Which diagnosis is most appropriate for a fictional patient and/or strategy in helping with his symptoms?

Develop an analysis

Review Martin’s case and give a preliminary diagnosis using the relevant diagnostic criteria which can be found in the International Classification of Diseases, Tenth Revision (ICD-10 link), and the Study Guide to DSM-5. Can supplement, the sequential presentation of disorders found in Lumen Learning Abnormal Psychology, https://courses.lumenlearning.com/abnormalpsychology/ .

Answering the following six items, provide evidence of your logic for each decision.  Reinforce responses with scholarly resources and appropriate detailing. Discuss how and why your arrived at conclusions drawn. https://nobaproject.com/browse-content

Required Items to be Addressed:

Based upon this intake visit, what diagnosis do you think is most appropriate for Martin? Be mindful, this is your first session. Information is limited to the data collected in this first visit.

What are the principal symptoms contributing to the diagnosis proposed? Clearly explain, providing details.

Discuss Martin’s strengths. These will facilitate constructive work with him.

Delineate Martin’s opportunities for growth and/or improvement.

Looking to the next visit and beyond, what is your preliminary sketch of the treatment goals you have for Martin? Why do you identify these goals as appropriate for Martin?

What will you explore with Martin in future visits (e.g., interpersonal, aspirations)? Present rational.  Why do you want to do with this information?

NOTES @intake visit

Martin Sheen (fictional)

Martin concludes at his intake visit expressing he needs help. He needs help regaining control in his life.  He wants your help to develop a strategy.

Age 35

Married 11 years

works most days from 7 a.m. to all hours of the evening, his

partner-a stay at home parent/entrepreneur making $190,000 and “does it all”

Have three children, ages under 8. He states they are healthy, intelligent, fun-loving, and well-mannered. No concerns with them.

 

Symptoms:

Experiencing multiple life stressors, weight changes 25 pounds plus, trouble sleeping, primarily interrupted sleep and occasional sleeplessness, low energy, varied eating – occasionally does not feel hungry followed by increased eating, irritability and moodiness, anxiety, decreased sexual desire, self-esteem – decreasing

feelings of guilty – economic challenges have resulted in significant income losses

CURRENT

Martin has an MBA/business with remote receptionist/hourly basis, and one full-time employee. Martin recently made the move from the home office, shared with his partner, to a new office space that has room for his employees with a conference space where clients can meet. His client list has expanded, but Martin is experiencing difficulties getting clients to pay within the 45-day billing period specified when invoiced for services rendered.  As a result, Martin is often forced to pay his contracted account a service fee to prompt clients for payment. Martin also pays the accountant’s fee because he requires a steady cash flow to pay his employees, pay bills, and meet family responsibilities. The health insurance premium he pays for his family is high (over $1400 per month) due to a pre-existing health condition (his partner has a chronic condition). Additionally, he pays the health insurance premium for his full-time employee.

HISTORY

Martins partner willingly, and lovingly, paid the family healthcare premium on their plan for over two years at a monthly cost of $1,700. Martin took over the healthcare premium four years ago, as he felt that his partner had carried that monthly burden alone while he built up his client base. His partner also covered expenses Martin was not able to pay while he attended graduate school and established his business.  During the intake visit, Martin shares that he could not have pursued his business endeavors without his partner’s support (financial and otherwise). He believes that this has created tension in his relationship with his partner, particularly during the current economic downturn.

 

Martins partner is business person whose drive contributes to the business’s success and a healthy income ($190,000) yet a majority of their income goes back into their business ventures shrinking savings and investments, and on the upper-middle income lifestyle the two have become accustomed (buying and engaging in desired activities without much worry). While their marriage has experienced challenges, is relatively happy and intact. Martin feels that his partner’s deteriorating physical well-being is the result of this effort to do it all – being there for him and the children. While his partner does not express dissatisfaction, Martin feels (in his words, “understands”) that his partner must feel resentment toward him for the non-stop, around the clock, work he must dedicate to his business. As the funds in their savings has shrunk, Martin feels his personal state has also deteriorated, physically, emotionally, professionally, and personally as well.

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