case studies DB2

PSY650 Week Two Case Studies You are a psychologist working for an agency whose policy states that an assessment and diagnosis must be rendered within 48 hours of an initial session with a client. Please review and choose one of the following cases to diagnose.

Select one of the two to address

Please use in text citations and show on reference page as well!

In your initial post, compare the assessments typically used by clinical and counseling psychologists, and explain which assessment techniques (e.g., tests, surveys, interviews, client records, observational data) you might use to aid in your diagnosis of your selected client. Describe any additional information you would need to help formulate your diagnosis, and propose specific questions you might ask the client in order to obtain this information from him or her. Identify which theoretical orientation you would use with this client and explain how this orientation might influence the assessment and/or diagnostic process. Using the DSM-5 manual, propose a diagnosis for the client in the chosen case study.

Analyze the case and your agency’s required timeline for diagnosing from an ethical perspective. Considering the amount of information you currently have for your client, explain whether or not it is ethical to render a diagnosis within the required timeframe. Evaluate the case and describe whether or not it is justifiable in this situation to render a diagnosis in order to obtain a third party payment.

 The Case of Amanda Amanda is a 16-year-old Hispanic female that was referred to treatment due to body image issues. Her parents believe that she has an eating disorder because she restricts her food intake and exercises excessively. Amanda denies any compensatory behaviors, but reports the following symptoms: anxiety, trouble sleeping through the night, and not feeling like a worthwhile person. She has reservations about seeking treatment because confidentiality is not guaranteed. She has agreed to attend the first session and opted to use insurance to pay for it. Her insurance company will allot her 8 sessions upon receipt of her diagnosis. What diagnosis would you give Amanda? 

The Case of Charles Charles is a 33-year-old African American male seeking treatment due to suicidal ideation. He is currently going through divorce proceedings and reports feeling agitated, angry, sad, and stressed most days. He is concerned that his relationship issues have begun to impact his responsibilities at work and fears losing his job. Charles is open to seeking treatment, but his insurance provider is out-of-network. His insurance company is willing to reimburse him for up to 8 sessions if an acceptable diagnosis is submitted. What diagnosis would you give Charles?

 is recommended that you read Chapters 4, 7, and 10 in the Sommers-Flanagan and Sommers-Flanagan (2013) e-book, Clinical Interviewing, as well as the Kielbasa, Pomerantz, Krohn, and Sullivan (2004) “How Does Clients' Method of Payment Influence Psychologists' Diagnostic Decisions?” and the Pomerantz and Segrist (2006) “The Influence of Payment Method on Psychologists' Diagnostic Decisions Regarding Minimally Impaired Clients” articles for further information about how payment method influences the assessment and diagnosis process. 

Article

American Psychological Association. (2010). Standard 9: Assessment (Links to an external site.)Links to an external site.. Retrieved from http://www.apa.org/ethics/code/index.aspx?item=12

• Standard 9 of the American Psychological Association’s Ethical Principles of Psychologists and Code of Conduct provides guidance for psychologists who develop psychological tests and conduct psychological assessments.

Chevalier, N. T. (2012). The token economy: Reducing the disruptive and off-task behaviorLinks to an external site. [PDF]. Retrieved from http://files.eric.ed.gov/fulltext/ED534397.pdf

• The author of this master-level thesis examines the effectiveness of token economies in reducing disruptive and off-task behavior. This resource is applicable to this week’s case analysis.

DuPaul, G. J., Weyandt, L. L., & Janusis, G. M. (2011). ADHD in the classroom: Effective intervention strategies, 50(1), 35-42. doi:10.1080/00405841.2011.534935

• The full-text version of this article can be accessed through the EBSCOhost database in the Ashford University Library. School-based intervention strategies and collaboration between educators and psychologists is the primary focus of this peer-reviewed article. This resource is applicable to this week’s case analysis. 

Kielbasa, A. M., Pomerantz, A. M., Krohn, E. J., & Sullivan, B. F. (2004).  How does clients' method of payment influence psychologists' diagnostic decisions? Ethics & Behavior, 14(2), 187-195. doi:10.1207/s15327019eb1402_6

• The full-text version of this article can be accessed through the EBSCOhost database in the Ashford University Library. The authors of this peer-reviewed article explore how a client’s method of payment influences diagnostic impressions. Ethical implications are also discussed. This resource is applicable to the Assessment and Diagnosis “Under the Gun” discussion this week.

Pomerantz, A. M., & Segrist, D. J. (2006). The influence of payment method on psychologists' diagnostic decisions regarding minimally impaired clients. Ethics & Behavior, 16(3), 253-263. doi:10.1207/s15327019eb1603_5

• The full-text version of this article can be accessed through the EBSCOhost database in the Ashford University Library. The authors of this peer-reviewed article examine the impact of payment method in cases involving mild depression and anxiety. This resource is applicable to the Assessment and Diagnosis “Under the Gun” discussion this week.

Reiber, C., & McLaughlin, T. F. (2004). Classroom interventions: Methods to improve academic performance and classroom behavior for students with attention-deficit/hyperactivity disorder (Links to an external site.)Links to an external site.. International Journal of Special Education, 19(1), 1-13. Retrieved from http://eric.ed.gov/?id=EJ852038

• The full-text version of this article can be accessed through the ERIC database in the Ashford University Library. Token economies, peers interventions, and self-management strategies are reviewed in this peer-reviewed article. This resource is applicable to this week’s case analysis.

Tamm, L., & Carlson, C. L. (2007). Task demands interact with the single and combined effects of medication and contingencies on children with ADHD. Journal of Attention Disorders, 10(4), 372-380. doi:10.1177/1087054706289946

• The full-text version of this article can be accessed through the Sage Journals database in the Ashford University Library. The authors of this peer-reviewed source assess the efficacy of stimulant medication as a stand-alone treatment option for ADHD. This resource is applicable to this week’s case analysis.