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Case study of mental health - Essay Example

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Case Study of Mental Health 1. Looking at the presenting problems, what kind of ‘diagnosis’ would be most appropriate for this case? Explain why. Identify the predisposing, precipitating and maintaining factors at play in the case you are exploring Mental health diagnosis is a stepwise process (Morrison 2007)…
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Download file to see previous pages If the condition is not caused by any other illness as per the test results, the person is referred to a specialist in mental health like a psychiatrist. The psychiatrist use specially designed assessment tools. The diagnosis is based on the patients reported symptoms like social and functional issues emanating from the symptoms. Next is the psychiatrist to determine if the patient’s symptoms and degree of the effect relates to any specific mental disorder (Morrison 2007). In the presenting problem, the diagnosis will take the highlighted stepwise process. I will start by asking Sarah questions concerning the highlighted symptoms which are difficulty in sleeping, feeling wary and afraid, flashbacks and feeling of anger for not reporting the rape, inability to let go, and move on in relationships, and the tendency to isolate herself. I will also need to know if in the family history, there was or there are individuals who suffer from the same problem as Sarah. The answer to the questions will aid me in understanding why she has all those issues as well as direct me to knowing the best test to carry out. Some of the questions will include how long the patient has had the symptoms, when the symptoms started, the severity of the symptoms, and any treatment taken so far (NIH 2011). As a doctor, I will also ask Sarah if she is using drugs/alcohol and whether she is thinking of death or committing suicide to be able to evaluate the magnitude of the effect. At this level, it is important to carry out a physical examinations and medical test to expose patient’s overall state of health hence be able to rule out factors that could be contributing to the symptoms (Morrison 2007). This is because certain medications and some medical situation like thyroid disorder have the same symptoms as mentioned (Elder et al 2009). The physical examination will be done to test any signs of prior mental health. In the case of Sarah, her issues seem to emanate from relationships. This will lead me to assess the given symptoms. Upon ruling out medical condition and bipolar disorder, a psychological evaluation will therefore be important. According to the description given, some of these symptoms are observable while others are hidden. The observable symptoms include withdrawal from people, leaving her job without any solid reason, having difficulty sleeping, and expressing fear that is inwardly felt. The hidden symptoms in the case of Sarah include anger, blame, flashbacks, and inability to move into another relationship, which expresses lack of trust in the opposite gender. From the assessment of the symptoms, it is clear that Sarah is suffering from depression. Having suffered from this disorder for more than 2 years, the depression can be described as a major one. The given diagnosis will be the most appropriate for Sarah since it will be all rounded. It will highlight all the symptoms hence make it easy for the intervention to be carried out effectively. Sarah’s case has several predisposing, precipitating, and maintaining factors at play. The predisposing factors in this case include stress that was caused by the difficult marital breakup she went through. This incident raised a level of anxiety and lowered her mood. Another predisposing factor was life events like rape. The incident left her afraid and disillusioned. She actually had to leave her place of work to a less enjoyable work in efforts to run away from the effect of the rape. This lead to further ...Download file to see next pagesRead More
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