Summary Of Purpose And Limits Of Confidentiality

Ms. Samantha Brown has no difficulty interacting with staff in the areas of verbally presented and written materials. Overall, her clinical interview and testing showed no gross indicators of psychopathology. It is apparent however she has significant signs of maladaptive eating patterns, which include: emotional eating, eating after hunger satisfied, rationalization and cravings. She was encouraged to attend the support groups at the hospital. There does appear to be unresolved grief from a paternal loss when she was 13 years of age. She reported her mood has been somewhat labile since her hysterectomy in the early part of this year, which may need medical attention. Overall with relatively normal background experience, stress reduction in

She came to the clinic last week for symptoms of fatigue, dry and thinning hair, constipation, feeling of being cold all the time, recurrent depressive mood, joint pain in her hands, feeling of a “lump” in her throat, and weight gain of 14 lbs. over the past year. She denies fever, cough, sore throat, and suicidal ideation. She has a history of benign hypertension, hyperlipidemia, seasonal allergies, obesity, pacemaker insertion, cesarean section, postmenopausal, and colon polyps. She has a family history of hypertension and diabetes mellitus type I. Her primary language is English. She is married, employed as a radiology technician, and is of the Baptist faith. She denies use of alcohol, tobacco, and illicit substances. She is currently taking the following medications: Hyzaar 100-12.5mg daily, Lipitor 40mg daily, Flonase 1 spray bid to each nostril, Zyrtec 10mg daily, Lutein 20mg daily, and aspirin 81mg daily. She has no known allergies to

Client was evaluated at this office located in Fort Lauderdale Beach, Florida. Ms. Client communicated within the English language, and was informed of the nature and purpose of the current evaluation. She was notified all information obtained during the course of the evaluation was confidential and any reports of abuse, or intent to harm self or others, would be reported to the appropriate agencies. Ms. Client was informed that subsequent to the evaluation this examiner would provide her therapist with a report summarizing all relevant information and key findings, used as a learning exercise as well as to assist with treatment planning. She was told speaking with this examiner was not required, and she could decline to answer any of the questions posed by, or presented in the assessment measures. Ms. Client agreed to participate in the evaluation under the previously noted conditions. Ms. Client acknowledged the limits of confidentiality and she appeared to fully understood the purpose of the

Remley and Herlihy (2016) defines confidentiality as an ethical concept which refers to the counselor 's obligation to respect the client 's privacy and in session discussion will be protected from disclosure without their consent (p.108). The receptionist never disclosed what was being discussed in wife A session; however, her inadvertent breach of confidentiality occurred the moment she divulged the fact that wife A is a patient at a mental health facility. An important premise to understanding the ethical principle of confidentiality is base that a counselor respects the client 's right to privacy (Remley & Herlihy, 2016; Quigley, 2007). Premise one states the "counselor honor the rights of clients to decide who knows what information about them and in what circumstances" (p.110).

This experience was educational and I was able to learn how to tailor questions that follow specific presentation complaints during the history intake process. Upon initial presentation, and discussion of her symptoms, it became evident that the questions needed to be more specifically related to the frequency of her disturbance, her diet, mood, social history, and activity level. At this same time, an evaluation of the severity needed to be explored with consideration the co-existence of anxiety and depression. Confirming the absence or presence of an acute life stressor was important to uncover during the history portion of the exam. This encounter was exciting to diagnosis because the diagnosis came from the clinical findings from the exam. The historical flow was intuitive and helped differentiate the diagnosis. Lab tests were not necessarily helpful to diagnose, although important to rule out other potential differentials. Both anxiety and depression were found to be present

Using a symptom checklist the client is currently experiencing the following: sad moods, crying, easily irritated, feeling sluggish, feeling on edge, difficulty concentrating and making decisions, loss of interest in things she once

During the investigation, The Department discovered Mrs. Lawson's health had declined both mentally and physically over the past year and a half. She now had diagnoses of anxiety disorder, COPD, reflux disease, acute respiratory failure with hypercapnia, hypoxia, Acute hyponatremia, B-12 deficiency, hyperthyroidism, depression, coronary artery disease, acute tubular necrosis, chronic obstructive pulmonary disease with acute exacerbation, and hypokalemia.

