Vignette IV

This assignment focuses on vignette analysis and direct application of course concepts to the persons and situations presented in the vignette for each question. 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 situations presented below. You must include how your own cultural beliefs, values, possible biases and stereotyping may affect your clinical perspective. Culture and Legal/Ethical issues can be found in the course texts, but you are encouraged to use outside sources to enhance your work by providing supportive documentation.

All assignments MUST be typed, double-spaced, in APA style and must be written at graduate level English. The content, conciseness and clarity of your answers will be considered in the evaluation of your work. The average length of answers to each question is 2 – 3 pages, although some answers may vary. You must integrate the material presented in the text and cite your work according to APA format. Use of the internet and the University Virtual Library is encouraged.

Alan, age 15, is brought in by his parents because they found him “smoking pot” and has been refusing to go to school. He was recently arrested for tagging. Alan’s father is a 62 year old Caucasian male, who feels guilty for not having the youthful energy that he feels his son deserves. Upon taking a complete family history, you discover that the father suffers from episodic depression and a gambling problem and that his own father killed himself at age 65. Alan’s mother, a 48 year old woman of American Indian descent, discloses that alcoholism is prominent in both her husband’s and her own family. In private, Alan tells you that he is frequently depressed and angry, is obsessed with death, and that he also uses speed and alcohol to cope with life.

1. Considering a differential diagnosis, what is your initial assessment and diagnostic impressions of Alan and his family and why? How might sociocultural factors affect your assessment? Consider the mood disorders, disruptive behavior disorders and gambling disorder concurrent with substance related disorders in your response. Please present other ideas that you have for Alan.

Using the vignette information, present a summary of the completed checklists and screening forms for Alan in consideration of your diagnostic impression. Integrate both treatment and pharmacological interventions. Remember to include culture in your treatment planning as well as legal/ethical issues that might be present. You may use DSM-5 and TIPS 42

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