Determining A Diagnosis

Determining a Diagnosis

PCN 605 Psychopathology

Review the diagnostic criteria on pages 99-100; 160-161; 561-562 of the DSM-5.

I believe that it can be safely determined that the demonstration of symptoms of psychoses and depression are more than likely drug induced. After taking a look at Tina’s behaviors, she has for the past several months using excessive methamphetamine. Secondly, due to the clients’ culture she believes in witchcraft which may be her way of explaining the correlation between the voices she hears, rather than relating her condition to the heavy use of methamphetamine. The depressive symptoms can also be further attributed to the drug use, due to the use of methamphetamine does create depressive episodes often to the point of suicidal ideation. . The occurrence of the major depressive episode is not better explained by schizoaffective disorder.

1.Discuss the historic and cross-cultural perspectives of psychopathology that could potential impact the diagnosis and treatment of Tina.

2.After reviewing the several diagnoses that could pertain to Tina from the latest version of the DSM, what is your diagnostic impression?

3.Substantiate your diagnostic impression with appropriate criteria from the current version of the DSM.

4.Discuss how historic misconceptions of psychopathology could potentially impact the treatment of this client. As part of this discussion, you may include a diagnosis, any referrals that you would make, and a general course of treatment.

Excessive methamphetamine use for the past several months, therefore I believe that it can be safely determined that the demonstration of symptoms of psychoses and depression are more than likely drug induced. 2. Secondly, due to the clients’ culture she believes in witchcraft which may be her way of explaining the correlation between the voices she hears, rather than relating her condition to the heavy use of methamphetamine. 3. The depressive symptoms can also be further attributed to the drug use, due to the use of methamphetamine does create depressive episodes often to the point of suicidal ideation. Tina’s withdrawn moods and talking to herself and crying are often found in cases of methamphetamine use, as well as mood swings between crying or extreme anger

Reference

American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders, 5th Edition. Washington, DC: Author.

Bauer, S. M., Schanda, H., Karakula, H., Olajossy-Hilkesberger, L., Rudaleviciene, P., Okribelashvili, N., Chaudhry, H. R., Idemudia, S. E., Gscheider, S., Ritter, & Stompe, T. (2011). Culture and the prevalence of hallucinations in schizophrenia. Comprehensive Psychiatry, 52, 319–325.

Campinha-Bacote, Josepha. (2011). Cultural Assessment Tools. Transcultural C.A.R.E. Associates. Retrieved from http://www.transculturalcare.net/assessment-tools.htm

Dziegielewski, S. F. (2015). DSM-5 in action. Hoboken, NJ: John Wiley & Sons. ISBN-13: 9781118136737

Regier, D. A., Kuhl, E. A., & Kupfer, D. J. (2013). The DSM‐5: Classification and criteria changes. World Psychiatry, 12(2), 92-98.