She just feels like she is always at the same level, never feeling happy, but never feeling super sad. She has no suicidal or homicidal ideations now or in the past. She has never been previously evaluated for depression. She admits to feeling very tired, even if she gets enough sleep. She has previously been evaluated by a physician in New York, though not for depression, more for the fatigue, and reportedly the investigation including laboratory studies with thyroid, a metabolic panel everything looked normal. She says that in addition to this symptom, she has had constipation that she has been dealing with for the last couple of years, which she has not again has not discussed with the physician, but more tries to deal with on her own. No blood in her stool, no abdominal pain associated with it. She also has had a five-pound weight gain in the last year as well, despite no changes in her appetite or diet. She does have a family history of thyroid disease in her paternal grandmother and is interested in evaluating that

Two ethical issues associated with psychological testing are confidentiality and informed consent. Confidentiality deals with keeping the patient or examinees information confidential and private. Leaking the examinee or patient’s personal information is a violation of what constitutes ethical practice because

Rationale: Jennifer has been presenting with symptoms for unspecified amount of time. Jennifer meets six of the criteria for symptoms being present during the same 2-week period and represents a change from previous functioning. Jennifer is depressed most of the day, nearly every day, has diminished interest in all or almost all activities most of the days, nearly every day, has fatigue or loss of energy nearly every day, feelings of worthlessness, and diminished ability to think or concentrate, is having recurrent thoughts of death, recurrent suicidal ideation without a specific plan. The symptoms have cause clinically significant distress or impairment in social, occupational, and other functioning areas. There is no know substance or medical condition and occurrence is not better explained by Schizophrenia Spectrum or Psychotic Disorders. Jennifer has never had a manic episode or a hypomanic episode. Possible family history of depression - mother.

The first ethical issue included in the guide for the psychological help agency is Informed Consent. Given that employees working in the agency may often service in forensic matters, it is imperative to respect constitutional rights, liberties and properties of each client (Agre & Rapkin, 2003). Some experiences of clients may be very traumatic and stressful, so many of them may not desire to reveal confidential information to the public. Therefore, all professionals involved in the agency should respect rights of each patient and follow corresponding APA instructions. Informed consent is included in the APA code of ethics, which emphasizes its significance in psychological work (APA, 2010). According to the code, psychologists should obtain the

Client is a 35 year old African American female with an 12th grade education level who presented with signs and symptoms of forgetfulness, depression, severe anxiety, stress, uncontrollable mood swings and difficulty making decisions. During the assessment, the client struggled with bouts of crying triggered by memories of her past. The client was recently hospitalized at VCU Hospital for signs and symptoms related to a panic attack. The client has been given the diagnosis of Major Depressive and Anxiety. The client has been prescribed Prozac. Currently the client does not have a PCP or psychiatrist.

The information outlined below was obtained during an interview with Mrs. Reed, a separate interview with her husband, and previous medical records. Mrs. Reed is a 27-year old, right-handed female with a previous diagnosis of Posttraumatic Stress Disorder obtained in 2013. The triggering event that led to the diagnosis was a strangulation attempt by a previous partner. Additionally, Mrs. Reed grew up in a home with family violence. The patient reports difficulty sleeping, high levels of anxiety, and problems with memory and concentration. Her husband reports that there will be days on end in which his wife is unable to function and complete her daily tasks. Her husband additionally disclosed that his wife is having trouble at work pertaining

Today, there are many established laws in the United States that ensure that research is morally done. Code of Ethics is part of these standards required to keep an experiment ethical (Schaefer, pg. 41, 2014). Basic principles of an ethical experiment includes examples such as maintaining integrity, respecting a subject’s right to confidentiality, not harming subjects, acknowledging other’s research, and more (Schaefer, pg. 41, 2014). However, if one was planning on doing research on human sexuality, there would be concerns on the ethicality of research. I think the main issue with the project according to the ASA (American Sociological Association)’s Code of Ethics would be confidentiality.

To better diagnosed Mrs. Tobon, it is imperative to evaluate symptoms from other mental disorders such as Adjustment Disorder, Bipolar Disorders, and Major Depression Disorder.