Diagnosing Nima using the DSM5

– Comprehensive Case Analysis – Final Case (exam) Assignment
(100 points total – 35% of final grade)

• This assignment is to be completed without consultation/discussion with anyone else.
• You may only use the DSM-5 and course materials (including your notes).
• No cover page. Typed and professional with your name and date. You will not need any references or citations. Please include your name when saving your document “(Name final case.doc”). No PDFs.
• Copy the questions below into a separate document (do not write your responses here).

1. List at least 10 specific signs and symptoms (also identifying high risk issues) that you considered in formulating your diagnostic impression. Include timeline/duration of symptoms. To better account for symptoms, also include prominent symptoms/conditions NOT present (24 points).

2. Supporting your final diagnoses, write each DSM-5 criterion met and provide a specific example for each criterion of how it is met. (30 points)

3. Considering DSM-5 guidelines, briefly discuss how you eliminated three relevant differential diagnoses (choose 3 not listed in the criteria in question two). (12 points).

4. Write out the diagnosis with any applicable specifiers (10 points); provide the ICD-10-CM code (2 point); do not provide ICD-9-CM code (1 point); and do provide the level of severity with brief justification of the severity based on the DSM-5 recommended method or explain why there is no recommendation for severity level (3 points).

5. List at least 1 Z code (with the description/title) and briefly discuss the plausible relevance to the assessment or treatment plan. (2 points).

6. Briefly note at least four potential sociocultural issues that impact your assessment of this case. (8 points).

7. From a biopsychosocial perspective, considering DSM-5 guidelines, and the clinical presentation:
A. List BOTH key strengths and weaknesses pertaining to the client’s short-term prognosis (6 points).
B. Based on the above strengths and weaknesses, considering DSM-5 guidelines for the psychiatric disorders applicable to this case, choose one of these short-term prognostic descriptors:
POOR; POOR TO FAIR; FAIR; FAIR TO GOOD; or GOOD (2 points)