Diagnostic Skill Application I

The case of kimi

Kimi is a 48-year old female currently separated from her husband, Robert, of 16 years. They have no children
which was consistent with Kimi’s desire to focus on her career as a sales manager. She told Robert a pregnancy
would wreck her efforts to maintain her body. His desire to have a family was a goal he decided he needed to
pursue with someone else. He left Kimi six months ago for a much younger woman and filed for divorce. Kimi
began having issues with food during high school when she was on the dance team and felt self-conscious wearing
the form fitting uniform. During college, she sought treatment because her roommate became alarmed by her
issues around eating. She never told her parents about this and felt it was behind her. Her parents are Danish and
value privacy. They always expected Kimi to be independent. Her lack of communication about her private life did
not concern them. They are troubled by Robert’s behavior and consider his conspicuous infidelity as a poor
reflection upon their family. Kimi has moved in with her parents while she and Robert are selling the house which
has upended the balance in their relationship.

Download Unit 5 Assignment Template. Use it to complete your assignment.

Instructions

For each case study, you will complete a descriptive diagnosis using tools you select from the list of assessment tools provided later in the assignment. Each case requires the following information to be addressed:

  • Identify presenting concerns from the client’s perspective as described in the video and accompanying narrative. Include relevant cultural and systemic considerations that frame the client’s presentation.
  • Describe what information is still needed to make a differential diagnosis and evaluate how at least one assessment tool, which is listed in the List of Assessment Tools resource, will aid in obtaining that information. The Differential Diagnosis Decision Tree may be helpful to guide this process.
  • Present DSM-5 and ICD-10 codes, including relevant V and Z codes.
  • Provide a descriptive rationale for the DSM diagnosis that best fits the information provided including relevant ICD codes. This should be written in a narrative form using complete sentences. Support your rationale with scholarly sources. Optional readings found in the course syllabus may be particularly relevant.
  • Determine if a medication consultation is appropriate and provide a rationale with support from scholarly sources.

List of Assessment Tools and Supporting Resources

  • Beck, A. T., Epstein, N., Brown, G., & Steer, R. (1988). Beck Anxiety Inventory. Psyctests, doi:10.1037/t02025-000
    • Bardhoshi, G., Duncan, K., & Erford, B. T. (2016). Psychometric meta‐analysis of the English version of the Beck Anxiety Inventory. Journal of Counseling & Development, 94(3), 356–373.
      • Review this source to review how to interpret the Beck Anxiety Inventory.
  • Derogatis, L. R. (1977). Symptom checklist-90–revised. Psyctests, doi:10.1037/t01210-000
    • Grande, T. L., Newmeyer, M. D., Underwood, L. A., & Williams, C. R. (2014). Path analysis of the SCL-90-R: Exploring use in outpatient assessment. Measurement and Evaluation in Counseling and Development, 47(4), 271–290.
      • Review this source to review how to interpret the SCL-90-R.
  • Prevatt, F., Dehili, V., Taylor, N., & Marshall, D. (2015). Anxiety Symptom Checklist. Psyctests, doi:10.1037/t39906-000
  • Beck Depression Inventory–II
    • Erford, B. T., Johnson, E., & Bardoshi, G. (2016). Meta-analysis of the English version of the Beck Depression Inventory–Second edition. Measurement and Evaluation in Counseling and Development, 49(1), 3–33.
      • This resource will help you use the Beck Depression Inventory-II if you access that assessment tool.

Submission Requirements

  • Written communication: Written communication must be grammatically correct and free of errors that detract from the overall message. Writing should be consistent with graduate level scholarship.
  • APA formatting: Title page, main body, and references should be formatted according to the current APA style and formatting.
  • Number of resources: Minimum of six scholarly resources. Distinguished submissions typically exceed this minimum.
  • Length of paper: 5–7 typed double-spaced pages. Abstract and Table of Content pages are not necessary.
  • Font: Times New Roman, 12 point.

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