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Ian_Assessment.docx - Group Application Aliya Bralick, Alex...

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Group ApplicationAliya Bralick, Alex Mast, Hannah PenceIndiana University-Purdue University Indianapolis
IntroductionAfter reading through Ian’s case and watching the attached video, our group was able tothoroughly analyze and discuss the case, determine a DSM-5 diagnosis, and makerecommendations for the court based on assessment. Additionally, Ian’s case was put through amental status examination, level 1 and level 2 cross-cutting measures, an AUDIT questionnaire,and a biopsychosocial and stages of change assessment to further assist in determining adiagnosis and best outcome for Ian’s situation as well as meaningful rationale for our work.Mental Status ExaminationIan is a very put together client, there seems to be no signs of distress. There is no reasonto believe that he is not taking care of himself, and wearing nice clothes. He comes from anaffluent community and has enough of an education to keep himself and his family in thatposition. While he does not seem like an immediate threat to himself or others, he has alreadyviolated an order to not see his wife and children. So, I believe that if he becomes angry enough,or drinks again he could attempt to see them again and possibly hurt them. Even if it is notconsciously, last time it happened he said he didn’t know what happened to him. He stated hedeserved to see his family so he may try again. However, he knows he hurt his wife and thewoman at the bus stop and he wants to make it right, but doesn’t understand where his behaviorcame from so he can’t fix it. He is ready to make the change, but he will need guidance infinding and correcting the root of his impulses and alcohol abuse.DSM-5 Level 1 Cross-Cutting MeasureIn completing the DSM-5 Level 1 Cross-Cutting Measure, it is found that Ian scored a 4in the anger domain, and a 3 in the substance use domain. Ian was scored at a severe level ofanger due to his recurring outbursts that happen almost every day. According to Ian’s casedescription, he is constantly frustrated and yelling at his subordinates at work. Additionally, Ianis explosive towards his wife and in front of his kids. This occurs when he is drinking and whenhe is sober. Furthermore, Ian scored a 3 in the substance use domain due to his persistent alcoholconsumption. It is stated that he consumes alcohol about 3 times per week with people fromwork. This does not include the drinking outside of those instances as noted by the conversationbetween the solicitor and Ian.DSM-5 Level 2 Cross-Cutting MeasureAfter scoring Ian on the Level 1 Cross-Cutting Measures, his score and severity of it required aLevel 2 Cross-Cutting Measure. In completing that, Ian had a raw score of 21 which was thenput through a formula for a T-score of 71.7 which falls within the severe range. This shows theintensity of Ian’s anger management problems and lack of ability to control his impulsivebehavior. With frequent outbursts of anger affecting many aspects of Ian’s life, extensive

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Term
Spring
Professor
Carolyn
Tags
Psychiatry, Drinking culture, Mental status examination, Intermittent explosive disorder

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