please help with this i am so confused. Clinical Scenario Directions: After read
ID: 3458439 • Letter: P
Question
please help with this i am so confused.
Clinical Scenario
Directions: After reading each of the two scenarios, complete a five-axis psychological diagnosis for each of the two scenarios. Place your answers in the space provided.
Diagnosis for Grace:
Axis I
Axis II
Axis III
Axis IV
Axis V
Scenario T-Grace Grace is a 33-year-old woman who runs her own business. Grace has had long standing difficulties with her mood. She often finds herself in an emotional state where she feels highly energized and enthusiastic and is able to get a great deal of work done. This usually lasts for about a week and is followed by a 'crash' where she feels listless and depressed and has a very hard time attending to her job. These episodes of feeling either energized or depressed have been something that Grace has experienced for much of her life. Lately, however, Grace has found that her unpredictable mood has started to interfere with both her work and her personal life. Grace began treatment following a significantly depressed episode where she felt particularly hopeless and even considered taking her own life Grace was diagnosed with Crohn's disease (a gastro-intestinal disease) when she was in her 20's. A specialized diet and other treatments have helped to curb the symptoms of this disease, but Grace has found that her unpredictable mood has caused these symptoms to flare up again Grace's father passed away about two months ago following a long illness. Grace has had a hard time coping with her father's death. She also recently learned that the property tax for her condominium is going to be considerably raised and she is not sure she will be able to keep up with her mortgage payments Important information for completing a diagnosis for Grace The DSM code for Bipolar I Disorder (single manic episode) is 296.0x The DSM code for Bipolar I Disorder (most recent episode mixed) is 296.40 The DSM code for Bipolar I Disorder (most recent episode manic) is 296.4x The DSM code for Bipolar I Disorder (most recent episode depressed) is 296.5x . The ICD-9 code for Crohn's Disease is 555.9 . The v-code for bereavement is V62.82 . The v-code for no diagnosis on Axis I is V71.09 . The v-code for no diagnosis on Axis II is also V71.09Explanation / Answer
Diagnostic Profile for Grace based on DSM -IV classification:
Axis I: bipolar mood disorder ( 299.5x)
Axis II : V71.09 ( the patient shows no history of any personality disorder or mental retardation)
Axis III: 555.9
The patient has a comorbid history of Crohn’s disease dating back to her early twenties. Her gastrointestinal symptoms have resurfaced due to her current bipolar episodes. She had undergone treatment for Chrone’s disease previously.
Axis IV: V62.82 ( the patient is bereaving the death of her father who was her primary support since two months)
Financial and housing problems due to unpaid mortgage taxes against her home
Axis V: the patient’s level of functioning appears to stand at 40 on the Global Assessment of Functioning. She experiences some impairment in reality testing and in several areas such as work, personal relations, judgment, thinking and mood.
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