HEAD: DIFFICULT CLIENT ANALYSIS: THE NARCISSISTIC CLIENT 2 Narcissistic Personality Disorder (NPD) is “a pervasive disorder characterized by symptoms that include grandiosity, an exaggerated sense of self-importance and a lack of empathy for others” according to the revised fifth edition of the Diagnostic and statistical manual of mental disorders. While grandiosity is the distinctive diagnostic symptom of NPD, the more prevalent symptom that will prompt a narcissist into the…
Miami. During intake assessment the client reported feelings of anhedonia, feelings of worthlessness, trouble sleeping, morbid ideation, feelings of guilt, and hopelessness when thinking of the future. After receiving a diagnosis of Major Depressive Disorder (MDD), the client was referred to weekly sessions of psychotherapy for a period of no more than 16 weeks. The theoretical approach used for this client was Cognitive Behavior Therapy (CBT). Depression in adolescence is…
also display trauma responses (Denham, 2008). This concept expands my understanding of trauma. It certainly takes me beyond the concept defined by the Diagnostic and statistical manual of mental disorders (5th ed.) (DSM5) (American Psychiatric Association [APA], 2013). Historical trauma does not meet the full criteria of post-traumatic stress disorder (APA, 2013). Yet, people are influenced by the previous generations’ experiences. Denham (2008) asserted that problematic symptoms or pathologies…
the disorders covered must first be properly defined so that schools may more appropriately serve the emotional and mental well-being of the students under Section 504 and IDEA 2004. Section 504 does not specifically list disorders, but only states that any mental disorder that significantly impacts daily functioning is covered (Office for Civil Rights, 2013). IDEA 2004 more clearly defines the disorders, but is also in no way exhaustive. Ones listed specifically under it are mood disorders,…
When individuals hear the word “addiction” they immediately think of alcohol or drugs. What most people are not aware of is that addiction can derive from numerous factors such as tanning and that can be even more of an issue at times. According to Skin Cancer Foundation (2015), “More people develop skin cancer because of tanning than develop lung cancer because of smoking”. Since tanning has grown to become more addictive there has been a study that was conducted for the purpose of measuring…
co-occurring disorders requires the counselor to be familiar with both substance abuse disorders and mental disorders. The Diagnostic and Statistical Manual of Mental Disorders 5 (DSM 5) is a vital tool in the process of diagnosing both. Therefore, knowledge and competency in using it is also vital. To gain these, one must practice. The following are case studies and questions completed in an effort to do so. Tom The first scenario of Tom is an example of Posttraumatic Stress Disorder (PTSD)…
differences in the brain development of a child with autism, such as chromosome abnormalities and gene mutations. Three years later, “infantile autism” was officially separated from childhood schizophrenia in the published Diagnostic and Statistical Manual of Mental Disorders (DSM). In 1987, the term, “infantile autism” was later replaced by a broader term - “autism…
After reading Lu’s vignette, it is apparent that Lu has obsessive compulsive disorder (OCD) with religious and cleaning/washing themes (American Psychiatric Association, 2013; Roberts & Louie, 2015). In order to meet full diagnostic criteria for OCD, Lu must meet criteria A to D. Criteria A requires the presence of obsessions, compulsions, or both. Lu does not meet criteria for having obsessions, because Lu does not regard his behaviors as being unwanted, but they are compulsive. Lu meets…
What is autism spectrum disorder? Eugene Bleuler first coined the term autism in 1912. This Swiss psychiatrist used the word when explaining a schizophrenic's difficulty in connecting with others. He choose this word because if means self. Later, in 1943, Dr. Leo Kanner, after studying eleven children suffering similar symptoms, used the expression early infantile autism. He also picked this word because of its Greek origins, which also came from the word meaning self. He did this because he…
with “abnormal” behavior such as mental retardation, mental illness, or people with physical deformities were all consider and treated the same. People used to believe that mental disorders were cause by evil possession of the individual’s body, and believed that the only way on saving the individual from the evil possession was through exorcising the demons. In addition, people practiced many different ways to attempt to save the individual from the mental disorders, ranging from harmless…