Reference no: EM133885684

Assignment

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:

I. Explain how you support the diagnosis by specifically identifying the criteria from the case study.

1. 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.

II. Identify the differential diagnosis you considered.

III. Explain why you excluded this diagnosis/diagnoses.

IV. 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.

V. Explain why you chose the Z codes you have for this client.

1. Remember: When using Z codes, stay focused on the psychosocial and environmental impact on the client within the last 12 months.

VI. Karolyn has been suffering from physical pain for the past 18 months. She has been to many doctors for help. Karolyn has been very concerned about her illness and wants to understand the causes of this pain. There has never been an accurate diagnosis. She has been given medication and steroids with no relief of her physical pain. Most recently, she had a full evaluation at the Mayo Clinical which had inconclusive results. One doctor at the Mayo clinic suggested she seek individual counseling, hoping this will help her physically as well. Karolyn's reports her anxiety is so high now with all the stress she is under.

VII. PAST PSYCHIATRIC HISTORY: Karolyn denied any past psychiatric history for herself. The only significant family history is her older brother's diagnosis of Intellectual Disability.

VIII. SUBSTANCE USE HISTORY: Karolyn reported drinking socially and very minimally. There was not any evidence of substance use disorders in her family.

IX. PAST MEDICAL HISTORY: Karolyn has been ailing over the past 18 months with unidentified pain. There were not any previous significant medical issues in her past.

X. FAMILY MEDICAL AND PSYCHIATRIC HISTORY: Karolyn is the third child of four from her parents' union. She has an older sister, a brother, and a younger sister. Her brother was diagnosed with intellectual disability from a young age. The family's focus has always been on taking care of her older brother. Her father died 6 years ago. Karolyn lost her mother to dementia 6 months earlier than this intake. With the death of her mother, the responsibility of her brother has now been transferred to Karolyn and her two sisters. Karolyn reported feeling responsible for her extended family and needed to be involved with their issues

XI. CURRENT FAMILY ISSUES AND DYNAMICS: Karolyn divorced 17 years ago after 12 years of marriage. The marriage was tumultuous. Her husband was addicted to pornography and had several affairs. Karolyn denied any physical abuse but reported a lot of emotional abuse that she sustained from her husband. Karolyn maintained the family house after the divorce but had very little money to support the household and her two sons. Karolyn's financial issues continued to increase her stress over the years.