Making a Differential DiagnosisPrior to beginning work on this assignment, please read Chapter 1: Differential Diagnosis Step by Step in DSM-5: Handbook of Differential Diagnosis and review the same c

Making a Differential DiagnosisPrior to beginning work on this assignment, please read Chapter 1: Differential Diagnosis Step by Step in DSM-5: Handbook of Differential Diagnosis and review the same c
   Before this week, I chose case 18, Julia. I first started with a list of 15 but do not have enough time to include them all so I will go straight into my session with Julia. Transcript Dr.: Hello, Julia my name is Dr. Yant, and I am glad you could make this appointment and to meet with you; if you like you can call me Heather. Is it Julia you like to be called or is it something else you would prefer? Julia: Good Afternoon Heather I am glad you got me in so quickly. Dr.: It is no problem and glad I had a slot that worked for you. I listened to your phone call and would like to hear more why everyone is so concerned about you and why it upsets you? Julia: So here I am a college student and my mom still think she can tell me what to do it got to the point she even reached out to my roommate, coach of the track team and the dean. Oh yes, I am a runner if they did not mention that I got a full scholarship for track. I started running in high school it took a lot of time up. Now that I am in college it is stressful. A lot is going on school work, trying to keep up on studying and track, so I put on some extra weight on at the time I did not think it was a big deal till my coach and teammates were disappointed in me because I could not keep up and my record times were not so good. I even dropped a few races from being out of shape. When my coach pulled me aside about my track records, I figured after speaking with him I took his suggestions into consideration of doing a little bit of dieting and getting extra work out or two in. The coach said to start eating more salads and to cut out sugar I did not think that was too much and it got me back to running record times, and I was performing much better on the team which we needed. I also felt better but then my parents, roommate, and friends started saying stuff about my weight, and I told them that I was fine and was offense. I am in college I am not a little girl anymore. Dr.: So Julia would you say you have been going through a lot more since college started? Julia: Yeah, I guess so I have a lot of studying to keep up my grades, I let my team down so I am now working on getting my weight where it should be by extra workouts and small amount of foods. I just do not have enough time in a day with additional exercises and class. I feel I left my team down especially since I was at the top of my game during high school who knows what they think of me. Dr.: Earlier you mention that your coach talked to you about your weight do you think what he said to put you into gear about your weight and how you saw yourself? Julia: I mean I don’t know. I know my weight gain was holding me back from performing at my best. I guess you can say when my coach mentioned it that it made it real which made me want to fit back in with my team as I use to in high school so the coach could have been a motivator to me at that time. I do not see a problem here I have lost weight and my tracks record times have improved. I am just trying to keep going and maintaining a still think I need to lose additional weight but if you ask my friends and family, they will tell you something different. Is it so bad that I feel great and want to keep going on losing some more weight? I am chubby what’s wrong with a girl wanting to improve her health and the way she looks. My parents and friends nagging is enough you would think they would want me to be happy and living a prosperous, healthy life. I just do not get where they are coming from. Dr.: Has any of your relationship with your friend’s family and your peer’s change that would be sending red flags to them to make them worry? Julia: Well yes, I mean no, maybe there has been a lot going on I do not live at home anymore. I had pulled away from all my friends, no late night study groups, I do not even see my roommate anymore. I am up before she is, and out late where she is sleeping when I get back. I eat by myself, so I do not indulge in significant amounts of food. I have come a long way in losing this weight. I do not want to put it back on. I thought being at college away from home would be easy my mom would hound me as much but surprised not any better. Why does she have to be so involved in my life? Dr.: Well it is good to see that you can relate to what is going on. Your mother’s involvement is because she loves you and you will always be her daughter no matter where you are in the world. Your friends they miss you and are worried because this is not the girl they met in the first semester. Would you say I am correct so far? I would like to meet with you again I have taken some notes down, but it all depends on how you and where you would want to go with this so let me know what you are thinking? Julia: Yeah, I would like to come back it has taken a lot of stress off my shoulders. Dr.: Okay, Julia we can go schedule at the front desk and will see you next time thank you for coming. I think giving Julia a chance to talk, and I listen it helped Julia get comfortable because it let her build rapport with the (Tasman, Kay, & Ursano, 2013). She was unsure of herself, but she was also, aware of close loved ones and friends out. Julia had agreed to come back for another session which lets us build on her case it will let Julia see the answers that she may or may not be looking for. After a few more sessions Julia Maybe comfortable enough to discuss diagnosis, treatment, and a plan to help her get everyone off her back and to understand. Julia did mention in our session that she was dieting, does not want to indulge to gain weight, that she eats small amounts and that she is chubby and needs to lose additional weight (Morrison, 2014).   