Clinician Assessment Of CAS

For the purpose of this essay, three differential diagnoses will be offered, however in clinical practice it is preferable to refrain from diagnosing a client early in treatment due to the stigma associated with being ‘labelled’ (EPPIC, 2001). The first

The article, “Deliberate Misdiagnosis in mental Health Practice,” by Kirk & Kutchins, was written after analyzing a survey given to clinicians on under or over-diagnosing their clients. There are times when a clinician feels pressure to use a label that they do not believe is the best description of a person’s symptoms. The first one describe in this article is the pressure by insurance companies often require a diagnosis to obtain reimbursement for treatment. Other times, insurance companies will only cover certain treatment, so an incorrect diagnosis must be given so that the client will continue to receive treatment. One example I see often is that substance abuse treatment is not covered by TriCare (insurance used by military members and

With these similarities there is chance that many patients have been misdiagnosed especially in children they cause years of improper treatment with destructive results. For example the child can be given the wrong medication for a disorder that is not associated with what is really going on with the child. In the article by Stanford University they give an example that “treating a child who actually has pediatric bipolar disorder with Ritalin for a supposed case of ADHD. Giving such a child a stimulant can lead to mood destabilization.” (Day, 2005).

by the psychiatric community. Not many suffer from this disorder however, this does not mean

The pharmaceutical companies are wonderful at marketing. They play a big part in the overdiagnosis of mental disorders. By mislabeling disorders they are able to keep their profit flowing so they don't have to worry about sources of money. Self diagnosis is often incorrect and puts a barrier between what is real and what is not. Without overdiagnosis pharmaceutical companies would soon begin to lose profit.

The book is organized well for the reader to transition between topics and phrases, and it does not contain language that is specific to clinical providers. The author explains definitions and interprets his meanings of topics or words to the reader. The book provides references for historical mental health information and diagnoses, and insight into the author’s perceptions by describing observations and experiences. The author’s tone is elevated, as if in a personal dialectal debatable conversation, and can be perceived as a negative opinion towards the Diagnostic Statistical Manuel 5.

In the article, “Differential Diagnosis of Children with Suspected Childhood Apraxia of Speech”, the authors describe the signs of a child having Childhood Apraxia of Speech (CAS). If a child is suspected of having CAS, here are a few symptoms that can occur, shifting errors on consonants and vowels in repetitive syllables and sounds, incorrect prosody, and interrupted articulatory between sounds and syllables. (Murray, McCabe, Heard, & Ballard, 2015, p.44). A tool that is used to identify CAS is a Strands 10 point checklist. (Shriberg, Potter, & Strand, 2012). This is a checklist that contains 10 segmental and suprasegmental structures. Authors say that this checklist doesn’t lead to an exact assessment, but authors rely on it (Strand, McCauley, & Weigand,

Diagnosing children with any disorder is difficult, due to the fact that development occurs rapidly in the first years of a child’s life in social, emotional, and cognitive areas (Barlow & Durand, 2012). A child’s development can be influenced in many ways, such as socioeconomically or by how emotionally supportive the parent is (Combs-Orme, Orme, & Lefmann, 2013). Diagnosing children with specific disorders proves to be more difficult considering the overlap of symptoms that occurs between the conditions (Phetrasuwan, Miles, Mesibov, & Robinson, 2009). Autism Spectrum Disorder (ASD) is, according to the Diagnostic and Statistical Manual of Mental Disorders, a category of disorders that characterizes those with severe impairments in social

For this assignment, I will define the reason, range, and nature of the disorder, such as the number of individuals identified and being treated, the demographics, and other issues of interest. I will also elaborate on how the selected disorder is detected as well as how the selected disorder is treated. Furthermore, I will separate the analysis of this disorder from those of the other disorders within the same analytical category. In addition, I will provide a statement on culturally bound syndromes, cultural biases, or the interaction between assessment and diagnosis and culture. Lastly, I will provide my completed professional interview as well as interview data pertinently and essentially combined into the body of this paper.

I would start off the assessment by obtaining a case history from my client’s caregiver through a form. The case history would contain questions that would show etiological factors, perception of the problem, the different environments the client is exposed too, and medical, social, and developmental factors. An oral cavity examination would be given to look at the structure and functions of the mouth for speech production. An oral cavity exam is important to find problems that can affect speech. These can include missing teeth, clefts, submucous clefts, abnormal bite, and the size and movement of the lips and tongue. An audiological screening is important to determine if the client has a loss of hearing. This is conducted with pure tones before the phonological assessment takes place. If the client has a loss of hearing, it could affect their speech perception. Speech sound perception testing could occur to show the relationship between speech sound discrimination and articulation. This consists of screening and the administering of comprehensive

ASD in adults creates symptoms which include dyspnea, palpitations and shortness of breath with activity and the clinical manifestations of arrhythmias like atrial fibrillation are presented (Goolsby & Grubbs, 2014). Other physical findings include, the visualization of a pulsation that lies over the second and third intercostal space, a pulmonic

The disorder, if you would call it that, has long been studied by physicians over the centuries and recognized as containing actual symptoms. Although up until more modern times it hasn’t been seen as problematic. This is due to

Let’s look at what happens in each of these disorders and how common they are in the United States of America and the rest of the World.

Edelson of the Autism Research Institute (Autism Treatment Evaluation Checklist (ATEC), 2015). The ATEC is a questionnaire created to be finished by parents, teachers, or caretakers. It contains of 4 categories: Speech/Language Communication (14 questions); Sociability (20 questions); Sensory/ Cognitive Awareness (18 questions); and Health/Physical/Behavior (25 questions) (Autism Treatment Evaluation Checklist (ATEC), 2015). The ATEC is not a diagnostic form for Autism spectrum disorder (ASD). It delivers numerous results that can be used throughout treatment and evaluated on progress each participant is or is not making. Fundamentally, the lesser the total means the child is displaying lesser problems. Thus, if the child scores a 30 prior to starting the program and then 30 weeks later, the child scores a 10, the results would indicate the validity of the program. Although, if the same child scores above 30 during the post-test, this would display the results to be

A scale’s discriminative validity refers to its ability to distinguish between relevant groups and the ASRS scales were found to accurately predict group membership over 92.10 percent of times. A scale’s convergent validity refers to how correlated the results of the test are with theoretically related measures. This was measured by a sample of parents and teachers completing the ASRS forms and another scale that measures ASD such as Gilliam Autism Rating Scale, Gilliam Asperger’s Disorder Scale, and Childhood Autism Rating Scale. The results of both scales were tallied, compared and all correlations were found to be significant except for the ASRS teacher’s form of CARS (Pearson, 2017).