Week 2 Discussion

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Psychology

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Oct 30, 2023

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Week 2 Discussion 1 Making a Differential Diagnosis After reading the vignette, open the Decision Tree for Somatic Complaints or Illness or Appearance Anxiety in Chapter 3 of DSM-5 Handbook of Differential Diagnosis , which you can find in the Week 2: Making a Differential Diagnosis Links to an external site. reading list. Follow the steps of the decision tree to find your way to the diagnosis of Somatic Symptom Disorder. Utilize the option to "View Large" for each decision tree (ignore downloading the PowerPoint). Address the following using headings to match content in each bullet point: The decision tree is an approach that assists with the differential diagnosis and helps the therapist provide a final diagnosis without prematurely jumping to a conclusion. This tool is a twenty-nine symptom-oriented decision trees that provide detailed decision points to facilitate the process of generating the differential diagnosis based on the presenting symptoms and eliminate formulating premature conclusions ( American Psychiatric Association, 2014). What was most and least helpful about using the decision tree? T he helpful aspect of using the decision tree is that it is easy to follow step by step which leads you to a final conclusion or diagnosis that is supported by each branch (section of yes/no). Through the process of diagnosing a client you can always add more details based upon your observations or responses from the client. The limitation in using this approach is the amount of time required for test administration and interpretation. Select one of the assessments covered in the assigned reading by Hamilton and Carr (2016) and describe how it would provide additional information that would be relevant to understanding Richard from a systemic or cultural perspective. The Family Environment Scale (FES) would be an excellent assessment to use because it was created to assess the social environment of the family. The FES provides three perspectives of family member’s accounts of their family environment: real (how it is), ideal (how it would be in an ideal situation) and expected (how it is likely to be in future situations) (Hamilton & Carr, 2016). Richard still lives at home with his parents and this assessment can shed some lite on their family structure. There are three dimensions addressed in the FES; the first is about family relationships, and the level of commitment and support between family members. The second dimension is about personal growth like Richard’s level of self-sufficiency, intellectual, political, and cultural interests, and ethical and moral values. The third dimension looks at the organization and the structure of the family. Since each family is made up of different individuals in a different setting, the family environments can be culturally and socially different in many ways so accessing the family can help with providing Richard a proper diagnosis.

References Differential Diagnosis by the Trees. (2014). In First, DSM-5 handbook of differential diagnosis (pp. 17–156). American Psychiatric Association Hamilton, & Carr, A. (2016). Systematic review of self‐report family assessment measures. Family Process , 55 (1), 16–30. The family environment “involves the circumstances and social climate conditions within families . Since each family is made up of different individuals in a different setting, each family environment is unique. The environments can differ in many ways. differential diagnosis trees: or example, a biopsychosocial assessment will provide important information about several key areas in the client's personal history and current sociocultural context. Each decision tree starts with a particular presenting symptom and then provides decision points for determining which diagnosis may best account for it. For any given patient, several trees may (and often do) apply. In many instances, following the branches within the different pertinent decision trees will lead to the same diagnosis, suggesting that the presenting symptoms constitute a single syndrome. In other instances, more than one diagnosis may be indicated. References Differential Diagnosis by the Trees. (2014). In First, DSM-5 handbook of differential diagnosis (pp. 17–156). American Psychiatric Association

Hamilton, & Carr, A. (2016). Systematic review of self‐report family assessment measures. Family Process , 55 (1), 16–30. Nolen-Hoeksema, S. (2019). Abnormal Psychology (8th ed.). McGraw-Hill Higher Education (US). the model considers 6 dimensions of family functioning: problem solving, communication, roles, affective responsiveness, affective involvement, and behavior control. The McMaster Family Functioning Scale (MMFF) is a model of family functioning that assesses structural and organizational properties of the family group and the patterns of transactions among family members 1 . The model uses a questionnaire called the Family Assessment Device (FAD) that consists of seven scales that measure problem solving, communication, roles, affective responsiveness, affective involvement, behavior control, and general functioning 2 . The MMFF and the FAD are used to identify healthy and unhealthy families. Hello Michelle, I chose the Family Environment Scale (FES) but I can see how the use of the McMaster Family Functioning Scale (MMFF) could be used to assess how the Richards family plays a role in his life. This scale measures the problem solving, communication, roles, affective responsiveness, affective involvement, behavior control, and general functioning within the family (Epstein et al., 1980). When there is a disconnect with any of these characteristics it can lead to disfunction in the family. References Epstein, N. B., Bishop, D. S., & Levin, S. (1980). The McMaster Model of Family Functioning. Advances in Family Psychiatry, 2, 73–89.

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