Discussion 2: Trauma and Comorbidity

*****THIS IS A VIDEO ASSIGNMENT AND VIDEO WILL BE CREATED FROM INFORMATION PROVIDEDDiscussion 2: Trauma and ComorbidityIt is not uncommon for people who experience trauma to use substances to moderate psychological or emotional pain. Trauma can easily add to the strain that people already feel. In this Discussion, you diagnose and plan treatment for a case provided by your instructor.To prepare: Review the Learning Resources on trauma treatment, including additional resources from the optional resources/media or from the Suggested Further Reading document. Then read the case provided by your instructor for this week’s Discussion.By Day 5Post a 3- to 5-minute recorded video response in which you address the following: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, severity, and the Z codes (other conditions that may be a focus of clinical attention). Keep in mind a diagnosis covers the most recent 12 months.Explain the diagnosis by matching the symptoms identified in the case to the specific criteria for the diagnosis.Identify the first area of focus you would address as client’s social worker, and explain your specific treatment recommendations. Support your recommendations with research.Explain how you would manage client’s diverse needs, including his co-occurring disorders.Describe a treatment plan for client, including how you would evaluation his treatment.Support your post with specific references to the resources. Be sure to provide full APA citations for your references.Include a transcript and/or edit closed captioning on your video to ensure your presentation is accessible to colleagues of differing abilities. See the document: How to Upload a Video and a Transcript (PDF) in the Week 1 Resources.****WEEK 9 CASE PRESENTATION -BAECASE PRESENTATION – BAE INTAKE DATE: July 6, 2019 IDENTIFYING/DEMOGRAPHIC DATA: Bae is 22 years old and the oldest child of two working-class parents. Bae has one younger brother, aged 9. Both parents immigrated from Korea. Bae lives in San Francisco with her parents. She is finishing up her final year at college. CHIEF COMPLAINT/PRESENTING PROBLEM: “I am having trouble sleeping since I witnessed a stabbing on the wharf two weeks ago” HISTORY OF PRESENT ILLNESS: Janice has been waitressing in a restaurant at the wharf since freshman year at a bar/restaurant to supplement financial aid for tuition. She has very good grades (B+ to A) in college. After leaving her shift 2 weeks ago, Bae was walking to the bus stop and witnessed a man beating up a woman and eventually stab the woman. Since then, her grades started slipping and she began missing classes. She reports not having interest in school any longer but wanted to graduate for her parents, knowing she is this close. “This is because I don’t get enough sleep,” Bae said, which is impacting her ability to wake up in time for school as well as concentrate. She struggles to get to sleep and wakes up often startled. She also reported being so tired during the day “it interfered with everything.” When Bae is at work, she cannot stop thinking about what happened and fears leaving at night to go home. The police have taken her statement several times, but she gets a lot of anxiety when needing to talk about the incident. She believes the police get angry with her because she cannot remember some factors about the incident. PAST PSYCHIATRIC HISTORY: Bae attended some group therapy sessions in college. She had some challenges living an American lifestyle with parents who want her to maintain the culture of the “old country.” SUBSTANCE USE HISTORY: Bae drinks on weekends with her college and “bar” friends. Bae reports beer bloats her, so she drinks vodka and cranberry juice mixed drinks. Bae denies a problem with alcohol. She stated she has trouble sleeping several nights a week without a drink now. PAST MEDICAL HISTORY: Bae reports normal childhood illnesses. She has not had any major illnesses. CURRENT FAMILY ISSUES AND DYNAMICS: Bae’s childhood was otherwise unremarkable. She reported that she has always worked hard at school and generally was an “A” student through high school. She ran track and was involved in many activities, socializing with boyfriends and her wide friendship circle. She reported no particular difficulties with her parents although since this incident Bae has been very irritable. Her mood varies over the week, and she admitted to chronic anxiety and some tendency to get into “arguments” with her friends, parents, and coworkers. MENTAL STATUS EXAM: Bae is a well-dressed young lady who looks her stated age. Her mood is depressed, and she lacks eye contact. Her affect is anxious. Motor activity is appropriate. Speech is clear. Thoughts are logical and organized although there seems some confusion at times. There is no evidence of delusions or hallucinations. On formal mental status examination, Janice is found to be oriented to three spheres. *** Optional Resources https://doi-org.ezp.waldenulibrary.org/10.1176/appi.books.9780890425596.VandZcodeshttps://doi-org.ezp.waldenulibrary.org/10.1016/j.psychres.2017.09.079http://www.insocialwork.org/episode.asp?ep=141

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