Review the vignettes and then diagnose Robin and Becky with a psychotic disorder, and provide Brett with a diagnosis 500-900 word count total
Question Description
250-450 words. Minimum one resources each question.
1. Review the vignettes BELOW in the topic five materials and thendiagnose Robin and Becky with a psychotic disorder. What are thejustifications for your diagnosis? Include differential diagnoses thatwere considered and discarded.
Robin
Robinis a 29-year-old Caucasian female who was referred to counseling from anemergency room doctor. Per the doctor, Robin was extremely distraught when shecame into the ER as evidenced by her bizarre behavior and frantic attempts toreceive medical help. She informed the ER doctor that she needed to undergosurgery to remove an implant that was in her abdomen. Robin further stated thather television had spoken to her and told her that the implant had been putinto her body by aliens during abduction. The doctor assessed Robin for drugsand alcohol and found no evidence of intoxication or withdrawal. Robincommented to the doctor that “nothing like this has ever happenedbefore” and that she felt “fine until 2 weeks ago,” when shestarted receiving messages from the television.
Becky
Beckyis a 43-year-old Caucasian female who attends counseling regularly. Recently,the focus of counseling has been focused on Becky’s relationship with her boss;she has informed her counselor that her boss is madly in love with her eventhough he is married with several children. Becky is trying to determine whatcourse of action to take in convincing her boss to leave his family so thatthey can start one of their own. Becky tells her counselor that her boss hasnever discussed these matters with her outright, but she knows how he feels bythe way he looks at her. Additionally, Becky states that she is able to inferhis love messages out of work emails that he sends to her regularly. She hasbeen working at her current job for approximately 2 years and believes that herboss has been in love with her for about 6 months.
2. Review the vignette ofBrett and then provide a DSMdiagnosis. Based on your cultural background/worldview, what is yourperspective on the nature of psychotic disorders?
Briefly reviewthe biblical narrative in Mark 5: 1-20. How would you help a psychoticindividual who presents to your treatment center and insists that theetiology of his disorder is spiritual in nature and not biochemical?
ReviewMercer’s article and identify two or three recommendations/practicesyou find relevant in this source as pertaining to a clinician thatconsiders treating Brett.
“Deliverance,Demonic Possession, and Mental Illness: Some Considerations for MentalHealth Professionals, ” by Mercer, from Mental Health, Religion & Culture (2013).
Brett
Brett is a 19-year-old Caucasian male who is brought to counseling by his parents, Margaret and Henry. Margaret and Henry are extremely concerned about their son and are looking for answers regarding his unusual behaviors. Brett is a college sophomore attending a local university; to save money, he lives at his parent’s house and commutes to school. During his freshman year, Brett appeared to be doing well, but over the summer he began to act very strangely. His parents report that Brett started to spend a lot of time in his rooms with the shades drawn. He refused to bathe for days at a time and stopped eating regularly. Additionally, Margo and Henry heard Brett having conversations in his room when they knew that no one else was with him. One morning, Margo observed Brett sitting at the breakfast with a “blank” expression on his face while trying to pour milk into his shoes. In all, Henry believed that these odd behaviors have been occurring for about 9 months. Margo and Henry are devout Pentecostal believers and report that they have raised Brett to attend church and to believe in God. They are worried because before the onset of Brett’s symptoms, he reported a disturbing incident. He took a World Religions class in which a student performed a “show-and-tell” Ouija board ritual for a class project in which he described Occult religions. Brett was very upset by the event. They sought help from the pastors in their church with little relief. They were referred to you by a friend. They state that mental illness does not run in their family.
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