Capstone case conceptulization .docx

Capstone case conceptulization .docx - CASE CONCEPULIZATION...

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CASE CONCEPULIZATION Richard Yeager Psychology 7545 Capella University Dr. Edwards
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CASE CONCEPULIZATION Mental Status Exam Madison is a 20-year-old female with extensive history of both behavioral and emotional problems. Madison was brought to today’s session by her mother and father. The client arrived at therapy with an affect appropriate for her recent hospitalization and experiences. Client was groomed and appropriately dressed and appeared her stated age. She presented with signs of anxiety and depression during the first face-to-face session; such as constant hand-wringing and shuffling her feet on the floor consistently, low voice tone, and a flat affect. She made very little eye contact, kept her head low, and overall presented with a depressed, sullen affect. It was recommended that Madison be administered the Beck Depression Inventory-2 (BDI -2 ) and the Beck Anxiety Inventory (BAI) at the end of the first session. Madison has attempted suicide by means of taking aspirin. Client also reports history of cutting when feeling overwhelmed. Because depression is a disorder impacting countless number amongst the US population 16.2  million people have experienced an episode within the last year. Madison was assessed for such  a disorder due to her previous depressive symptoms surrounding her recent suicide attempt,  hospitalization, and break-up from her boyfriend. ( Sashidharan, Pawlow, & Pettibone, 2012). The BDI-2 results showed a 38-raw score which suggest Madison is suffering from being severely depressed range. It is important to note that the BDI-II is not a diagnostic instrument,  but rather assesses the presence and the severity of depressive symptoms ( Campos & Gonçalves, 2011). The BAI measures the occurrence and severity of symptoms of anxiety and was designed specifically to differentiate between anxiety and depression, although it should not be used alone for diagnostic purposes ( Bardhoshi, Duncan, & Erford, 2016). The BAI-2 raw score of 30 showed Madison to score on the higher side of the scale in comparison to others who experience anxiety. These results will inform the upcoming treatment plan for Madison. The above- mentioned client was also issued the SASSI. direct (face‐valid) and indirect (subtle) subscales, the Substance Abuse Subtle Screening Inventory (SASSI) is purported to detect substance use disorders with a high degree of validity regardless of respondent honesty or motivation. This review evaluates empirical evidence regarding the reliability and validity of this widely used screening instrument. Madison scored high in regard to the test. However, according to FVA, FVOD, Madison reports having tried drugs reports only using alcohol occasionally. Madison score is extremely high. However, doesn’t show current risk, but a correlation has been shown between possible family use and a high probability for substance misuse, which could explain her bouts with depression and relational conflicts.
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