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Traumatic Brain Injury Diagnosis

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Confirming a Diagnosis in the Case "Hit on the Head With a Rake"
As explained in this week's Learning Resources, changes in cognition can be signs of a medical condition that affects the brain's functioning. However, cognitive deficits usually are accompanied by other problems such as depression or mood disorders. Looking for cognitive impairment in a client will help you avoid diagnostic errors that overlook serious conditions and mistake neurological for psychological symptoms. In this Application, you will justify a diagnosis of neurocognitive disorder and consider the role of counseling once that diagnosis has been made.
To prepare:

• Review this week's Learning Resources.
• Read the case study entitled "Hit on the Head with a Rake" in Chapter 14 of your course text.

With these thoughts in mind:

Post by Day 4 a brief summary of the case of "Hit on the Head with a Rake." Construct and explain your diagnosis. Provide specific supporting information from the DSM and include necessary specifiers. Be sure to include which disorders you would want to rule out before giving the diagnosis and explain why. Identify what information would be important to collect during the initial assessment process to give an accurate diagnosis and why.
Confirming a Diagnosis in the Case "Hit on the Head With a Rake"
As explained in this week's Learning Resources, changes in cognition can be signs of a medical condition that affects the brain's functioning. However, cognitive deficits usually are accompanied by other problems such as depression or mood disorders. Looking for cognitive impairment in a client will help you avoid diagnostic errors that overlook serious conditions and mistake neurological for psychological symptoms. In this Application, you will justify a diagnosis of neurocognitive disorder and consider the role of counseling once that diagnosis has been made.
To prepare:

• Review this week's Learning Resources.
• Read the case study entitled "Hit on the Head with a Rake" in Chapter 14 of your course text.

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Solution Summary

The solution provides information, assistance and advise in doing a diagnostic review of a potential TBI. Resources are listed for further explanation of the topic.

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Summary

A father reports on the massive change of behaviour and personality in his daughter that developed in the last 2 years. He reports that 2 years before, his daughter was a straight A student, and has been involved in a host of extracurricular activities in High School so that she was considered bright and full of potential being a high achiever. Fast forward to her senior year in High School and she is seen as part of a group of 'bad kids'. She can barely hold on to a C average and finds herself in positions and situations of trouble. She consumes in illegal substances like marijuana and abuses alcohol with her 'new friends'. Investigation found out that 2 years before the change in behaviour, she was hit by her brother with a rake to her head. While it appeared to not have been impactful initially, as she was only stunned but did not lose consciousness, her post-injury mental functions is a decline in comparison to her pre-injury state. After her rake head hit incident testing revealed that her concentration, attention, reasoning and memory became very poor. Unable to keep up cognitively and intellectually with the high-achieving kids, she sought those who were not interested in academics and thus, were not concerned with achievements and good grades. Having identified with them, she took on their behaviour and thus saw ...

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  • MA, Open University, Milton Keynes, UK
  • Certificate, Geva Ulpan (via Universita Tel Aviv)
  • BA, University of the Philippines
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