SOCW 6090 week 5
Week 5: All-overs Disorders, Obsessive Besetting and Accompanying Disorders, and Cultural Idioms of Illness
Anxiety disorders and obsessive-compulsive disorders (OCD) accept a adverse appulse on an individual’s adeptness to live, work, and conduct relationships. These disorders are generally harder to assay than alternative conditions. Difficulty in analysis is circuitous by the actuality that expressions of all-overs alter broadly from ability to culture. All-overs is generally co-occurring with abasement and with OCD, as able-bodied as with agony disorders. The boundaries amid these illnesses can be blurred.
This anniversary you appraise those boundaries by allegory a case from the all-overs and OCD spectrums. You additionally accede cultural idioms and the cultural conception account (CFI) of the DSM-5. The CFI is advised to advice a amusing artisan acclimate analysis and analysis both to cultural variations and to the alone acquaintance of a actuality aural that culture. Given that all-overs may apparent in assorted means due to cultural influences, you convenance appliance the CFI to adviser analysis abstraction for anxiety.
Analyze a case abstraction focused on an all-overs ataxia utilizing accomplish of cogwheel diagnosis
Recommend an activity for alleviative all-overs disorder
Role-play a applicant alternation to complete a Cultural Conception Interview
Analyze cultural variables in brainy bloom analysis planning
Morrison, J. (2014). Analysis fabricated easier (2nd ed.). New York, NY: Guilford Press.
Chapter 12, “Diagnosing Anxiety, Fear, Obsessions and Worry” (pp. 167–184)
American Psychiatric Association. (2013a). All-overs disorders. In Diagnostic and statistical chiral of brainy disorders (5th ed.). Arlington, VA: Author. doi:10.1176/appi.books.9780890425596.dsm05
American Psychiatric Association. (2013l). Obsessive besetting and accompanying disorders. In Diagnostic and statistical chiral of brainy disorders (5th ed.). Arlington, VA: Author. doi:10.1176/appi.books.9780890425596.dsm06
American Psychiatric Association. (2013d). Cultural formulation. In Diagnostic and statistical chiral of brainy disorders (5th ed.). Arlington, VA: Author. doi:10.1176/appi.books.9780890425596.CulturalFormulation
Diáz, E., Añez, L. M., Silva, M., Paris, M., & Davidson, L. (2017). Appliance the cultural conception account to body culturally acute services. Psychiatric Services, 68(2), 112–114. doi:10.1176/appi.ps.201600440
TEDx Talks. (2015, May 29). Living with #OCD | Samantha Pena | [email protected] [Video file]. Retrieved from https://www.youtube.com/watch?v=btO3kE2RrEY&feature=youtu.be
TEDx Talks. (2016a, October 11). My hidden OCD apparent | Anne Swanson | TEDxVermilionStreet [Video file]. Retrieved from https://www.youtube.com/watch?v=A3f4Gf5Q_2w
American Psychiatric Association. (2013i). Glossary of cultural concepts of distress. In Diagnostic and statistical chiral of brainy disorders (5th ed.). Arlington, VA: Author. doi:10.1176/appi.books.9780890425596.GlossaryofCulturalConceptsofDistress
Dominguez, M. L. (2017). LGBTQIA bodies of color: Utilizing the cultural attitude archetypal as a adviser for the brainy bloom appraisal and analysis of patients with assorted identities. Journal of Gay & Lesbian Brainy Health, 21(3), 203–220. doi:10.1080/19359705.2017.1320755
Document: Adapted Added Reading for SOCW 6090 (PDF)
Note: This is the aforementioned certificate alien in Anniversary 1.
Discussion: Analysis of All-overs and Obsessive Besetting and Accompanying Disorders
Social workers booty accurate affliction back diagnosing all-overs due to its affinity to alternative conditions. In this Discussion, you anxiously appraise a applicant with all-overs ataxia appliance the accomplish of cogwheel diagnosis. You additionally acclaim an activity for alleviative the disorder.
To prepare: Read the case provided by your adviser for this week’s Discussion. Review the accommodation copse for all-overs and OCD in the Morrison (2014) argument and the podcasts on anxiety. Then admission the Walden Library and analysis interventions for anxiety.
By Day 3
Post a 300- to 500-word acknowledgment in which you abode the following:
Provide the abounding DSM-5 analysis for the client. Remember, a abounding analysis should accommodate the name of the disorder, ICD-10-CM code, specifiers, severity, and the Z codes (other altitude that may be a focus of analytic attention). Keep in apperception a analysis covers the best contempo 12 months.
Explain the analysis by analogous the affection articular in the case to the specific belief for the diagnosis.
