Use headers and provide in-text scholarly references! Provide the full DSM-5 diagnosis for the client. Remember, a full diagnosis should include the name of the disorder, ICD-10-CM code, specifiers, s

CASE OF KAREN Intake Date : August 2019 DEMOGRAPHIC DATA : This was a voluntary intake for this 23 -year -old single Caucasian female. Karen lives with a 24 -year -old female roommate in Las Vegas, Nevada . She has a bachelor’s degree in Art H istory and is employed by a major hotel that has an art gallery. Karen was born and raised in Virginia and moved to Las Vegas 1 1/2 years ago for employment. CHIEF COMPLAINT : “My roommate suggested I go to therapy. She thinks that something is wrong and I need to address it. I can handle my life, but she threatened to move out and I cannot afford the apartment by myself .” HISTORY OF PRESENT ILLNESS : Karen admitted to purging and frequent use of laxatives to try and keep her weight down since she was 17 years old. Karen reported her weight was being monitored by a nutritionist , and is proper for her height, and she has lab work done regularly to be sure she remains healthy . Karen reports that she was mu ch heavier as a teenager and wants to confirm she doesn’t get like that again. Karen reported that she has a very stressful job. She stated that approximately one month ago she started to ha ve difficulty concentrating at work . She had several altercatio ns with coworkers as well . Several weeks ago Karen reported that a coworker “said something nasty and I lost it.” Karen reported that she was angry and “ hit everything I knew I could , holding back not to hit the coworker - but that did not help.” Karen also reported being under stress due to applying for her master’s degree in art history and difficulties with her boyfriend. Karen complained of depression with insomnia and reports this has been for years so it is nothing new. The only change now is she only sleeps a few hours per night . She reports feeling confused, with decreased concentration, irritability, anger, and frustration. Karen discusses that some of these behavior s have been occurring for years , but it has not impacted her like it is now. She admitted to suicidal ideation recently . This was a reason her roommate wanted her to seek treatment. Karen reported she was emotionally abused as a child and always felt a sadness in her life. When she was in her mid -teens, she thought life wa s hopeless and she had no future. Karen wonders sometimes if she has post -traumatic stress disorder but denies a history of flashbacks or nightmares or any avoidance of the person who she says emotionally abused her . Reluctantly, Karen admit ted to bingeing several times per month since she was 17 -years -old . PAST PSYCHIATRIC HISTORY : Karen denies any history of psychiatric problems in the past. Karen admit s to using alcohol periodically but rarely to excess. MEDICAL HISTORY: Karen is allergic to penicillin and has a lactose intolerance. She wears glasses for reading. PSYCHOSOCIAL AND DEVELOPMENTAL HISTORY : Karen ’s parents were married when her mother was 19 years old , and Karen was born the following year. Two years later, Karen ’s sister was born . Karen reports her mother stated Karen ’s personality changed; she became stubborn and difficult. Karen ’s mother said that Karen began biting , having temper tantrums , and has been moody since then. Karen states she “adores her father” becau se he was never the disciplinarian. When Karen was 12 -years -old, her parents separated for 2 weeks. Karen reported her mother quit college after Karen ’s birth and returned to college after her sister’s birth. Her father worked all the time, and there was a housekeeper who cared for the children. Karen told the school counselor that her mother was abusive, and school officials visited the family. During the visit, Karen had a temper tantrum and there was no further investigation. Karen reports she was al ways an above -average student who rarely studied. She said she was always hyperactive and had difficulty sitting in school. Karen stated that in college she had a 3.8 GPA and was on the Dean’s list. Karen is currently applying for admission to graduate sch ool and has taken some courses toward her master’s degree. Karen worked during summer vacation while in high school. She babysat during college and worked as a graduate assistant. Since graduating from college, Karen has been employed by a n art gallery in a hotel . MENTAL STATUS EXAMINATION : Karen presented as a n avera ge weight, somewhat disheveled , Caucasian female. She was relaxed but a bit restless during the interview. Her facial expression was mobile. Her affect during the initial interview was constricted and her mood dysphoric . Karen ’s speech was slow and she spo ke in a depressed voice. H er thinking was logical. Karen denied hallucinations or delusions. She denied homicidal ideation . She admitted to passive suicidal ideation with no plan . Karen was oriented to person, place, and time. Her fund of knowledge was excellent. Karen was able to calculate serial sevens easily and accurately. Karen repeated 7 digits forward and 3 in reverse. Her recent and remote memory was intact, and she recalled 3 ite ms after five minutes. Karen was able to give appropriate interpretations for 3 of 3 proverbs. Her social and pe rsonal judgment was appropriate. Karen ’s three wishes were: “To be skinny, to have a big house, and for a million more wishes.” When asked how s he sees herself in 5 years, Karen replied, “Hopefully graduating from graduate school.” If Karen could change something about herself, she would “make myself not having to struggle with weight. ”