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AssessmentofEvelynC Essay

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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

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