Gorenstein, E., & Comer, J. (2015). Case studies in abnormal psychology (2nd ed.). New York, NY: Worth Publishers. ISBN: 9780716772736Morrison, J. (2014). DSM-5 made easy: The clinician’s guide to diagnosis. New York, NY: The Guilford Press.Tasman, A., Kay, J., & Ursano, R. J. (2013). The psychiatric interview: Evaluation and diagnosis.Chichester, England: John Wiley & Sons. Retrieved from http://www.ebrary.com
Making a Differential DiagnosisPrior to beginning work on this assignment, please read Chapter 1: Differential Diagnosis Step by Step in DSM-5: Handbook of Differential Diagnosis and review the same c
For this week’s discussion, I am focusing on Case 18 you decide Julia, for my initial call. Attached is my recording, transcript, and call. I included my references which consist of our case studies provided in our text and a picture of an anorexic girl. Hello, my name is Julia.  I am calling because several people are worried about me. My parents and college roommate think I have a problem going on, but I do not.  The dean of student life here at college pulled me aside and told me I needed call for an evaluation and that I was not allowed to continue sports till I did so here I am making this stupid call.  They are concerned with my behavior and not looking good.  I feel great like I am at the top of the world, and everyone else wants to bring me down and make me fail. I know I am doing fine it is me focusing on my studies and track to be the best I can be. Anyways I am hoping the schedule an appointment with your practice as soon as possible, so I can get on with my life so people can stop hounding me and to show them I am doing fine.  If you or your office can call me back so we can schedule your first available appointment, I would appreciate it.  The sooner I get this eval out of the way I can start back to my life and schedule of things that keep me upbeat and going.  You can reach me at my dorm at 810-272-6030.  I am looking forward to talking to you soon to get this out of the way and show everybody that I am doing great.   Gorenstein, E., & Comer, J. (2015). Case studies in abnormal psychology (2nd ed.). New York, NY: Worth Publishers. ISBN: 9780716772736 http://www.dailymail.co.uk/femail/article-3303021/Edyn-Mackney-exposed-sick-fashion-industry-reveals-s-flooded-messages-fellow-models-pushed-starve-careers.html
Making a Differential DiagnosisPrior to beginning work on this assignment, please read Chapter 1: Differential Diagnosis Step by Step in DSM-5: Handbook of Differential Diagnosis and review the same c
Running head: OUTLINE FOR THE PSYCHIATRIC DIAGNOSIS 0 Outline for the Psychiatric Diagnosis Heather Yant PSY 645 Psychopathology Instructor: Shirley Sexton 7/17/18 Outline for the Psychiatric Diagnosis The case study is about Julia a student who managed to get a scholarship due to her exemplary in sports. According to the case study, Julia wants to maintain sport body postures, but that urge has led to the eating condition. Julia has an overwhelming fear of gaining weight or becoming fat. The purpose of this psychiatric diagnosis is to identify symptoms and behavior exhibited by the patients, match recognized signs to potential disorders in the diagnostic manual and later propose diagnosis based on the patient’s symptoms and criteria listed for the disorders in the diagnostic manual. Finally, the researches will contain an explanation of how the patient meets diagnostic criteria based on the DSM manual. Julia’s symptoms include fear of gaining weight even when she is losing more weight. Additionally, Julia takes part in severe exercise in order to cut more weight. Julia also fears any criticism from the person who might question her weight gain; therefore, she usually does exercise alone. Also, she does not want to see a doctor or mental practitioner because she thinks she is healthy and no need to see a doctor or psychiatric practitioner. According to the case information, it is clear that the symptoms outlined fit perfectly with anorexia nervosa. Anorexia nervosa defined as a psychological and potentially life-threatening eating disorder (Racine, & Wildes, 2013). An individual experiencing this kind of disorder might be suffering from an extremely low body weight relative to their height and body type. Anorexia nervosa disorder includes fear of gaining weight and offset of the guilty of having ingested forbidden or highly restricted food. Also, an individual with anorexia nervosa disorder may limit the quantity of food, calories or foods with high amounts of sugar. The patient may consume food with fewer calories. The contributing factor to this condition includes professional and careers that promote being thin and weight loss. For example, Julia to succeed in sports activities