Assessment of "Evelyn C." Jean Berry Walden University Assessment of "Evelyn C." The assessment and providing a diagnosis for a client is an active and involved segment in client treatment. Prior to designing a treatment plan for a client, a practitioner must assess and diagnose the client. Practitioners are not limited to standardized assessments alone in making their assessment of a client. The subsequent discussion is regarding the case study of Evelyn C., which will also include discussion on her diagnosis, assessments, and any data that would be necessary for collection in her treatment. Case Study of Evelyn C. Evelyn is a thirty-six-year-old mother of two children from a previous marriage, who is now married to John, a …show more content…
Classifications of Alcohol Use Disorder range from mild to severe. The criteria each individual falls into determines whether a diagnosis of mild, moderate, or severe is necessary. Using the Diagnostic and Statistical Manual of Mental Disorders (American Psychiatric Association [APA], 2013 criterion for a diagnosis, it would seem that it is applicable to give Evelyn a moderate severity code. A moderate severity code is applied when 4 or 5 symptoms exist (APA, 2013). Evelyn demonstrates four situations which are discussed in the Butcher et al (2013) case study, and meet the severity code: she is inebriated when her children return home from school; she fails to pick up her children after school; she drinks to excess which results in marital problems; and she continued to drink when John stayed away from home. V61.10 (Z63.0) Relationship Distress with Spouse or Intimate Partner The clinical contact for Evelyn would be to address the quality of the marital relationships effect on her continued drinking. According to the DSM-V (APA, 2013) the focus of clinical contact is to address the intimate relationships that affect the treatment of a condition, through distress associated with impairment. Evelyn’s excessive and continued drinking because of the relational discord with
Samantha Callahan, Department of Psychology, Lindenwood University; Danielle Patrick, Department of Psychology, Lindenwood University; Sara Roderick, Department of Psychology, Lindenwood University; Kahla Stygar, Department of Psychology, Lindenwood University.
*Publication manual of the American psychological association (6th ed.) (2009). Washington, DC: American Psychological Association. Please see note below regarding this edition of the APA manual.
The point at which the client’s symptoms were most extreme was towards the end of her alcoholism, which was in her early thirties. She used humor, felt incomplete and fragile, oversensitive to other’s reactions of her, felt the need to hide from people whether it was through work or through drinking, and was aware of her drinking problem. She also presented with anxiety, excessive exercising and healthy eating, and denial of drinking in excess.
Butcher, J. N., Hooley, J. M., & Mineka, S. (2013). Abnormal psychology (16th ed.). Boston, MA: Pearson.
During the time of the assessment Ms. Maness presents sloppy, good eye contact, appropriate speech, appropriate mood, appropriate affect, and 4X oriented. Ms. Maness boyfriend was at her bedside. Ms. Maness reports she has been 3 days without alcohol, became agitated last night , and was experiencing
At the beginning of the 21st century, it was estimated that the annual number of deaths related to excessive drinking exceeded 100,000 in the United States alone (“Alcoholism”). In fact, in 1995, 140 million Americans were using alcohol is an abusing way (Ammerman, Ott, and Tarter). “It is a chronic and progressive illness that involves the excessive inappropriate ingestion of ethyl alcohol” (“Alcoholism”). Equally, it can be characterized as an emotional and many times, physical dependence on alcohol. It is thought to come from a combination of a wide range of physiological, social, and genetic factors (“Alcoholism”). Even
The DSM-IV criteria for alcohol abuse is as follows, “A maladaptive pattern of drinking, leading to clinically significant impairment or distress, as manifested by at least one of the following occurring within a 12-month period; recurrent use of alcohol resulting in a failure to fulfill major role obligations at work, school, or home; recurrent alcohol use in situations in which it is physically hazardous, and recurrent alcohol-related legal problems.” The DSM-V has removed the legality problems for its criteria for alcohol abuse.
American Psychiatric Association. (2000). Diagnostic and Statistical Manual of Mental Disorders IV-TR. Washington, DC: American Psychiatric Association.
Out of 100 individuals, 66 are found to be fulfilling the DSM-IV criteria for alcohol-dependence and the remaining 34 the criteria for alcohol abuse. They found the excessive alcohol consumption was started 40 ± 10 years (n = 96) and continued for 9 ± 8 years (n = 95). The T-scores for male individuals and male controls are also given. The PCA score plot indicated that there are no between-group separation. Even though there was more outliers in the group of individuals with excessive alcohol consumption than in comparison to controls they are with 95% level of
In counseling one frequently encounters individuals and families suffering from Alcoholism. Whether Alcoholism is a moral issue or a disease, it is complex to define. As a License Professional Counselor Intern, one relies on the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5) when assessing symptoms and behaviors. The DSM 5 is based on criteria and it notes alcohol use disorder as “a problematic pattern of using alcohol or another substance that results in impairment in daily life or noticeable distress.” Thus as a counselor one can define Alcoholism as a disease due to its invasive characteristics.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.
Annie is a 23 year old female who is addicted to alcohol. Annie also is suffering from severe anxiety. She stated she has been on several different medications, and nothing seemed to work. Due to her severe anxiety she drinks to feel more relaxed and comfortable. She also stated she does not have much of relationship with her family anymore, because of her drinking. She use to be very close with her family until she became addicted to alcohol. Annie has also stated her anxiety triggers a lot when she thinks about her termination from her job. Annie lost her job by not showing up, because she was to hungover. She also lost her license due to a DUI.
Puri, B. (2012). Textbook of Clinical Neuropsychiatry and Behavioral Neuroscience 3E. 3rd ed. Taylor & Francis, p.63.
Research is an on-going process in which a scholar contributes his part through an adopted methodology and adds new knowledge to the pool of existing information. Keeping in view his constraints, the limitations of study are defined which at later stages, become the hypothesis for new researchers.
American Psychiatric Association, (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, DC: Author.