Posted: July 21st, 2015

Case 2.2 Increasingly Odd

Please refer to the Case 2.2: Increasingly Odd Scoring

You will review the following case details and prepare a differential diagnosis, along with a 2-page Rationale and Considerations paper.

Differential Diagnosis

Consider Gregory Baker’s case with these changes:

Mr. Baker’s presenting symptoms and case details are the same, except he was brought to the emergency room three weeks ago, and his behavior has become increasingly odd over the past month. In addition, after release from the psychiatric hospital where he signed himself in, Mr. Baker has returned to classes at the university and is resuming relationships with his friends and family.

Develop a differential diagnosis for Mr. Baker by referring to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) and using the following from the DSM-5 Handbook of Differential Diagnosis:

•3.2.1 Differential Diagnosis for Schizophrenia or Schizophreniform Disorder.

•2.5 Decision Tree for Delusions.

•2.6 Decision Tree for Hallucinations.

Rationale and Considerations Paper

Write a 2-page paper using the following format:

•Using Chapter 1, “Differential Diagnosis Step by Step,” in the DSM-5 Handbook of Differential Diagnosis, follow each of the six steps and provide a rationale for your conclusion leading to a differential diagnosis: 1.Rule out malingering and factitious disorder.

2.Rule out substance etiology.

3.Rule out a disorder due to a general medical condition.

4.Determine the specific primary disorder(s).

5.Differentiate adjustment disorders from the residual other specified or unspecified disorders.

6.Establish the boundary with no mental disorder.

•Include a brief statement addressing each of the following issues: ◾What is the role of culture and ethnicity in the diagnosis?

◾What are your legal or ethical concerns in this case? (Refer to the ACA Code of Ethics and your knowledge of specific laws regulating the counseling profession.)

◾Would you make an outside referral for this client based on this case? Specifically, would you refer to a physician, a specialist, or for inpatient treatment?

•Include references to at least two additional scholarly resources.

•Be sure to follow APA (6th edition) guidelines throughout your paper. Use the APA Paper Template, located in the Resources, to complete this assignment. Follow the template instructions to properly format your paper.

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