Review the media The Vignette of Richard. For this discussion, address the following:
1.Describe what somatic symptom diagnosis you would consider giving to Richard. If you need more information to be sure of a diagnostic choice, list the additional questions you would ask.
2.Describe some of the treatment goals you would have in working with this client.
3.Describe the personal reactions you might have when working with a client who presents with a combination of physical and psychological symptoms. Include a discussion of your own assumptions and beliefs about the relationship between mental disorders and medical conditions.
Support your ideas with references to the course texts, articles from this learning unit, articles from the Optional Readings for Principles of Psychopathology list, or articles from peer-reviewed journals.
Nolen-Hoeksema, S. (2011). Abnormal psychology (5th ed.). New York, NY: McGraw-Hill. ISBN: 9780073382784
1. Describe what somatic symptom diagnosis you would consider giving to Richard. If you need more information to be sure of a diagnostic choice, list the additional questions you would ask.
To recap the scenario in Richard's vignette, Richard is a 47-year-old man who presents in therapy with a variety of physical complaints that include: (a) joint pain, (b) weakness in his fingers, (c) dizziness, (d) constipation and (e) headaches. He has a medical diagnosis of ulcers, and a previous diagnosis of anemia However, there is no evidence of a general medical condition, or illness that would account for his symptoms over the years. It is reported that he does neither drinks, nor uses substances; and is currently taking any medications. Yet, Richard worries that he may have AIDS, hepatitis, or some other serious, Because of his anxiety and depression, he has become social isolation, and his condition has been complicated by his firing, and subsequent unemployment.
One common feature of Somatoform Disorder is the presence of physical symptoms that suggest a general medical condition; and are not fully explained by a medical condition, by the direct effects of a substance, or by another mental disorder. Symptoms must cause clinical distress or impairment in social, occupational, or other areas of functioning. However, to make a diagnosis for history more important information may be needed such as his medical and family history and background. For instance, you might ask: (1) How long has he had the symptoms, or (2) when did he first notice the symptoms. Other questions could include the status of his family life marital satisfaction (If married); experiences on the job, and medical information including (surgeries, illness, disease, etc.). Up to this point, besides his ulcer and past history of amnesia, no general medical condition has been noted for Richard. If he continues to complain of persistent pain further disrupting his life, psychological evaluations may be in order to determine if any psychological disorders exist. His family history could provide psychologists with other information that could have an impact on his condition such as environmental and personal lifestyle that could influence a diagnosis. Thus, given the information in the diagnosis, an initial diagnosis for Richard would suggest a condition ...
This solution discusses a specific case study associated with Somatoform Disorder