V62.4 (Z60.3) Acculturation Difficulty. This code can be used when there is difficulty adjusting to new culture. For Annie, there is difficulty when she travels to see her family in India,as she can only understand a few phrases in their language. When using these codes, Wambolt, Kaslow, and Reiss (2015) found them to only capture some relational variables and were poorly organized and ill defined. In addition, these codes maycause some division between client and therapist, turning the family into a “case” and client into an “expert” (Wamboldt, Kaslow, & Reiss, 2015). Being that the field of marriage and family therapy is fairly new, compared to other fields, there is a potential risk of clinicians using codes to receive payment for reimbursement from medical insurance, thus labeling individuals and families as problematic” (Wamboldt, Kaslow, & Reiss, 2015). ConclusionWhen working with clients, different aspects must be considered. The biopsychosocial approach looks at three domains, biological, psychological, and sociocultural, regarding abnormality. Each model was applied to Annie’s case, as it attempted to explain what was happening with her and her family. In addition, other aspects, such as culture and V and Z codes, were analyzed as it could also play a significant role in understanding what was happening to Annie. The DSM-5 is frequently used in the United States to pinpoint mental health disorders. One should understand the importance of looking at multiple aspects of an individual’s life before settling on a diagnosis and even intervention strategies.