Working with Individuals: The Case of Sam SOCW 6090

Working with Individuals: The Case of Sam

Working with Individuals: The Case of Sam

Using the DSM-5 and the Z Codes

The DSM-5 includes particular Z Codes (ICD-10-CM) to assist the clinician in identifying conditions that are relational in nature. In making a formal DSM-5 diagnosis, the clinical social worker should always identify from these codes any other condition that may be of concern and include the relevant Z Codes (pp. 715-727).

CLICK HERE TO ORDER SOCW 6090 PAPERS

For this Discussion, read the case study “Working with Individuals: The Case of Sam.” (attached). Then, using the DSM-5 criteria, determine a complete clinical diagnosis for Sam.

Post your diagnosis of Sam in DSM-5 format (pp. 21–23), including the criteria you used in determining this diagnosis.

· Be sure to include any medical information that is presented in the case.

· Also, review the Other Conditions that may be a Focus of Clinical Attention Z codes (ICD-10-CM) and include this in your diagnosis.

· Evaluate the level of usefulness of the assessment measures (pp. 733-748) in the DSM-5 and explain whether these measures are helpful in treating Sam.

Support your post with specific references to the resources. Be sure to provide full APA citations for your reference

References (use 3 or more)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.

“Depressive Disorders” (pp. 155–188)

“Assessment Measures” (pp. 733–748)

Campbell, P. (2006). Beating the blues: New approaches to overcoming dysthymia and chronic mild depression. Mental Health Practice, 10(3), 25–26.

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.

“Bipolar and Related Disorders” (pp. 123–154)

Balázs, J., Benazzi, B., Rihmer, Z., & Rihmer, A. (2006). The close link between suicide attempts and mixed (bipolar) depression: Implications for suicide prevention. Journal of Affective Disorders, 91, 133–138.

Kessler, R. C., Merikangas, K. R., & Wang, P. S. (2006). Prevalence, comorbidity, and service utilization for mood disorders in the United States at the beginning of the twenty-first century. Annual Review of Psychology, 3, 137–158.

Rusner, M., Carlsson, G., & Brunt, D. (2009). Extra dimensions in all aspects of life: The meaning of life with bipolar disorder. International Journal of Qualitative Studies on Health and Well-Being, 4, 159–169.

Abstract

Background
Non-suicidal self-injury (NSSI) is a serious public health concern in adolescents. In 2013, DSM-5 recognized NSSI as a distinct clinical phenomenon and made a call for more systematic research by including Non-Suicidal Self-Injury-Disorder (NSSI-D) as a condition requiring further research. Yet, few studies have examined the prevalence of NSSI-D in adolescents using the exact DSM-5 criteria. Additionally, the few studies available criticised several of the proposed diagnostic criteria and pointed out that more research is needed.
Methods

Therefore, we examined prevalence rates of NSSI-D and investigated the four most controversial criteria (i.e., criteria A, B/C, and E) in a large community sample of adolescents (N?=?2,130; 54% female; Mage?=?15, SD = 1.81).

Results

Our results show an overall NSSI-D prevalence rate of 7.6%, with significantly more girls (11.7%) than boys (2.9%) meeting the diagnosis. The prevalence of NSSI-D dropped to 5.5% when an alternative criterion A (i.e., ?10 days of NSSI in the past year) was implemented. In our sample, 87% and 99% of adolescents with lifetime NSSI met criteria B and C, which clearly questions the clinical utility of these criteria for the DSM-5 diagnosis of NSSI-D. Importantly, however, although criterion E received relatively low endorsement, it significantly distinguished adolescents with and without NSSI-D from one another.
Limitations and conclusion
Although our conclusions are restricted by the cross-sectional nature of our study, these findings show that NSSI-D is common in community adolescents and offer new insights in the endorsement and clinical utility of specific NSSI-D criteria.