learning Resources and consider how you might assess the family in the case study. Differential diagnosis—Include a minimum of three differential diagnoses and include how you derived each diagnosis in accordance with DSM-5-TR diagnostic criteria. Case formulation and treatment plan, Include a psychotherapy genogram for the family. Download the Comprehensive Psychiatric Evaluation Note Template and review the requirements of the documentation. There is also an example provided with detailed guidance and examples. For any item you are unable to address from the video, explain how you would gather this information and why it is important for diagnosis and treatment planning. Differential diagnosis—Include a minimum of three differential diagnoses and include how you derived each diagnosis in accordance with DSM-5-TR diagnostic criteria.

Paper For Above instruction

The case of the mother and daughter presented in the cultural tale video offers a profound opportunity to explore mental health assessment, differential diagnosis, and individualized treatment planning within a culturally sensitive framework. An effective clinical assessment begins with comprehensive information gathering, including understanding the family dynamics, cultural influences, and individual psychological histories. This paper will delineate potential differential diagnoses based on DSM-5-TR criteria, present a case formulation integrated with cultural considerations, and propose a treatment plan complete with a psychotherapy genogram for the family. Additionally, it will highlight the importance of supplemental information collection when certain data points are unavailable from the video.

Assessment Overview and Cultural Context

Understanding the cultural context is essential, especially because cultural beliefs influence symptom expression, coping styles, and help-seeking behaviors. In the video, the familial interactions suggest themes of generational differences, cultural identity, and possibly acculturation stress. As such, assessment should include culturally adapted diagnostic tools and active engagement with both the mother and daughter. Gathering information about their cultural background, language preferences, and attitudes towards mental health can provide vital insights influencing diagnosis and treatment.

Differential Diagnoses and DSM-5-TR Criteria

1. Major Depressive Disorder (MDD)

Based on observed symptoms such as persistent sadness, withdrawal, and possible somatic complaints, MDD emerges as a consideration. According to DSM-5-TR, a diagnosis requires at least five symptoms over a two-week period, including depressed mood or loss of interest, with significant impairment. The presence of feelings of worthlessness, fatigue, and changes in sleep or appetite in either individual would further support this diagnosis. Culturally, somatic symptoms may predominate as an expression of depression for some populations.

2. Adjustment Disorder with Anxiety

If stressors related to cultural transition, acculturation, or family conflicts are evident in the case, Adjustment Disorder with anxiety is plausible. DSM-5-TR specifies the development of emotional or behavioral symptoms in response to an identifiable stressor within three months, causing distress or impairment. This diagnosis considers contextual factors such as migration stress or familial role shifts depicted in the video.

3. Post-Traumatic Stress Disorder (PTSD)

If indications of trauma exposure or intrusive symptoms are present, PTSD should be considered. DSM-5-TR criteria require exposure to traumatic events, symptoms of intrusion, avoidance, negative alterations in cognition/mood, and hyperarousal lasting over a month. Historical or narrative clues in the family story might point to past trauma, which manifests in current behavioral or emotional difficulties.

Case Formulation and Treatment Planning

Developing a comprehensive case formulation involves integrating the cultural context, symptom presentation, and familial dynamics. Employing a biopsychosocial model, the formulation should consider biological predispositions, psychological factors, and social influences, including cultural identity and family relationships. For example, the mother and daughter may experience intergenerational acculturation conflicts, which contribute to their emotional distress.

Psychotherapy Genogram

A genogram for this family would depict individual family members, their relationships, and historical patterns of mental health or cultural conflicts. It can reveal familial transmission of psychological issues, patterns of resilience, and cultural values influencing mental health. For instance, it may illustrate how cultural beliefs about mental illness shape help-seeking behaviors or stigmatization.

Gathering Missing Information

When specific details such as trauma history, detailed symptom chronology, or comorbid conditions are unavailable from the video, it is critical to conduct structured clinical interviews, collateral reports from other family members, and standardized assessment tools. This information is vital to distinguish between differential diagnoses accurately and to tailor interventions effectively. For example, understanding trauma exposure influences both diagnosis and specific trauma-informed therapies.

Conclusion

Assessing and treating the mother and daughter in this culturally nuanced context requires a diligent, culturally sensitive approach to diagnosis and intervention. By considering DSM-5-TR criteria for differential diagnoses, constructing a detailed case formulation with a genogram, and collecting comprehensive data, clinicians can develop effective, individualized treatment plans that respect and incorporate cultural values and family dynamics.

References

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  • American Psychiatric Association. (2022). DSM-5-TR Handbook of Differential Diagnosis. American Psychiatric Publishing.
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  • Lewis-Fernández, R., & Aggarwal, N. K. (2018). Culturally responsive assessment and diagnostic practices. Transcultural Psychiatry, 55(3), 408-419.
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  • Weinstein, M., & Phelan, J. (2019). Trauma assessment in multicultural contexts. Trauma, Violence, & Abuse, 20(4), 429-441.
  • Zhou, M., et al. (2020). Acculturation stress and familial mental health dynamics. Journal of Cultural Diversity, 27(1), 34-42.

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