Develop ananalysis
Review Martinscase and give a preliminary diagnosis using the relevant diagnostic criteriawhich can be found in the International Classification of Diseases, TenthRevision (ICD-10 link), and the Study Guide to DSM-5. Can supplement, thesequential presentation of disorders found in Lumen Learning AbnormalPsychology, https://courses.lumenlearning.com/abnormalpsychology/ .
Answering thefollowing six items, provide evidence of your logic for each decision. Reinforce responses with scholarly resourcesand appropriate detailing. Discuss how and why your arrived at conclusionsdrawn. https://nobaproject.com/browse-content
RequiredItems to be Addressed:
Based upon thisintake visit, what diagnosis do you think is most appropriate for Martin? Bemindful, this is your first session. Information is limited to the datacollected in this first visit.
What are theprincipal symptoms contributing to the diagnosis proposed? Clearly explain,providing details.
DiscussMartins strengths. These will facilitate constructive work with him.
DelineateMartins opportunities for growth and/or improvement.
Looking to thenext visit and beyond, what is your preliminary sketch of the treatment goalsyou have for Martin? Why do you identify these goals as appropriate for Martin?
What will youexplore with Martin in future visits (e.g., interpersonal, aspirations)?Present rational. Why do you want to dowith this information?
NOTES @intakevisit
Martin Sheen(fictional)
Martinconcludes at his intake visit expressing he needs help. He needs help regainingcontrol in his life. He wants your helpto develop a strategy.
Age 35
Married 11years
works most daysfrom 7 a.m. to all hours of the evening, his
partner-a stayat home parent/entrepreneur making $190,000 and does it all
Have threechildren, ages under 8. He states they are healthy, intelligent, fun-loving,and well-mannered. No concerns with them.
Symptoms:
Experiencingmultiple life stressors, weight changes 25 pounds plus, trouble sleeping,primarily interrupted sleep and occasional sleeplessness, low energy, variedeating occasionally does not feel hungry followed by increased eating, irritabilityand moodiness, anxiety, decreased sexual desire, self-esteem – decreasing
feelings ofguilty economic challenges have resulted in significant income losses
CURRENT
Martin has an MBA/businesswith remote receptionist/hourly basis, and one full-time employee. Martin recentlymade the move from the home office, shared with his partner, to a new officespace that has room for his employees with a conference space where clients canmeet. His client list has expanded, but Martin is experiencing difficultiesgetting clients to pay within the 45-day billing period specified when invoicedfor services rendered. As a result, Martinis often forced to pay his contracted account a service fee to prompt clientsfor payment. Martin also pays the accountants fee because he requires a steadycash flow to pay his employees, pay bills, and meet family responsibilities.The health insurance premium he pays for his family is high (over $1400 permonth) due to a pre-existing health condition (his partner has a chroniccondition). Additionally, he pays the health insurance premium for hisfull-time employee.
HISTORY
Martinspartner willingly, and lovingly, paid the family healthcare premium ontheir plan for over two years at a monthly cost of $1,700. Martin took over thehealthcare premium four years ago, as he felt that his partner had carried thatmonthly burden alone while he built up his client base. His partner alsocovered expenses Martin was not able to pay while he attended graduate schooland established his business. During theintake visit, Martin shares that he could not have pursued his businessendeavors without his partner’s support (financial and otherwise). He believesthat this has created tension in his relationship with his partner,particularly during the current economic downturn.
Martins partneris business person whose drive contributes to the businesss success and ahealthy income ($190,000) yet a majority of their income goes back into theirbusiness ventures shrinking savings and investments, and on the upper-middleincome lifestyle the two have become accustomed (buying and engaging in desiredactivities without much worry). While their marriage has experiencedchallenges, is relatively happy and intact. Martin feels that his partner’sdeteriorating physical well-being is the result of this effort to do it all- being there for him and the children. While his partner does not expressdissatisfaction, Martin feels (in his words, understands) that his partnermust feel resentment toward him for the non-stop, around the clock, work hemust dedicate to his business. As the funds in their savings has shrunk, Martinfeels his personal state has also deteriorated, physically, emotionally,professionally, and personally as well.
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