PCN 605: Determining a Diagnosis Using Tina’s Case Study

PCN 605: Determining a Diagnosis Using Tina’s Case Study

PCN 605: Determining a Diagnosis Using Tina’s Case Study

Paper Specifications:

Examine the DSM-5 diagnostic criteria on pages 99-100, 160-161, and 561-562.

In the diagnostic process, a counselor’s own perception of psychopathology is critical.

Write a 500-750 word essay examining your thought process about her presenting issues using the case study of “Tina” from the topic one lecture. Include the following information in your paper:

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Discuss the historical and cross-cultural perspectives of psychopathology that may have an impact on Tina’s diagnosis and treatment.
What is your diagnostic impression after reviewing the various diagnoses that could apply to Tina from the most recent version of the DSM?
Support your diagnostic impression with criteria from the most recent edition of the DSM.
Discuss how historical misconceptions about psychopathology may have an impact on this client’s treatment. You may include a diagnosis, any referrals you would make, and a general course of treatment as part of this discussion. In addition to the textbook, your paper should include at least five scholarly references.

Prepare this assignment in accordance with the APA Style Guide, which can be found in the Student Success Center.

This assignment makes use of a rubric. Please review the rubric before beginning the assignment to become acquainted with the requirements for successful completion.

You must turn in this assignment to Turnitin. Follow the instructions in the Student Success Center.

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Tina’s Case Study

Tina, a 17-year-old Navajo female, is brought into a counselor’s office for depression symptoms; her family has noticed that she is depressed.

PCN 605 Using Tina’s Case Study to Determine a Diagnosis

she is more withdrawn than usual and she is often observed crying and talking to herself. Tina’s intake interview reveals to the counselor that she hears voices on a daily basis commanding her to perform certain acts of hygiene (showering, combing her hair, etc.). She goes on to say that she believes the voices are the result of witchcraft used by her boyfriend to control her. Tina also claims to have been heavily addicted to methamphetamines for several months. She and her mother ask the counselor to work with Tina on her depression, but they insist on seeing a medicine man for hearing voices.

What is the counselor’s first step with this client? Tina is clearly exhibiting psychotic symptoms, but it is difficult to determine what has caused them. Is she going through a severe depressive episode with psychotic symptoms? Is it possible that the voices were caused by excessive drug use? Should the counselor, on the other hand, consider Tina’s cultural acceptance of witchcraft and allow the medicine man to treat her solely? This case study is just one example of how different cultures view mental illness as it manifests itself in the counselor’s office.

Viewing clients as culturally insensitive because notions of health and wellness differ greatly depending on who defines them is unethical and unwise. Counselors must constantly deconstruct and be aware of their own beliefs about psychopathology in order to be as receptive to a client’s position as possible. This process of investigating a belief system is known by several names, one of which is social constructionism (Lemma, 2011).

The concept of social constructionism holds that reality is formed and defined by the individual’s experience of it; perceptions in any given society are constantly shifting as trends and knowledge shift. As a result, the concept of psychology evolves to meet the needs of each culture. According to Ruder and Guterman (2007), “social constructionism is itself a social construction that is constantly changing and subject to reconstruction” (p. 387).

PCN 605: Using Tina’s Case Study References to Determine a Diagnosis

J. Rudes and J. Guterman (2007). A response to Hansen on the importance of social constructionism in the counseling profession. 387-392 in Journal of Counseling and Development, 85(4).