Ethically Sound Practices for Discussing a Diagnosis

Ethically Sound Practices for Discussing a Diagnosis

Diagnostic Conceptualization Template

Client Name  
Jane*  
Case Conceptualization ( Note: Include specific information about client symptoms and presenting concerns

Jane is a 35-year-old Caucasian female who self-referred for treatment. Jane reports experiencing feelings of withdrawal, sadness, and hopelessness. She stated that she has struggled to maintain relationships and has lived with her mother her entire life. Jane’s relationships are often volatile and characterized by others viewing her as “needy”, “dramatic”, “emotional” and “crazy. ” Jane declines any current religious involvement but noted some interest in exploring Buddhism and spirituality.

Jane has a history significant for sexual abuse by her older brother and her brother’s best friend. Jane reported that the abuse took place from the ages of 4 to 14 and stopped only when her brother left home. Jane reported that she has never disclosed the abuse to her mother. Jane has experienced instability in relationships with friends, and reported no support system beyond her mother. Jane struggles with individuation and often internalizes the interests of her others.

Jane tends to think very concretely and she struggles with a general negative outlook. She has a past history significant for severe self-injury (i.e., self-cutting). She’s also had periods of suicidal thoughts but she reports no current suicidal ideation at the time of session. Jane also has a history of disordered eating but she reports that she has not engaged in any binge/purge behavior for approximately the past several years.

Jane’s medical history includes previous diagnoses of Major Depressive Disorder and Posttraumatic Stress Disorder. She has been diagnosed with asthma. Jane reports that she has the ability to induce an asthma attack and she admitted to doing so at least twice weekly over the course of the past year in an effort to seek medical care. Jane reported that she enjoyed the attention associated with medical care.

Jane has a history of inappropriate boundaries with her previous counselor and she acknowledged going to great lengths to obtain her previous counselor’s home address so that she could drive by her house.

Jane has previously attended college but is not currently enrolled. She was the first individual in her family to attend college and she reports that her mother was not supportive of her education. Jane reported that she would like to eventually return to school but she fears that she will be able to complete her studies until her medical care is addressed.

Diagnostic Impressions (Note: Be sure to use the ICD-10 code, name of the disorder, and all of the specifiers)
F60.3 Borderline Personality Disorder (Reason for Visit)

F33.1 Major Depressive Disorder, Recurrent, Moderate, Provisional

F43.1 Posttraumatic Stress Disorder, Provisional

 

Rationale for Diagnostic Impressions (Note: Use the DSM-5 to explain how the client’s symptoms are reflected in the diagnostic criteria for each diagnosis that you render. If you do not render a diagnosis, you still must use the DSM-5 to explain why you chose not to render a diagnosis.)
Jane’s medical history includes past diagnoses of F33.1 Major Depressive Disorder, Recurrent, Moderate and F43.1 Posttraumatic Stress Disorder, Provisional. Based on her current presentation, it appears that reason visit is related to symptoms of F60.3 Borderline Personality Disorder.

Consistent with the symptoms of Borderline Personality Disorder, Jane demonstrates a pervasive pattern of instability in multiple facets of her life that appears to have begun in late adolescence. Jane reports that those with whom she has had relationships have called her “needy” and she indicated that her relationships tend to vacillate between ideation and devaluation (Criterion 2). Jane reported that she doesn’t feel connected to a particular identity and she often takes on the identity of those in her life (Criterion 3). Jane has recurrent suicidal thoughts and self-injurious behavior (Criterion 5). She also experiences affective instability and her mood appears reactive to those around her (Criterion 6). Jane reports feeling empty and she often struggles to find meaning in her life (Criterion 7). Jane is prone to bouts of anger, especially in response to situations in which she feels out of control – for example, slashing a friend’s tires after a fight (Criterion 8).