she needed to work on her body posture that led to anorexia nervosa disorders. The symptoms which match Julia’s signs include chronic restrictive eating, being significantly underweight and emaciated, and hiding food, failing to attend a family function or social gathering. According to DSM-V criteria, a person with anorexia nervosa disorder might also make an excuse or deny that there is a problem with being low body weight. These symptoms are similar to the symptom’s identifies for the case study. Julia can be said to experience restrictive types of anorexia nervosa disorder. According to the DSM-IV-TR diagnostic criteria, a patient with anorexia nervosa to qualify for diagnosis her weight should be 85 percent of ideal body weight excluding those suffering and but did not yet lost weight that allows the qualified practitioner to conduct a test. To conduct symptoms evaluation, the practitioner performs a complete medical history and physical exam to ascertain if there is any other cause of the condition that might be contributing to the disorder (Racine, & Wildes, 2013). The diagnostic test includes a blood test to rule out physical illness that causes weight loss and evaluation of weight loss on the patients or Julia’s body. If no physical illness then she is referred to psychologist specially trained to diagnose and treat mental illnesses. The psychiatrists may conduct a clinical interview, and assessment tools are also used to evaluate the person for an eating disorder. The symptoms identified through clinical interview and assessment may be compared to the DSM-V diagnostic criteria (Birgegård, Norring, & Clinton, 2012). The diagnostic manual offers better and effective methods of evaluating the patient based on the condition as it helps to avoid misdiagnosis or underdiagnosed because the patient will be evaluated and recommended for treatment based on the presenting symptoms. The DSM is an updated manual which is approved by mental professionals to be used by a psychological psychologist in evaluating client based on presenting symptoms. The DSM manual provides common languages and standard criteria for the classification of mental disorder, and it is recommencement guide in the United States and other countries. Biological perspective is necessarily a way of looking at human problems, actions, and how the behavior is shaped by association, reinforcement and how social perspective contributes to such behavior. According to some scientist, the multiple genes may interact with environmental and other factors to increase the risk for developing the condition. Biological perspective and social perspective can be used to explain Julia’s condition whereby Julia’s situation develops due to social pressure and training requirement. The social pressure, in this case, develops when she observed how her friend was managing her body posture and she admired the body posture. The training requirement, in this case, can be linked to environmental influence also contributed to the condition (Racine, & Wildes, 2013). The behavioral psychologist believes that some behavior is learned or acquired through conditioning. The behaviorists believe that our response to environmental stimuli shapes our actions. Julia’s behavior is widely influenced by trainer requirement. In conclusion, the research is based on Julia’s Case study. According to the case study, Julia showcases symptoms of anorexia nervosa disorder. The symptoms which can be identified include excessive exercise to shed some weight, strict diet or failing to eat even when she is getting thinner. Besides, Julia has to have that perception that she is fat yet, in reality, she is getting thinner. The symptoms identified from the case study matches the signs from the manual diagnostic meaning that Julia can be evaluated based on those symptoms. The case analysis offers some insight on how to diagnose clients based on the presenting symptoms. References Lock, J., Le Grange, D., Agras, W. S., Moye, A., Bryson, S. W., & Jo, B. (2010). A randomized clinical trial comparing family-based treatment with adolescent-focused individual therapy for adolescents with anorexia nervosa. Archives of general psychiatry, 67(10), 1025-1032. Arcelus, J., Mitchell, A. J., Wales, J., & Nielsen, S. (2011). Mortality rates in patients with anorexia nervosa and other eating disorders: a meta-analysis of 36 studies. Archives of general psychiatry, 68(7), 724-731. Courty, A., Godart, N., Lalanne, C., & Berthoz, S. (2015). Alexithymia, a compounding factor for eating and social avoidance symptoms in anorexia nervosa. Comprehensive Psychiatry, 56, 217-228. Bailer, U. F., Frank, G. K., Price, J. C., Meltzer, C. C., Becker, C., Mathis, C. A., … & Schork, N. J. (2013). The interaction between the serotonin transporter and dopamine D2/D3 receptor radioligand measures is associated with harm avoidant symptoms in anorexia and bulimia nervosa. Psychiatry Research: Neuroimaging, 211(2), 160-168. Racine, S. E., & Wildes, J. E. (2013). Emotion dysregulation and symptoms of anorexia nervosa: The unique roles of lack of emotional awareness and impulse control difficulties when upset. International Journal of Eating Disorders, 46(7), 713-720. Birgegård, A., Norring, C., & Clinton, D. (2012). DSM-IV versus DSM-5: Implementation of proposed DSM-5 criteria in a large naturalistic database. International Journal of Eating Disorders, 45(3), 353-361.