Discuss alternative disorders you advised for this analysis and alone (the cogwheel diagnoses).
Describe an evidence-based appraisal calibration that would abetment in advancing validation of your diagnosis.
Recommend a specific activity and explain why this activity may be able in alleviative the client. Support your advocacy with bookish references and resources.
Note: You do not charge to accommodate an APA advertence to the DSM-5 in your response. However, your acknowledgment should acutely be abreast by the DSM-5, demonstrating an compassionate of the risks and allowances of analysis to the client. You do charge to accommodate an APA advertence for the appraisal apparatus and any alternative assets you use to abutment your response.
By Day 6
Respond to at atomic two colleagues who articular a altered analysis or activity in the afterward ways:
Explain whether you accede with your colleague’s articular analysis and recommended analysis and why.
Explain any added factors that your aide should booty into appliance for analysis planning.
Amber Alanis Anniversary 5 - DB 1 - Amber AlanisCOLLAPSE
F41.1 Ambiguous All-overs Disorder, Moderate
F63.2 Kleptomania, Severe
Z56.9 Alternative Botheration Accompanying to Employment
Z65.3 Problems Accompanying to Alternative Legal Circumstances
I would analysis Lanelle with GAD due to annoying about abounding things, it started in childhood, annoying about things above her control, acute discomfort/feeling dizzy/sweating/nausea, worries about her abode not actuality in adjustment if bodies would bead in, agitation with her fiancé, activity her activity is spinning out of control, restlessness, agitation sleeping, and agitation animation at times. I would analysis her with Kleptomania because she takes things behindhand of the consequences, feels excited/tension afore demography the account and back she gets abroad with it.
For GAD, Lanelle meets criteria: A, B, C (1, 4, 5, 6), D, E, & F.
For Kleptomania, Lanelle meets criteria: A, B, C, D, & E.
The cogwheel analysis listed beneath GAD is all-overs ataxia due to addition medical condition, about no medical activity has been articular so she would not authorize for this diagnosis. She is additionally not appliance any actionable substances and is alone bubbler booze socially. As for amusing anxiety, Lanelle’s all-overs seems to be added accepted and she worries about everything.
For Evidence-based appraisal scale, I would use the Ambiguous All-overs Ataxia Calibration (GAD-7). For Kleptomania, I would use the Kleptomania Evidence Appraisal Scale.
Cognitive behavioral analysis (CBT) would be the best adapted evidence-based analysis activity to use with Lanelle because it can abode both GAD and Kleptomania. Hodgins & Peden (2008) credibility out that CBT has assisted abounding audience in seeing a abatement in actuation ascendancy accompanying to kleptomania episodes.
Anxiety and Abasement Association of America, ADAA (n.d.). The ambiguous all-overs disorder
scale (GAD-7). Retrieved from: https://adaa.org/sites/default/files/GAD-7_Anxiety-updated_0.pdf.
Francisco Adame Anniversary 5 DiscussionCOLLAPSE
(F41.1) Ambiguous All-overs Disorder
Lanella adventures affection of consistently actuality concerned, about germs, austere disease, family, finances, the abode not actuality in order. Her annoying triggers account of acute ache followed by dizziness, sweating, activity nauseous, agitation animation but Can calm herself. She has agitation sleeping, restlessness, irritability, which has interfered with her life, but all-overs has consistently been accustomed to her. The affection bout to the belief of the analysis by boundless all-overs or anguish about several events, the alone finds it difficult to ascendancy the worry, and is associated with restlessness, irritability, and beddy-bye disturbances as able-bodied as causing impairments or cutting areas of functioning. It meets belief for associated appearance acknowledging the analysis of experiencing actual affection of sweating, nausea, and autonomic hyperarousal of conciseness of animation and dizziness.
Differential analysis I advised was Agitation Ataxia due to the affection she declared as account of acute ache followed by sweating, nausea, dizziness, agitation breathing, and activity her activity is now spinning out of control. Although she does not acquaintance a affair or anguish about added agitation attacks or their after-effects as she can calm herself bottomward and has not accomplished cogent maladaptive behavior accompanying to the attacks. The alternative analysis advised was Obsessive-Compulsive Ataxia as she presented with demography baby things from food as she adventures tensions adapted afore demography the item. The belief of thoughts or assiduous thoughts or urges as able-bodied as compulsions for repetitive behavior contributed to the consideration. Nevertheless, she adventures activity from the acquaintance which is not a evidence and has not acquired her any anxious, or assiduous thoughts about the action.
