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Please keep your responses focused on what is presented in the vignettes. Do n

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Please
keep your responses focused on what is presented in the vignettes. Do
not add information but use your creativity to support what you see in
the vignettes as written. Avoid elaborations and assumptions. This
assignment MUST be typed, double-spaced, in APA style, and must be
written at graduate-level English.
Use the reading assignments
thoroughly in an integrative discussion. Include evidence-based research
to support the textbook information. Remember to reference all work
cited or quoted in APA format.
You are encouraged to use the DSM-5 Level 2 Assessment Measure(s (Links to an external site.) ) , also located under Resources, to formulate your diagnosis:
All
discussions must take into account the legal and ethical
considerations, as well as issues of culture and human diversity that
may pertain to the vignettes below. Legal and Ethical information
is in Chapter 16 of the course text. Cultural information is covered
throughout the course text and DSM 5. You may use alternative cultural
resources to enhance your work.
Please review the Sample Vignette Analysis
Download Sample Vignette Analysis
also located under Resources
Your assignment should be 5-6 pages plus a title and reference page.
Do not include the vignette in your responses
Jacob is a 32-year old African American man who just returned from his 2nd tour of duty overseas. Before he is able to begin a 3rd tour
of duty, his commanding officer is mandating that he seek counseling
due to what Jacob describes as “odd behaviors”. Jacob admits that over
the past few weeks, he does not feel safe, but he cannot tell you why.
He cannot leave the house without checking that all the doors are locked
3 times. Once he feels the house is safe, he is hypervigilant about
walking the property to make sure that the outside is secure and that no
one is lurking in dark corners. He does not believe that this impairs
his life nor interferes with his judgment and ability to meet his daily
responsibilities. He is only seeing you because he shared this with his
commanding officer who is now requiring that he seek counseling.
During
your intake session, Jacob discloses that he grew up in a rough
neighborhood where it was not uncommon to hear gun shots and people
screaming. When he was 6-years old, he witnessed his uncle being shot
to death, but cannot tell you details. He describes his parents as very
loving, trying to shield both he and his brother from life on the
streets. His uncle’s death was never talked about. He does admit that he
used to have flashbacks and nightmares of his uncle’s death, but that
they went away.
Jacob also has experienced violence during his
last tour overseas. While he denies actually seeing or participating in
direct combat, he does admit to hearing gun fire and the cries of other
soldiers. During this time, he admits to recurring thoughts of his
uncle’s death. He is able to correlate his military experience with his
childhood experience of trauma and violence. He describes his ability to
compartmentalize those experiences as ‘the past’ and wants to move
forward. Jacob sees the military as his family and wants to dedicate his
life to his country. He is adamant about not wanting a wife or family
of his own, for fear that “what if something would happen to them and
that I would not be able to protect them”.
1. Formulate a Differential Diagnosis for Jacob. Consider
what comorbid disorders may exist and what additional information you
may need to confirm your diagnostic impression. Choose one provisional diagnosis for Jacob.
Support your diagnostic impressions by walking thru the DSM-5
diagnostic criteria (letter by letter) for the proposed diagnosis and
match each DSM-5 criterion with vignette content. (See Sample Vignette
Analysis located under Resources for guidance)
2. Choose two (2) theoretical models and explain how each may
conceptualize Jacob’s clinical presentation. From the perspective of
each theoretical model, discuss how you would provide clinical
treatment. Integrate vignette content to illuminate your treatment
approach.
Activity Outcomes
Recognize the impact of culture and diversity in diagnosis and treatment
Propose collaborative treatment approaches across disciplines

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