Making a Differential DiagnosisPrior to beginning work on this assignment, please read Chapter 1: Differential Diagnosis Step by Step in DSM-5: Handbook of Differential Diagnosis and review the same c
Running Head: Differential Diagnosis 0 Differential Diagnosis Heather Yant PSY 645 Psychopathology Instructor: Shirley Sexton 7/22/18 The contextual study is about Julia, a student who figured out how to get a scholarship because of her praiseworthy in sports. As per the contextual analysis, Julia needs to keep up sport body stances, yet that inclination has prompted the eating condition. Julia has a mind-boggling apprehension of putting on weight or getting to be fat. The reason for this thoughtful analysis is to distinguish side effects and conduct showed by the patients, coordinate perceived signs to potential issue in the symptomatic manual and later propose finding light of the patient’s side effects and criteria recorded for the scatters in the analytic manual. Her main issue is of gaining body weight despite her losing a lot of pressure. Julia has an issue of including weight notwithstanding when she is losing it because of her adoration for sports. She appears to have Pocrescophobia. Pocrescophobia is the dreary and irrational fear of putting on weight. This is likewise equivalent to Obesophobia, the dread of getting to be fat or being large. This fear frequently originates from other mental issues, which will be examined additionally down below. (Clinton, D.2012). It is regularly individuals who are forced to be fit and thin that build up this fear, for example, sports competitors which she is. This fear is usually found in ladies, albeit numerous men have this fear too. Julia’s indications of Pocrescophobia will shift starting with her then onto the next, contingent on her perspective, level of dread, and different identity attributes. General indications, however, incorporate evasion of sustenance, fixation on weight reduction, shirking of scales, blame when eating, and not feeling hungry. Pocrescophobia could likewise prompt the creation of different dietary problems, in particular, Bulimia nervosa or Anorexia nervosa. Bulimia is where the Julia gorges and afterward cleanses quickly after, as a rule without anyone else’s input actuated spewing. In Julia’s case Bulimia is not mentioned. Anorexia, then again, is where she does not eat. Both of these could likewise be combined with over the top exercise. Fear of putting on weight can assume control over your life. It can be a constant nervousness that stews in your headspace. It resembles somebody has increased the volume handle, and the power and recurrence of on edge contemplations about eating, sustenance and weight pick up are primarily inescapable. Julia dreads begin to seize her life. She winds up dreadful of going out with companions since she gets a handle on control of eating and drinking in social circumstances. Her dread of moment weight picks up turns into a purposeful reality, detaining her in her home, and in her mind. As her negative musings shoot in her mind, it resembles they increase and afterward replay themselves. The more they rehash, the more settled in her progress toward becoming in her contrary reasoning and practices. She feels powerless to break this negative cycle of thinking and dreadfulness that if she does, she will put on weight. Self-perception winds up honed, more brutal, and your systematic eye passes judgment on her for any misstep where she indulges. Julia has to remain thin. It means the world to her. By one means or another, she has built her self-esteem to be dependent upon staying thin. (Wildes, J. E.2013). This means appealing and great; weight pickup implies fat and disappointment. The more prominent her dread of putting on weight, the more basic Julia is on her body shape and size. There are two primary topics to center around in treatment. 1) we have to comprehend why her self-esteem is so low and help her fabricate a center of more prominent self-confidence, confidence and self-assurance 2) we have to help Julia as she deconstructs her contrary reasoning and helps her manufacture an inward exchange that backings positive change. Julia is far beyond her weight. Give us a chance to hold her dread and nervousness, and together we can arrange to recover her life. We will move at her pace, with extra special care, so she genuinely incorporates change enroute. Pocrescophobia can be exceptionally dubious and will be unique about one individual to another. Once more, Pocrescophobia frequently happens nearby a dietary issue, for example, Bulimia or Anorexia. (Berthoz, S.2015). While the fear can prompt these conditions, Julia is additionally mentally inclined to creating them. For her, the fear of putting on weight is probably going to occur. The symptoms identified through clinical interview and assessment may be compared to the DSM-V diagnostic criteria. The diagnostic manual offers better and effective methods of evaluating the patient based on the condition as it helps to avoid misdiagnosis or underdiagnosed because the patient will be evaluated and recommended for treatment based on the presenting symptoms. Treatments will likewise fluctuate from individual to individual. Frequently, treatment involves different types of treatment that can help get to the base of the fear, additionally treat it. Social therapy is furthermore an astonishing technique for building confidence. Pharmaceutical is valuable for treating tension, and different side effects (ex. fast heart rate, breathing troubles, and so forth.). This can be gone up against a regular schedule or quietly amid a fit of anxiety. According to the case study, Julia showcases symptoms of anorexia nervosa disorder. The symptoms which can be identified include excessive exercise to shed some weight, strict diet or failing to eat even when she is getting thinner. In conclusion, recovery places for dietary issues are an incredible method to battle Pocrescophobia. These foci offer a warm and consoling condition to the individuals who fear to put on weight or have low confidence. REFERENCES Birgegård, A., Norring, C., & Clinton, D. (2012). DSM-IV versus DSM-5: Implementation of proposed DSM-5 criteria in a large naturalistic database. International Journal of Eating Disorders, 45(3), 353-361. Courty, A., Godart, N., Lalanne, C., & Berthoz, S. (2015). Alexithymia, a compounding factor for eating and social avoidance symptoms in anorexia nervosa. Comprehensive Psychiatry, 56, 217-228. Racine, S. E., & Wildes, J. E. (2013). Emotion dysregulation and symptoms of anorexia nervosa: The unique roles of lack of emotional awareness and impulse control difficulties when upset. International Journal of Eating Disorders, 46(7), 713-720.

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