psy 650 disc 2

.docx

School

Ashford University *

*We aren’t endorsed by this school

Course

PSY 650

Subject

Psychology

Date

Dec 6, 2023

Type

docx

Pages

Uploaded by Moorenikki381

Assessment and Diagnosis “Under the Gun” Comparison and Assessments for Use in Diagnosis Beyond psychological evaluation involves other factors. Because of this, traditionally, a psychological professional’s goals have been to interview the client directly collect collateral data, oversee psychological test measurements, decipher the test results, and develop a conceptualization of the client that combines the test data with the interview and collateral data. Usually, this conceptualization is then condensed, a diagnosis or diagnostic rule-out is presented as required, and suggestions are provided for decision-making for personal decisions and therapeutic treatments (Maltzman, 2013). In aiding with the decision-making process, as explained by Carlson (2013) one approach to differentiate across exams concerning clinical and counseling psychologists is test administration style. While some examinations are intended for group administrations, usually those administered by counseling psychology professionals, others are personalized and intended for the use of clinical psychology professionals. Clinical interventions are heavily emphasized by means of the personal issue, whereas often times counseling interventions emphasize group matters (Carlson, 2013). A clinical interview and diagnostic instrument should be used to assist with diagnosing Charles. Also, he should present the clinician with a medical history and any additional familial information that will be helpful. A good diagnostic tool for measuring the degree of adjustment disorder Charles is experiencing is the ADNM-20. This diagnostic instrument is self-reporting and includes both itemized and stressor sections for data collection. The stressor list includes a wide range of acute and chronic life circumstances. Whereas the items list assesses the symptoms that follow the most detrimental occurrence (s) (Lorenz et al., 2016). Questioning the Client

1. When did your symptoms first appear? As to ascertain if the divorce is the actual reason for Charles’ symptoms. 2. How long do the symptoms last? 3. In what ways are these symptoms affecting your personal and work life? 4. What are you thinking or feeling before your suicidal ideation starts? 5. Is there a history of mental illness within your family? If so, what is it? 6. What physical health conditions do you suffer from? Theoretical Orientation for Diagnosis Explanation According to Tasman et al. (2013) a psychiatrist’s theory of psychopathology will unavoidably influence the tone and subject matter of the interview. As a result, a biological theory of illness places an emphasis on the signs, symptoms, and progression of the disease; a psychodynamic theory of illness places an emphasis on drives, manners, emotional states, and interpersonal interactions; and a behavioral theory of illness examines the causes of effects of symptoms or maladaptive behaviors (Tasman et al, 2013). Considering his information, the psychodynamic theoretical orientation is what will be helpful in uncovering Charles’ diagnosis. The symptomology presented by Charles clearly places emphasis on his psychological underpinnings, which needs to be addressed urgently as he has experienced suicidal ideation. Therefore, the interviewing process will place more emphasis on garnering his emotional symptomology to understand what is causing his behavior as this is what is being affected the most and affecting other areas of his life. Diagnosis of Client

The diagnosis Charles will receive is adjustment disorder (F43:25) with mixed disturbance of emotions and conduct. Charles is currently going through a divorce of which the stress related to this event has impacted his emotions. The mood symptoms displayed by Charles are agitated, sad, angry, stressed, and he has also experienced suicide ideation which is not uncommon when dealing with adjustment disorder (APA, 2022). Charles worries about losing his job since his relationship problems are starting to affect how he performs his job duties. These symptoms combined call for a diagnosis of adjustment disorder with mixed disturbance of emotions and conduct, so that Charles can receive proper assessment and treatment within the suggested time frame of allowed sessions (Moten, 2014). Justification and Ethics of Rendering the Diagnosis Initially, I would like to address the matter of insurance. In my personal opinion, every client should be treated with the utmost respect and a proper diagnosis should be sought, as this is not a matter to “rush”. However, I do understand the business perspective of the practice and for reasons of being paid by insurance companies, an expedited diagnosis response is often times requested from the insurance company, to know what the proper billing protocol will entail, along with proper diagnostic codes and criteria is a necessary part of this process. Also, a study performed by Kielbasa et al. (2004) indicates with results to prove, that those who use insurance to cover their expenses are more likely to be properly diagnosed with a disorder and assigned an adjustment disorder label versus those who pay out of pocket. This information is alarming, especially if it is still being done. When considering the ethics of practices such as this and whether or not such a short time frame as a 48 hour window for diagnostic purposes is ethical in any case, APA ethics code section 9.01 (b) explains that psychologists only offer judgements about a person’s psychological traits after conducting an appropriate study of them to support

Your preview ends here

Eager to read complete document? Join bartleby learn and gain access to the full version

Access to all documents
Unlimited textbook solutions
24/7 expert homework help

Recommended textbooks for you

Ciccarelli: Psychology_5 (5th Edition)

Psychology

ISBN:9780134477961

Author:Saundra K. Ciccarelli, J. Noland White

Publisher:PEARSON

Cognitive Psychology

Psychology

ISBN:9781337408271

Author:Goldstein, E. Bruce.

Publisher:Cengage Learning,

Introduction to Psychology: Gateways to Mind and ...

Psychology

ISBN:9781337565691

Author:Dennis Coon, John O. Mitterer, Tanya S. Martini

Publisher:Cengage Learning

Psychology in Your Life (Second Edition)

Psychology

ISBN:9780393265156

Author:Sarah Grison, Michael Gazzaniga

Publisher:W. W. Norton & Company

Cognitive Psychology: Connecting Mind, Research a...

Psychology

ISBN:9781285763880

Author:E. Bruce Goldstein

Publisher:Cengage Learning

Theories of Personality (MindTap Course List)

Psychology

ISBN:9781305652958

Author:Duane P. Schultz, Sydney Ellen Schultz

Publisher:Cengage Learning

SEE MORE TEXTBOOKS

Recommended textbooks for you

Ciccarelli: Psychology_5 (5th Edition)
Psychology
ISBN:9780134477961
Author:Saundra K. Ciccarelli, J. Noland White
Publisher:PEARSON
Cognitive Psychology
Psychology
ISBN:9781337408271
Author:Goldstein, E. Bruce.
Publisher:Cengage Learning,
Introduction to Psychology: Gateways to Mind and ...
Psychology
ISBN:9781337565691
Author:Dennis Coon, John O. Mitterer, Tanya S. Martini
Publisher:Cengage Learning
Psychology in Your Life (Second Edition)
Psychology
ISBN:9780393265156
Author:Sarah Grison, Michael Gazzaniga
Publisher:W. W. Norton & Company
Cognitive Psychology: Connecting Mind, Research a...
Psychology
ISBN:9781285763880
Author:E. Bruce Goldstein
Publisher:Cengage Learning
Theories of Personality (MindTap Course List)
Psychology
ISBN:9781305652958
Author:Duane P. Schultz, Sydney Ellen Schultz
Publisher:Cengage Learning