Assignment question wk 2 PRAC

Students will:

· Develop diagnoses for clients receiving psychotherapy*

· Analyze legal and ethical implications of counseling clients with psychiatric disorders*

* The Assignment related to this Learning Objective is introduced this week and submitted in Week 4.

Select a client whom you observed or counseled this week. Then, address the following in your Practicum Journal:

· Describe the client (without violating HIPAA regulations) and identify any pertinent history or medical information, including prescribed medications.

· Using the Diagnostic and Statistical Manual of Mental Health Disorders, 5th edition (DSM-5), explain and justify your diagnosis for this client.

· Explain any legal and/or ethical implications related to counseling this client.

· Support your approach with evidence-based literature.

CASE STUDY TO FOLLOW

Golden Green is 55 years old Caucasian male born in New-York moved to Florida in 1986, complained of feeling anxious, depressed, with diagnosis of schizoaffective disorder. Reported he lost his twin brother recently to suicide. His dog died last month; he is a disabled due to history of seizures.

G. Green seen at the clinic reported feeling depressed and lonely, Patient denies suicidal ideation, homicidal ideation, hallucination and distorted thinking, said “ I have pain on my lower back that is chronic” pain 5/10 like dull, the pain never moved around. Do smoke ½ pack of cigarette daily, denies use of alcohol, or any illicit drugs use.

Reported appetite is good, energy is low and no problem sleeping at night. Stated “ I need a girlfriend; I don’t want to be lonely”

All his vaccine is up to date.

Anxiety rate is 5

Depression rate is 10

Have good family support.

Past medical problem: type 2 diabetic meallitus, seizures, Obesed, migraine, lower back pain.

Past psychiatric history: Major depression, Anxiety, Alcohol dependence.

Allergy – NKA

MEDICATIONS LIST

Lantus insulin sub. 40 units twice a day

Carbamazepine oral 400mg twice a day

Acetaminophen oral 650mg every 4-6 hours for pain

Wellbutrin XL orally 150mg twice daily

Hydroxyzine tab 50mg PRN

Multivitamin tab twice daily

OVER THE COUNTER MEDICATION

Excedrin tab PRN for headache

Bowel movement normal with no constipation or diarrhea.

Shower every other day.

Patient said he is coping with life, by accepting things the way it is and move on with my life and have plan to look for job in by working on the computer to do graphic design so that he can have his own apartment to himself and be productive.