Review the presenting information on Amy from Chapter 1, page 3. Use the Seven Steps for Psychiatric Diagnosis to confirm her diagnosis/diagnoses. Using the following

Review the presenting information on Amy from Chapter 1, page 3. Use the Seven Steps for Psychiatric Diagnosis to confirm her diagnosis/diagnoses. Using the following template listed from page 71, include ALL of the following steps. This assignment should be written in APA format. All Assignments should be uploaded into CANVAS. Points will be deducted from late assignments. Collecting Data: Performed during the assessment Identifying Psychopathology: Performed during the assessment Evaluating the Reliability of the Data Determining the overall distinctive feature Resolving Diagnostic Uncertainty Arriving at a diagnosis Checking Diagnostic Criteria Maxmen, J.S., & Ward, N. G. ( ). . (4 th Ed.) New York: W.W. Norton and Co. Binge eating disorder
Enuresis, encopresis Sleep disturbance Sleep-wake Insomnia, hypersomnolence,
narcolepsy, sleep apnea, sleep walking,
sleep terrors
Circadian rhythm disorder Unsatisfying sexual activities Sexual dysfunction Anorgasmia, dyspareunia Atypical sexual arousal Paraphilias pedophilia, fetishism Gender identity problems Gender incongruence Gender dysphoria Inability to resist impulse, drive, Impulse control Pyromania, ldeptomania or urge Behavior that ranges From defiant Disruptive behaviors Intermittent explosive disorder, to violating rights, soaal’ norms, oppositional defiant disorder, conduct— or laws dissocial disorder Enduring behavior problems Personality Paranoid, borderline, avoidant Problems in living Relational and social No mental disorder Abuse or neglect
Educational or occupational Issues dtat may be a focus of clinical
Housing or financial attention Legal or criminal Note. In placing die diHerentia] diagnosis of DSM and {CD categories into a manageable perspective, this overview contains some simplifications. The right column presents sample diagnoses. The middle column lists genera]
Syndromes, which are clusters of signs and symptoms. The left column indimtes die most distinctive overall feature of
each syndrome. In general, the clinician moves down d’le left column of die table from top to bottom until Folding the
primary clinical feature and then from left to right in order to identify its associated syndrome and die specific disorder
that best accounts for all the signs and symptoms. Abnormal cognitive and Neurodevelopmental Disorders of intellectual development
behavioral functioning in early Autistic spectrum disorder
development Developmental learning disorder
Attention deficit disorder
Acquired abnormalities in Delirium
cognitive fimctioning Dementia
Thinking departs from reality Delusional disorder
Brief transient psychotic disorder
Episodic changes in mood Bipolar and related disorders
Depressive disorders
Excessive fear or anxiety and Generalized anxiety disorder
related behavioral disturbances Panic disorder, agoraphobia
Specific phobia
Social anxiety disorder
Separation anxiety disorder
Repetitive thoughts and behaviors Obsessive-compulsive Obsessivercompulsive disorder
Body dysmorphic disorder
Hoarding, trichotillomania The primary and causal factor for symptoms is severe stress or Trauma and stress Rmctive attachment disorder
Posttraurnatic stress disorder trauma Adjustment disorder Disrupted integration of Dissociative Dissociative amnesia memories, awareness of identity, Depersonalization-derealization disorder immediate sensations, and bodily Trance and possession disorder control Dissociative identity disorder Bodily concerns Psychosomatic Somatic symptom disorder
Illness anxiety (hypochondriasis)
Conversion disorder Intentionally produced Mfinschhausen Factitious disorder symptomsir signs Malingering (external incentive) 68 At 58, Amy’s life stopped. Although cancer-free for 5 months since her mastectomy, she
remained paralyzed by depression and insomnia. Amy had withdrawn from family and
friends, quit work, become addicted to sleeping pills, and contemplated suicide. Once a
film buff, now she hid in bed ruminating about “it” {she was afraid to say cancer}.
Diligently, she attempted relaxation exercises to overcome insomnia, yet she was unable to
concentrate—the harder she tried, the more she failed, and the less she slept. Her
demoralization was pervasive. The reasons for her symptoms were understandable and Amy “knew” that only time
could heal her. To be sure, having cancer and a mastectomy are understandable reasons For
sadness and insomnia. But this thinking misses the point: Amy had an additional problem
—a mental disorder called “major depressive disorder.” Only after Amy’s psychopathology was recognized and the proper antidepressant
medication prescribed did her life return to normal. She still worried about her mastectomy
—who wouldn’t?—but she worried as a “normal” person, not as a depressed one. Now, at
least, she could get her mind off the cancer. Without major depression impeding her
concentration, she was able to perform the relaxation exercises, stop taking sleeping pills,
sleep well, socialize, and return to work. No matter how “understandable” her symptoms,
Amy was ed only afier her major depression was diagnosed. Critics would charge that to diagnose Amy’s condition is to label and thus to
dehumanize her. Yet it was only after a therapist recognized that Amy was suffering From
more than the normal postmastectomy demoralization that her humanity returned.
Explained Amy, “F or months I’d assumed that there wasn’t really anything wrong with me,
and that if I only had the ‘right’ attitude, I’d feel fine. After all, other women get over their
mastectomies. Why couldn’t I? It had to be my fault—or so I thought. As soon as I learned
that there really was something wrong with me, and that it had a name, my self-blame
vanished. At last, something could be done: My depression could be treated. But you can’t
treat what you can’t name.” When used with clear goals in mind, psychiatric diagnosis
avoids die pitfalls of labeling, the meaninglessness of academic exercise, and the distortions

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