Psychiatric Diagnosis (My Initial Call is included & Professional Voice and Writing Included)For this assignment, students will investigate and propose a psychiatric diagnosis based on the case study
Psychiatric Diagnosis (My Initial Call is included & Professional Voice and Writing Included)
For this assignment, students will investigate and propose a psychiatric diagnosis based on the case study from the Gorenstein and Comer (2015) textbook Case Studies in Abnormal Psychology, chosen in the Week One Initial Call discussion. This paper will include an in-depth overview of the disorder(s) within the diagnosis, treatment options for the diagnosis, and a sound rationale that explains why this diagnosis was made. Note that the diagnosis may include more than one psychiatric disorder.
The paper must present a thorough overview of each disorder within the diagnosis. Assume the audience has no prior knowledge of the disorder(s) within the diagnosis, and provide relevant and easy to understand explanations of each for the readers. When writing the paper, it is critical to convey all the necessary information in a straightforward manner using non-technical language. (Reference the Professional Voice and Writing (Links to an external site.)Links to an external site. resource provided by the Ashford Writing Center for assistance.) Support the analysis with at least five peer-reviewed sources published within the last ten years in addition to the course text.
The Psychiatric Diagnosis topical paper must include the following:
Attention Students: The Masters of Arts in Psychology program is utilizing the Pathbrite portfolio tool as a repository for student scholarly work in the form of signature assignments completed within the program. After receiving feedback for this Psychiatric Diagnosis topical paper, please implement any changes recommended by the instructor, go to Pathbrite and upload the revised Psychiatric Diagnosis topical paper to the portfolio. (Use the Pathbrite Quick-Start Guide to create an account if you do not already have one.) The upload of signature assignments will take place after completing each course. Be certain to upload revised signature assignments throughout the program as the portfolio and its contents will be used in other courses and may be used by individual students as a professional resource tool. See the Pathbrite (Links to an external site.)Links to an external site. website for information and further instructions on using this portfolio tool.
The Psychiatric Diagnosis
Carefully review the Grading Rubric (Links to an external site.)Links to an external site. for the criteria that will be used to evaluate your assignment.
Initial Call from Week One:
Initial Call: Case 19 “My Husband’s Brain has stopped working!”.
According to the Alzheimer’s Association (2017), Delusions (firmly held beliefs in things that are not real) may occur in middle- to late-stage Alzheimer’s. Confusion and memory loss such as the inability to remember certain people or objects can contribute to these untrue beliefs. A person with Alzheimer’s may believe a family member is stealing his or her possessions or that he or she is being followed by the police” (para. 2). In both Major or Mild Neurocognitive Disorder, paranoia and other delusions are common features, and often a persecutory theme exists with these delusions. As you can imagine, this can be very stressful for the family members who care for their loved one with the neurocognitive disorder.
When diagnosing neurocognitive disorders, an important differential diagnosis is pseudo dementia, which is primarily associated with cognitive deficits in older patients who have depression. In contrast to dementia patients, individuals suffering from pseudo dementia can often recall the onset of their cognitive impairments, exaggerate their symptoms, and are frequently positively responsive to treatment with antidepressants.
Troy: Hello my name is Troy from the Louisville Wellness Health Association and I am here to help. For whom do I have the pleasure of speaking with today?
Margaret: Hello my name is Margaret and I am calling on behalf of my husband, Fred.
Troy: Hello, Margaret! What would be a good call back number in the event that we are disconnected?
Margaret: Oh, yes! My number is 555-123-6789.
Troy: Thank you, Margaret, for providing your call back number. How may I assist you today?
Margaret: I do not feel comfortable with giving my last name over the phone if that is ok but would like to see if I can speak with someone about my husband’s brain. It has stopped working properly. Troy, I am not sure I called the right number, but a friend told me to give this place a try. So, can you help us?
Troy: Is it alright that I call you Margaret?
Margaret: Sure, that is fine!
Troy: Does your husband Fred give permission to discuss any of his personal information and does he give his verbal consent for you to speak with me on his behalf?
Margaret: My husband Fred is very forgetful and not in his right mind according to the doctors so I take care of everything.