In order to qualify for a diagnosis of a personality disorder, an individual first must meet the General Criteria for a Personality Disorder. Jane’s symptoms have been evident since at least age 20, which suggests that her symptoms represent an enduring pattern of behavior that have impacted her thoughts (“If there were a God, he wouldn’t have let my life turn out this way”; Criterion A1), her affect (characterized by overwhelming feelings of sadness and hopelessness; Criterion A2), her interpersonal functioning (volatile relationships with friends; Criterion A3), her impulse control (a history of self-injury and bulimia; Criterion A4). Jane’s symptoms have been evidenced in numerous situations (e.g., work, school, home; Criteria B) and the symptoms cause clinically significant distress across numerous areas of her life (e.g., home, relationships, work, school; Criteria C). Jane’s symptoms appear to have begun in late adolescence (Criteria D). Although the client has asthma, there are no other medical conditions that are responsible for her current symptoms (Criteria E). The client is prescribed Paxil but there is no evidence of substance use and thus, no evidence that substance are causing her symptoms (Criteria F).

The client reports that she has previously been diagnosed with F33.1 Major Depressive Disorder, Recurrent, Moderate and F43.1 Posttraumatic Stress Disorder. The client’s current presentation does not provide enough evidence to support rendering either diagnosis at this time. However, based on the client’s past trauma history and her self-reported “dark times”, both disorders warrant further exploration.

 

Cultural and Ethical Considerations (Note: Include information that may be pertinent to the diagnosis).
The client does not have any current religious involvement but she reported some interest in pursuing Buddhism. The client is a first generation college student and she reports limited support for pursuing her education from her friends and family. The client has a limited social support system and spends the majority of her time with her mother.

Jane is not currently sexually active and she reports discomfort with the idea of intimacy. She appears to feel more comfortable with females; however, she is not currently in a relationship and does not appear to be actively seeking out romantic partners.

The client has a history of inappropriate boundaries in relationships. The client previously engaged in stalking-type behavior toward her previous therapist. Thus, it is important that boundaries are enforced for the duration of the counseling relationships.

 

Student Name and credentials (e.g., Frida Kahlo, B.A.)

Victoria Woodhull, B.A.

*Note: Case Available in Chapter 9 of Kress, V.E., & Paylo, M.J. (2018). Treating those with mental disorders: A comprehensive approach to case conceptualization and treatment (2nd ed.) New York, NY: Pearson

Date

07/18/18

COUN 6720 DIAGNOSTIC CONCEPTUALIZATION TEMPLATE Page 2 of 2

Ethics

Ethics

Answer them in essay format. Each answer must be 300 words MINIMUM. You MAY answer ONE extra question for extra credit. You may use outside sources, but if you do you must include separate works cited page. Plagiarism will not be tolerated.

1. In Plato’s Ring of Gyges how is the concept of good/justice explained? Do you think this is the way good/justice actually is, or do you think it’s something more?

2.  According to Max Stirner, the concepts of good, bad and the State are phantasms and are simply determined by power. In detail, what does he mean by this? Do you agree with him? Why or why not?

3.  What does Arendt mean by the “banality of evil”? How did this concept apply to Eichmann and his deeds? Has there been anyone else in history, past or present, that this concept can apply to?

4. In Martin Luther King’s Letter from Birmingham Jail, he talks about how the “white moderate” is a bigger stumbling block to the freedom of black people than even the Ku Klux Klan. Explain what he means by this statement. Taking into consideration Arendt’s concept of the “banality of evil”, do you think this concept is applicable to King’s view of the “white moderate”? Why or why not?

5.    According to Zizek, what is subjective violence and the two kinds of objective violence? What are some examples he provides? Do you think his definition of violence is too narrow, too broad, or just right? Why do you think this?

Final Exam Cyber Security

 

Final Exam Cyber Security

  • Research the types of data encryption (AES, DES and RSA) and explain how it is used and why it is used. And choose 1 and discuss why you would use it to protect proprietary data in a business.
  • Research some of the different studies conducted on the vulnerabilities in WEP, and explain why WEP is vulnerable

REQUIREMENTS

4-5 pages in length main body

(add cover page, abstract page, conclusion paragraph and 4 reference list)

citations mandatory

4 refrences minimum

APA strict (spaces, margins etc..)

need in 17 hours final exam guidelines

 

Financing Health Care (Due 24 Hours)

Financing Health Care (Due 24 Hours)

 

1) Minimum Minimum  3 full pages

2)¨******APA norms

All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

Dont copy and pase the questions.

Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks)

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references not older than 5 years

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc 

__________________________________________________________________________________

Financing Health care

Topic: Review of a Bill Assignment

Select an active bill at the state or federal level that impacts the professional practice of nursing

Must include (Mandatory):

1. Discuss the major provisions of the bill.

2. Explaining the background and all relevant facts of the bill.

3. Discuss any relevant history related to the legislation, pertinent votes, and issues that are stalling the legislation, etc.

4. Explain why some of these individuals support the bill and why some do not.

5. Explore the positions of the key stakeholders in the bill, both pros and cons.

6. Discuss how the bill would impact a nurse’s ability to provide safe and quality care or to practice to the highest scope of the nursing license.

7. Explain specific actions that nurses can take to assist with the passage or defeat of the legislation

Principles Of Ethics 445N

Principles Of Ethics 445N

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Week 8 Discussion: Contemplation and Consideration

Required Resources
Read/review the following resources for this activity:

  • Textbook: Chapter 13
  • Lesson
  • Minimum of 1 scholarly source (in addition to the textbook)

EBOOK UPLOADED BELOW:

Rachels, S., & Rachels, J. (2019). The elements of moral philosophy (9th ed.).

Introduction
Some people believe that you can tell who a person is by what they do when no one is looking. Let’s look at the following case. John Doe, a nurse, has downloaded an application to her phone that allows him to download copyrighted textbooks for a nursing course (that Doe is going to take) without his Internet Service Provider knowing it. The application is called “Cloak” as in cloak of invisibility (a hooded coat one wears to make it so others cannot see you). The application disguises his phone and makes it so the information on it is inaccessible. John is aware that other people who are of a lower socio-economic status (like him) also use this software program for the same reason (and to save money). John Doe knows that his religion forbids him from using this application to download in this manner. John Doe is focused on his own economic situation and does not consider the publisher, author, and others involved in the books. Think about a course of social action; what social values should be used to address this moral issue and conflict.

  • Initial Post Instructions
    Create a personal ethical philosophy and explain from which philosophy or philosophies (it must include at least one of the following: virtue ethics, Kantian ethics, utilitarianism, virtue ethics, or social contract ethics) you created it and why the contents are important and meaningful for you. List its precepts.
  • Take your personal ethical philosophy statement and use it to work through John Doe’s case. What is moral and immoral per your theory?
  • How would the veil of ignorance or a different theory of justice address John Doe’s case?

Follow-Up Post Instructions
Respond to at least two peers or one peer and the instructor. When possible, respond to a peer who chose a different ethical theory than you did in your posting. Further the dialogue by providing more information and clarification.

Writing Requirements

  • Minimum of 2 sources cited (assigned readings/online lessons and an outside scholarly source)
  • APA format for in-text citations and list of references

Criteria

Initial Post Content: Addresses all aspects of the initial discussion question(s), applying experiences, knowledge, and understanding regarding all weekly concepts.

Evidence & Sources: Integrates evidence to support discussion from assigned readings** OR online lessons, AND at least one outside scholarly source.*** Sources are credited.*

Professional Communication: Presents information using clear and concise language in an organized manner (minimal errors in English grammar, spelling, syntax, and punctuation).

Notes

*Credited means stating where the information came from (specific article, text, or lesson). Examples: our text discusses…., The information from our lesson states…, Smith (2010) claimed that…, Mary Manners (personal communication, November 2017)…

**Assigned readings are those listed on the syllabus or assignments page as required reading. This may include text readings, required articles, or required websites.

***Scholarly source – per APA Guidelines, only scholarly sources should be used in assignments. These include peer-reviewed publications, government reports, or sources written by a professional or scholar in the field. Wikipedia, Wikis, .com websites or blogs should not be used as anyone can add information to these sites. For the discussions, reputable internet sources such as websites by government agencies (.gov) and respected organizations (.org) can be counted as scholarly sources. Outside sources do not include assigned required readings.