Week 4 | Psy 8148 | Northcentral University

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Case Study

Mike is a 20 year-old male who reports to you that he feels depressed and is experiencing a significant amount of stress about school, noting that he’ll “probably flunk out.” He spends much of his day in his dorm room playing video games and has a hard time identifying what, if anything, is enjoyable in a typical day. He goes back and forth between not sleeping for days to sleeping for multiple days at a time. He rarely attends class and has avoided reaching out to his professors to try to salvage his grades this semester. Mike has always been a self-described shy person and has had a very small and cohesive group of friends from elementary through high school. Notably, his level of stress significantly amplified when he began college. You learn that when meeting new people, he has a hard time concentrating on the interaction because he is busy worrying about what they will think of him – he assumes they will find him “dumb,” “boring,” or a “loser.” When he loses his concentration, he stutters, is at a loss for words, and starts to sweat, which only serves to make him feel more uneasy. After the interaction, he replays the conversation over and over again, focusing on the “stupid” things he said. Similarly, he has a long-standing history of being uncomfortable with authority figures and has had a hard time raising his hand in class and approaching teachers. Since starting college, he has been isolating more, turning down invitations from his roommate to go eat or hang out, ignoring his cell phone when it rings, and habitually skipping class. His concerns about how others view him are what drive him to engage in these avoidance behaviors. These avoidance behaviors are contributing to his depressed mood and overall apathy.  


Above is a case study of a 20-year old male. Write a 4-5 page paper addressing the following:

1. Provide the primary diagnostic impression based upon the DSM-5-TR. Include the full name of each diagnosis. Be sure to consider secondary disorders in addition to the primary disorder. Provide the following for all diagnoses:


a. List the symptoms based on the client’s report and link them directly to the DSM-5-TR criteria. Make sure you have linked every client symptom to every DSM-5-TR criteria you will use to support the diagnosis. 


b. Using empirical research, discuss the physical, emotional, social, and behavioral effects of the primary/secondary disorder(s).

2. List other DSM-5-TR conditions you considered and the process you went through to decide they were not the correct diagnosis. For example: “The client reported three symptoms of Major Depressive Disorder, but five symptoms are needed for this diagnosis, so the disorder was ruled out. 

3. Using empirical research, discuss what the most appropriate treatment would be based on the primary/secondary disorders.

Length: 4-5 pages, not including title and reference pages


References: Include a minimum of five scholarly resources.


Your primary diagnostic impression should demonstrate thoughtful consideration of the ideas and concepts presented in the course by providing new thoughts and insights relating directly to this topic. Your response should reflect scholarly writing and current APA standards. Be sure to adhere to National University’s Academic Integrity Policy. 


Upload your document, and then click the 
Submit to Dropbox button.


This assignment is worth 10 points and due Sunday at 11:59 P.M. AZ time.

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