Troy: Is Fred not cognitively capable of making his own decisions and if not do you have medical power of attorney.
Margaret: Fred has become less and less capable of taking care of himself. His Dr. Schoenfeld, broke the news to us that Fred was suffering from a neurocognitive disorder, which because of it Fred cannot make sound or safe decisions for himself so I do everything for him.
Troy: Margret, I recommend you speak with Dr. Schoenfeld regarding your POA for Fred so that you can speak on his behalf for dual representation medically and financially.
Margaret: Thank you Troy, I will speak with Dr. Schoenfeld about this as soon as I hang up the phone with you.
Troy: Without legal consent due to going into any ethical code violations, how can I help to the best of my ability today Margaret?
Margaret: Well Troy, as I said before I am so upset and filled with all these mixed emotions because my husband’s brain stopped working and I really don’t know what to do or who can help us.
Troy: Margret, I can only imagine you may be going through various feelings of mixed emotions right now. I know this may be hard on you. Do you have any informal or formal supports assisting you at this time?
Margaret: Yes, my family provide support when able and available. But we don’t know why this has happened what caused it or where it can from and that’s why we want answers?
Troy: Margaret, without being the medical professional handling your husbands care, consulting with teams of other professional expert and knowing or reviewing all of his medical history and full diagnosis I would not be able to answer questions regarding why yours husbands condition is the way it is or what caused it and why.
Margaret: But he was fine prior to 8 years ago.
Troy: What activities does your husband enjoy doing like driving, housework, or anything of interest?
Margaret: Because of lack of concentration and forgetfulness Fred does not drive or do much of anything anymore. In fact, he had made a comment that he wanted me to put him away because of being a bother. His words were “I want you to put me away, Maggie, you know what I mean. Let me go, if I ever don’t remember who you are.” Who would say such a thing to the person they say they love. (Margret begins to cry) Then he went on further to say “just inject me or give me whatever is necessary in order to get this life over with. Don’t worry about whether it’s the right thing, because it is. I’m afraid that you won’t do this, that you’ll let me go on when I’m not myself anymore. I don’t want you to have to see me and not know that I love you and need you with me. I don’t want you to doubt my love for you because of this damned disease. Please, Maggie, don’t let that happen. Please promise me.” (Margret crying uncontrollably)
Troy: Margaret I do understand how painful this is for you.
Margaret: No, you don’t understand! The thing is the doctors said Fred’s condition is at the point that it has declined so much that he will die within a week. I am now at a point that I am sad but at the same time I feel a bit of relief because of knowing this is what he wants. Is this wrong of me to feel this way?
Troy: Margret you are not wrong in your feeling for they will be going through an emotional roller-coaster ride at this time. You are experiencing someone you love so dearly suffering.
Margaret: When Fred is gone that is, the bedridden Fred whose true spirit has already left us. When he is gone, we will all finally be delivered from this long ordeal. And Mark and I will be able to remember our beloved Fred again as he once was strong of mind and body.
Troy: That is right Margaret, he will be at peace and free from pain and all the suffering he was going through. You will be able to start the healing process ad know he will still be with you in your heart and in spirit.
Margaret: It’s just difficult that’s all seeing someone you love going through this.
Troy: We are here to help you Margaret. Let;s make an appointment for one of our support staff to come out and conduct a home visit within the next as soon as availability for all persons. I will confirm your phone number you provided was 555-123-6789. A support staff person will contact you in 72 business hours to set up that appointment. Please call the phone number you original called if you have any questions or concern in the meantime for someone is available 24 hours a day.
Margaret: Thank you, you have been very helpful.
Troy: Are there any other questions I can help you with today Margaret?
Margaret: No, I was just frustrated. Talking to you helped a lot thank you. I will wait for someone to call to set up the home visit.
Troy: That will be fine. I want to thank you for calling ABC We are here to help, you have a great day.
Margaret: Thank you Troy, and you do the same.
Alzheimer’s Association. (2017). Suspicion, Delusions and Alzheimer’s. Retrieved from
Gorstein, E., & Comer, J. (2015). Case studies in abnormal psychology (2nd ed.). New York, NY: Worth Publishers. ISBN:
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