answers must beyour own words.When I ask for examples you must create your own examples.Examples from the internet textbook class activities study guides other students etc. are not acceptable.Do not use direct quotes in any of your answers.Please make sure to fully answer each question to receive full points. As a guideline I expect 10 point questions to takeat least 1 paragraph (8-10 sentences) to answer the question fully.I want you to answer the question concisely focusing only on relevant information. Be clear precise and thorough in your answers.Do NOT search the internet for answers!!! The point of this exam is to demonstrate your own thinking about the topics you have learned thus far in the course. How well you do on this exam is based on the level of thought and detail evident in your responses.
Read the following transcript of an interview with an actual client Samantha. Then answer the questions that follow (questions 4a-4g).
ASSESSMENT INTERVIEW TRANSCRIPT
Assessment Clinician: What types of things do you worry about?
Samantha: I worry about tons of things. Um well I mean I worry about the general things that I think people worry about like you know like well maybe thats not true. Um I guess the future Im big in the future Im not a really present person much something I try to work on. Um I always worry about the future how Im doing how far Im getting in life – if Im succeeding.
Um and then theres worrying about… well not worry but I have a lot of work or am I going to get my school work done on time or maybe financially like am I okay financially like those kinds of thing.
Assessment Clinician: What does it feel like when your anxiety takes over?
Samantha: Sometimes I just feel like I get foggy like really foggy. Uh like today I was working at the clinic shadowing for the first time and I hit a point when I was like you know for me I like to think biologically like maybe Im low blood sugar. I didnt feel like eating this morning probably because I was nervous you know so maybe my not eating was kicking in. But then um then I couldnt concentrate.
And then I kind of freeze for a second and Im thinking If I have to fill out this form and theres like so many forms I dont know if I can fill it out. And then all of a sudden its like I cant see as well. Im going to zone out. At the wall! Im going to not look into space per se but its like I literally cant even focus in with my eyes. My vision is fine I mean I wear contacts but its not an actual vision problem. And then to follow it I get a tiredness you know? Like yeah tired? But then trying to figure out how to rev it up try to clear up. Its like if you were waking up from anesthesia I guess or something like youve been drugged I guess! I guess! I dont know! And then I cant I want to be clear – I want to be clear minded but I cant. I mean I guess I um feel confused lost and scared. And then like I dont know why I feel this way.
And theres times when Im like foggy or Im tired or whatever where I could just drink coffee. I could just drink shots of espresso and I wouldnt wake up it just wouldnt happen. And maybe my body would start pounding and my heart would start racing but my brain like wont go I cant rev it up but like my body is really revved up. Um and like… I have these thoughts running through my head um like I want to get out of my skin but I cant um like Im stuck. Yeah and like I was so revved up in my body that I couldnt sleep for three days straight and umwasnt eating and like couldnt really focusing on anything.
Assessment Clinician: When did these issues begin with you?
Samantha: My parents said I was always worried and nervous since birth! So I always … I was … always curious about what was going on near me. I had a real desire to learn how to read because I wanted to be able to read notes that people wrote people. And I wanted to know what was going on. I was really afraid to not know what was going on. And that was around the time when my parents got divorced so I had a lot of anxiety then and I tried you know Im the oldest so I tried to watch out for my brothers. My dad was really depressed about it and I had to see him go through that and so I was constantly trying to keep tabs on everything you know? Make sure everyone was feeling fine all the time. That kind of thing.
Assessment Clinician: When did you first know that your worry and anxiety were a problem?
Samantha: Well when puberty hit you know. And I think thats when anxiety came on even stronger. Um I would say like up until 6th grade I think I worried a lot more than most kids but I wouldnt say that I felt that first true impact of an anxiety attack. Um and I would think that first attack came right when puberty really hit. And I think thats when I started to feel like this kind of fear. Also guilt guilt comes up in it a lot … which is weird you know I dont really know what Im feeling guilty about but its like guilt mixed with fear.
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Many of the mental disorders you have learned about so far in class share similar features and symptoms or are different variations of the same symptoms. This creates one of the most common yet difficult challenges in clinical psychologydifferential diagnosis. Differential diagnosis requires doctors to determine from which disorder the patient is suffering by considering and ruling out other disorders that have similar features and symptoms. This requires understanding the many subtle similarities and differences among disorders.
Engage in differential diagnosis for the patient Samantha based on the brief interview transcript presented above. Answer the following questions in the process of your differential diagnosis. The following 7 questions are worth a total of 20 points. See individual point values for each question below.
Question 4a (worth 3 points):
Which symptoms are suggestive of a mental health disorder?
Question 4b (worth 1 point):
What disorders are you considering as possible explanations for her symptoms?
Question 4c (worth 7 points):
Compare and contrast the symptoms and risk factors of at least three disorders/conditions that might explain Samanthas symptoms.
Question 4d (worth 1 point):
What is your provisional diagnosis for Samantha?
Question 4e (worth 2 points):
How did you rule out other diagnoses you were considering?
Question 4f (worth 1 point):
What treatment would you provide Samantha based on her diagnosis?
Question 4g (worth 5 points):
Why did you choose that specific type of treatment? Be sure to link the type of treatment you chose to the specific information you have about Samantha and her symptoms.