Liberty Wk 4 Case Conceptualization Using the Inverted Pyramid Model Discussion
Question Description
I’m working on a psychology discussion question and need an explanation and answer to help me learn.
Define the case conceptualization
Identify which one of the four organizational themes you will use for next weekàCase Presentation Case Conceptualization (CP-CC) assignment. This is step two of the IPM. See p. 91 of Switzer and Rubin.
Then identify one counseling theory you will use for next weekàCase Presentation Case Conceptualization (CP-CC) assignment.
Offer your theoretical groupings based on literature and offer which ones you will use. Do not offer case study data. Only offer the “natural” grouping from your chosen theory. This is step three of the IPM. Seek out references, and sources on your specific theory to determine “natural groupings.”
Next, determine the %eper)ssues based on your identified theory
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F32.1 Major depressive disorder, single episode, moderate (principal)
Z63.5 Disruption of family by separation or divorce
Z60.5 Target of (perceived) adverse discrimination and persecution (provisional)
Discussion of Diagnostic Impression
Penny is experiencing her first major depressive episode. She has met DSM-5 criteria for
major depressive disorder, single episode, and moderate for around 1 month (American
Psychiatric Association, 2013). Penny has experienced a depressed mood based on feeling ád¡s well as an elevated score (t=61) on PROMIS-Depression and BDI-II of 23. She marked
feeling ád all the time!nd `cry all the time/n the BDI-II and `felt sad/n the PROMISDepression; this was reported for at least the past month and up to the past 7 days, respectively
(Criterion A.1). She also reported a lack of desire or interest during the clinical interview and
confirmed in the PROMIS-Depression instrument, `wanted to be by myself!nd t is hard for
me to have fun(Criterion A.2). There was no report of weight loss or gain but Penny (Criterion
A.4) reported sleep disturbances 3leeping around 12 hours per day. The client experiences
fatigue and less energy as found in the PROMIS-Depression and BDI-II (Criteria A.6). She noted
excessive guilt I blame myself!nd `feel quite guilty!ccording to the BDI-II) (Criteria
A.7). No reported data pointing to concentration concerns but the client noted a decrease in her
school grades potentially indicating impairment in school environment. Based on the signs and
symptoms, major depressive disorder is suggested for Pennyàcurrent state.
Z63.5, disruption of family, was assigned because of the continued parental conflict and
the divorce of her parents. Penny reported, `caused my parent divorce7hich may be
associated with the disruptive family system. Finally, Penny remarked, ¬ack kids can get a
break7hich may connect with experienced discrimination, but further information is required
therefore a provisional diagnosis Z60.5 Target of (perceived) adverse discrimination and
persecution was given.
References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders
(5th ed.). https://doi.org/10.1176/appi.books.9780890425596
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