Jay's Case Study Worksheet_Signature Assignment23 _Cress

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Indiana University, Purdue University, Indianapolis *

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Psychology

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Apr 3, 2024

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Jay’s Case Study Worksheet: D517 Signature Assignment: Fall 2023 Student Name: Allison Cress A. In addition to the case data, (ideally) what further information would you have liked to have in the assessment process with this case? Provide descriptive explanation of your thinking in the assessment process. After reviewing the case study assessment and Cocoran and Walsh’s (2020) assessment guidelines for anxiety disorders on page 99, I would like to have gathered additional information from the following questions to provide a comprehensive understanding of Jay’s experiences of symptoms and environment: Coexisting psychiatric disorders  Jay mentions anxiety frequently in his assessment with the social worker, but it is not understood if Jay has received a formal diagnosis for anxiety or has, he received treatment? Family history of anxiety  Is there a family history of anxiety or suspected anxiety? Investigation of times when anxiety symptoms are not present or are more manageable  Jay reports experiencing episodes in the last 8 months, is there any other time when these episodes have presented themselves? What (if anything) is Jay able to identify internally or externally when he feels an episode coming on? When does he first recall being aware of reported anxiety symptoms? The client’s response to life transitions, major life events, stressors  Jay attributes his current symptoms to life stressors he is currently experiencing, are there any other times Jay experienced stress and how did he respond to those situations? How is Jay sleeping, eating, taking care of himself outside of his chronic health condition?

B. Provide DSM diagnoses (with descriptive explanation of your thinking in arriving at the diagnoses) and rationale based on assessment evidence and providing (the DSM criteria to support. differential diagnoses with evidence from the DSM criteria to support your choices. Number these paragraphs accordingly. Panic Disorder (F41.0) A. Jay meets criteria for recurrent unexpected panic attacks with the following reported symptoms: accelerated heart rate, shortness of breath, chest pain, abdominal distress., fear of losing control, and going crazy. B. Jay meets criteria as he reports episodes twice a week for 8 months. He also reports being on edge due to fear of having another one. Additionally, Jay has developed maladaptive responses to the reported episodes including opioid misuse, threats of suicide, and self-harm (cutting) to control symptoms. C. There is no evidence to suggest Jay’s medical condition or substance abuse is the source of panic attacks. D. There is no evidence to suggest episodes of panic attacks are explained by another mental health disorder. Jay’s assessment did not reveal onset of episodes being related to issues with social interactions or being in social situations, memories of a traumatic event, or reoccurring obsessive thoughts. Jay reports panic attacks to be unexpected an do not occur as a result of a specific trigger. C. Provide differential diagnoses with rationale and evidence from the DSM criteria to support (similar approach as B, describing your thought process in arriving at differential dx/s). Opioid-Induced Anxiety Disorder, with mild use disorder (F11.188) A. Jay does not meet criteria as panic attacks or anxiety is not predominant in the clinical picture, Jay has a chronic health problem associated with a hemoglobin SS diagnosis he received as an infant. B. There are no reports of symptoms being a result of opioid and it is gathered from the assessment that Jay was prescribed some time before

experiencing panic attacks. Additionally, Opioids are not clinically known for eliciting symptoms of anxiety or panic attacks (National Institute on Drug Abuse, 2021). C. Jay’s reported opioid abuse is a maladaptive coping effort to manage panic attacks. There is no evidence to support Jay’s symptoms occurred because of medication use/abuse. D. Discuss the evidence-based risk and protective factors? *This section should include a table with Risk/Protective factors based on the Corcoran & Walsh model. TIP—this is NOT the same as strengths and challenges, but rather the evidenced-based risk and protective factors based on the dx and case factors. Domain Risk Factors Protective Factors Biological Increased risk for panic disorder among offspring of parents with anxiety, depressive, and bipolar disorder (APA, 2022, p. 239). Chronic Illness in adolescence. No identified genetic heritability. No reported problem with sleep. Psychologic al Temperamental predispositions. Substance Use Disorders. Panic/Anxiety symptoms appraised as negative. No reported intrusive thoughts. No identified separation anxiety. Social Anxious attachment patterns. Low SES. Stressful life events. No reported observed anxiety in parent(s). Secure attachment to family members. No reported parental overcontrol, overprotection, or criticism. E. Describe the strengths identified in the individual/person and environment systems and how some selected person and environment

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