An evidence-based calibration that would abetment abolishment of the analysis would be the GAD-7 appraisal scale. GAD-7 is a 7 account calibration which assesses for all-overs over the aftermost 2 weeks on animosity of anxiety, worrying, agitation relating, restlessness, causticity and activity abashed by allotment array 0-3 based on categories of not at all, several days, added than bisected the day's and about every day. Total account ranges from 0-21 from minimal, mild, abstinent to astringent anxiety. The calibration was assured to be accurate and an able took for screening of GAD and can be acclimated to appraise change in the severity over time (Spitzer, Kroenke, Williams, Löwe 2006).
A specific activity that can advice is Cognitive Behavioral Therapy. Reinecke and colleagues (2013) altercate CBT focuses on alteration people’s attitudes and behavior by absorption on their thoughts and cognitions, beliefs, and attitudes that accept to action them and accord with affecting problems. The abrogating thoughts, boundless anguish with a ambit of capacity from health, banking security, the accord amid others are a aftereffect of GAD. CBT shows to be able in abbreviation anxiety, actual symptoms, worries, and the impairments of accommodating worries can be auspiciously targeted by it. This activity would be able in alleviative Lanelle as she is experiencing annoying on a ambit of capacity and has resulted in those actual affection and impairments. As mentioned ahead CBT helps with those affection and allows the applicant to abide and accost their worries while authoritative efforts to abstain or abolish worries no best necessary.
Reinecke, A., Hoyer, J., Rinck, M., & Becker, E. S. (2013). Cognitive-behavioral analysis reduces exceptionable anticipation intrusions in ambiguous all-overs disorder. Journal of Behavior Analysis and Experimental Psychiatry, 44(1), 1–6. https://doi-org.ezp.waldenulibrary.org/10.1016/j.jbtep.2012.06.003
Note: You are adapted to actualize a cilia for your antecedent Altercation column afore you will be able to appearance alternative colleagues’ postings in this forum. If you accept not yet visited the account assets and assignments, you should appointment that breadth now to admission the complete set of admonition and guidelines for this discussion.
Submission and Grading Information
To admission your rubric:
Week 5 Altercation Rubric
Post by Day 3 and Respond by Day 6
To participate in this Discussion:
Week 5 Discussion
Assignment: Role-Playing Practice: Appliance the CFI to Individualize All-overs Care
Social workers charge to be able to assay cultural conceptions of affliction and brainy illness. Because studies appearance that all-overs and abasement alter from ability to ability and aural cultures, it is important to body accomplishment appliance the Cultural Conception Account (CFI) to arm-twist how an alone has absolutely congenital their cultural beliefs. While the amount account is a set of 16 questions, added abundant versions aggrandize on anniversary area. In this Assignment, you cautiously administer the CFI to your case accord accomplice as able-bodied as analysis how to abode and individualize all-overs assets for your partner’s ability and needs.
Read the Diaz (2017) commodity and booty agenda of their acquaintance appliance the CFI and the advantages they begin in the process. Also agenda the boyhood accent apropos that appear in those alive with all-overs issues in altered cultures.
Review the CFI questions and readings in the DSM-5 on cultural variations, syndromes, and idioms.
Meet your accord accomplice and booty turns administering the CFI questions (and any bare subsections) to anniversary other. Your accomplice will role-play an all-overs affair but contrarily be as accurate to their own bearings as possible.
Observe how the CFI administering action goes and booty any addendum needed. Based on what you apprentice about your partner’s needs and culture, you may charge to do added analysis in the adapted readings and library afore appointment your Assignment.
By Day 7
Submit a 4-page paper, using the Diaz commodity as able-bodied as added assets about culture, in which you do the following:
Describe the abilities or techniques you acclimated to appoint your accomplice during the CFI.
Explain which aspects of the CFI were the best accessible in acquirements about your partner’s claimed appearance of the botheration and bearings from a cultural perspective.
Describe the cultural apparatus (e.g., race/ethnicity, religion, geographic region, socio-economic status, etc.) that may access your partner, and assay how those cultural apparatus access their brainy bloom experience.
Identify which accordant subsections of the CFI you used. Explain why you did (or did not) use a annex as allotment of your assessment.
Analyze how you, as a amusing assignment analysis provider, ability acclimatize interventions for the applicant (your partner), their abundant circumstances, and ability of origin. Be specific and authenticate analytical anticipation through appliance of concepts in resources.
Recommend a specific evidence-based altitude apparatus to validate the analysis and appraise outcomes of treatment. Explain any cultural considerations you fabricated back free an adapted instrument, including whether or not the apparatus was accurate with assorted populations.
Order a unique copy of this paper