Discussion 1: Mood Disorders and the Client
Although you may have experienced intense sadness or overt happiness within a given situation, chances are these emotions were not long-lasting. Research has shown diagnoses of mood disorders highlight two specific, factors: severity and consistency. Clients suffering from mood disorders may also present a variety of chronic, maladaptive thoughts, such as suicidal ideation, and behaviors, such as suicide attempts. Although suicidal ideation and suicide attempts may be associated with particular disorders, they are not specific to one disorder or another.
For this Discussion, you apply your knowledge of Axes I through III of the DSM-IV-TR to the client case study located in the Learning Resources. Think about your rationale for this diagnosis. Also, consider client risk factors for suicide.
With these thoughts in mind:
Axes I through III diagnosis of the client in the case study. Then explain your rationale for assigning these diagnoses on the basis of the DSM-IV-TR. Finally, explain whether this person is at risk for suicide and how you might assess them for suicide. Justify your response with client data and the current literature.
In reviewing the case study, client is in a crisis mood characterized by patterns of instability. Thus based on the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR [APA]. 2000), a preliminary diagnosis could be Borderline Personality Disorder (BPD). A person with BPD exhibits a shirt between neurosis and psychosis. Based on DSM-IV-TR criteria. "The essential feature of BPD is a pervasive pattern or instability of self-image, interrelationships and mood, fear of being alone, imagined abandonment, and impulsive behavior" (p. 710).
In addition, to provide a diagnosis, the person must meet at least five of 9 features characterizing the disorder: (1) frantic efforts to avoid real or imagined abandonment, (2) a pattern of unstable relationships characterized by alternating between extremes of idealization and devaluation (3) identity disturbance, markedly and persistent unstable self- ...
This solution discusses the lasting effects of mood disorders, and provides a Axis V diagnoses for a specific case study.