The Process of Diagnosing a Mental Health Condition (Coursework Sample)

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Vignette case for Beverly
The case involves Beverly, a 21-year-old who was accused of driving under the influence. During the preliminary examination, she looks an energetic lady. However, she was having a problem remaining still for a while. For instance, she could wander around the room nervously. Her language of communication is nasty and not specific about what she wants to communicate. For example, when asked about the circumstances surrounding her DUI, she expresses, "how ridiculous. Further, she admits that is she is legally allowed to drink. However, according to her, it is unfortunate that she was caught. At the same time, she confirms that she likes to party and smoke weed. The reason why she does that is that she wants to enjoy a good life. During a further assessment, Beverly says that she is in a tumultuous relationship with her boyfriend, who they have been dating for 2 years. On the same note, she says that she likes flirting. Additionally, Beverly laments about how sexuality was when she was growing. For instance, it was open and explicit. However, during the assessment, the patient did not want to talk more about her past life, and if she ever experienced trauma.
Provisional diagnostic impression
From preliminary assessment, Beverly is suffering from the following conditions:
300.3 (F42): Obsessive-compulsive disorder (237)
The client meets the criteria for the disorder given her behavior to party. She also likes to flirt even though she has a boyfriend. The information confines with the DSM-5. She likes to engage in behaviors irrespective of the impact to the other people.
303.90 (F10.20): Alcohol use disorder (490), severe.
The condition for diagnosis is met by the client’s behavior of liking to drink and party. The disorder is confirmed by her utterance that she is legally able to drink. The disorder is within the DSM-5 dissonance, since she likes drinking and enjoys it.
305.90 (F19.10): Other Unknown substance use disorder (577)
Beverly reveals that she smokes weed, although she does not say what type of weed. It is a disorder within the DSM-5 since she feels that is one way to enjoy good life.
Further information required
The first information that should be sought about the patient is family life. It is vital to know if she leaves with her parents or with her boyfriend. The information will help determine if the parents were ever in a stable relationship or brought up in an abusive relationship. It is also vital to get information about the current relationship of the parents. She might have been brought up. Also, any information about any of the parents abusing alcohol, or abusing substances, could help determine how she was introduced and the risk of being addicted.
Further, we need information about her mental health life, and she has never had any incidence that could have affected her current situation. The information will also include any data related to treatment. The data will help get insight into the possible causes of the current situation and the underlying conditions that affect her compulsive behavior.
Further, we also need information about her education and work life. At the age of 21, the information may help get a grasp of the current relationship with the employer. On the same line, education history will help her understand her level of education. With detailed information about education, we could predict her ability to make correct personal life decisions and specific behaviors.
An initial treatment plan for Beverly
The first treatment pan to use in psychotherapy. It is the psychologist's responsibility to share more about the effects of alcohol and substance abuse (Diagnostic and statistical manual of mental disorders). The indications are that she is addicted to substance and alcohol use. That is an issue that is causing her to make wrong decisions like driving under the influence (Van Wormer & Davis, 2018). However, the approach will take into consideration the values, tastes, and preferences of Beverly. From a cultural perspective, it could be possible that some decisions will be made by an individual or a close family member.
Further, it could be appropriate to bring into perspective her boyfriend. During the initial assessment, Beverly did indicate that she still likes to flirt even with the relationship. She laments about the sexuality life then, when it could be open and explicit. Bringing her boyfriend into the scene will mean sharing the challenges that ail their relationship. However, several aspects will be considered (Van Wormer & Davis, 2018). The first one is about consent. It is crucial to note that it will be unethical to discuss her boyfriend when he is absent. Most importantly, it will be crucial to get consent from him. Also, any aspect about decision-making and who holds responsibility between the two is vital.
Finally, cognitive-behavioral therapy (CBT) will help Beverly overcome some of the challenges related to making specific decisions (Van Wormer & Davis, 2018). Most importantly, even under substance and alcohol use, she could easily control herself.
Vignette case for Paul
Name: Paul
Age: 55
Race: Native American
Paul was referred by her medical doctor for assessment and support to stop smoking. He is also moderately obese. Also, during the assessment, we discover that Paul loves gambling. The behavior is part of his life as he believes in being excited and living life to the fullest. Further to that, he is happy with a fine meal, good scotch, and rounds of smokes. That is other than being at the poker table. We also note that his mother died 2 years ago from lung cancer. Also, his father had died 10 years ago from cirrhosis. Paul's notable thing is that he is contemplating to stop smoking and cut his drinking and manage his weight. Unfortunately, he admits no way he is going to quit gambling and consuming some buffest and bars. However, he asks for support to him stop smoking. Additionally, he has never been married even though he feels so attached to his mother and never forgotten about her death. Notably, Paul suggests that his way of life is the only he can cope with the loss of her mother.
Provisional diagnostic impression for Paul
292.9 (F17.209): Unspecified tobacco-related disorder (576), moderate
Paul admits to smoking a pack of cigarettes a day. It is a condition his doctor his doctor to be checked and where possible supported to stop. It is a DSM-5 condition since he struggles with it even though he makes an effort to stop.
305.00 (F10.10): Alcohol use disorder (490), Moderate.
During the initial assessment, the client indicates it is time to cut back on drinking. Being obese, he admits the behavior could worsen his situation. The diagnostic impression fits in the DSM-5 in that he is not able to quit drinking.
300.3 (F42): Obsessive-compulsive disorder
The condition is present with the client. He admits he needs support to quit smoking. However, he is not ready to stop gambling. It is a DSM-5 condition given his level of addiction.
Further information required
Information about work-life
One of the aspects the assessment will take into account is the working life of the patient. That information is essential in determining if there are factors that arise from work prompting his behavior. At no level, we get information about his work matters. The informa