Diagnosing and Treatment Planning

1. This paper has two (2) sections.
2. It should be 6 pages in length with 20 recent references using APA 7th Edition.
3. Please follow the grading criteria as you work on the paper
4. Please read the client’s background. Then answer all questions.
Directions
Background on the client: An adult client presents the following?
• Frequent mood swings
• Episodic anxiety, anger, and dysphoria
• Periods of satisfaction, happiness and joy
• Difficulty with interpersonal relationships
• Periodic derealization disorientation, and confusion
• Feeling like an imposter in life
Known History:
• Parents divorced at age 7
• 1 biological sibling, 2 half-siblings
• Family history of alcoholism
• Paternal grandfather committed suicide before the client was born

Part One: Diagnosis
In consideration of the presenting client,
1. Discuss at least THREE differential diagnoses you might consider. Please use Borderline/ bipolar/ C-PTSD?
2. Using the DSM-5-TR and current, evidence-based research, justify your diagnostic impressions. Consider
1. what you see,
2. what you don’t see and
3. what information is needed to solidify a diagnosis.
3. Be sure to include the cognitive, social (including family), developmental, and biological aspects relevant to the client’s presentation.
4. For the three diagnoses you are considering, write a synthesized analysis of how you believe the diagnosis is plausible given the DSM-5-TR criteria. DO NOT list the criteria from the DSM-5-TR. Analyze/integrate it based on the criteria.
Part Two: Treatment
1. Develop a treatment plan for the presenting client in consideration of your diagnostic impressions.
2. Write a treatment plan for the client. Do not create a treatment plan for a diagnosis. (So please use the information about the client presenting concerns, I pasted it below, to write the treatment plan)
Frequent mood swings
o Episodic anxiety, anger, and dysphoria
o Periods of satisfaction, happiness and joy
o Difficulty with interpersonal relationships
o Periodic derealization disorientation, and confusion
o Feeling like an imposter in life
Known History:
o Parents divorced at age 7
o 1 biological sibling, 2 half-siblings
o Family history of alcoholism
o Paternal grandfather committed suicide before the client was born
3. Be sure to include two evidence-based treatment models (e.g., Analytical, Humanistic-Existential, Cognitive-Behavioral, etc.) that you believe to be a clinically proficient intervention for your client (not a diagnosis).
Please preface that most important treatment model is the therapeutic relationship (please cite research supporting the therapeutic relationship as being the most important factor when treating/working with clients).
After that discuss how EMDR and DBT can address the mood swings and history noted (be specific to this particular case presentation)
Finally, please make a small mention that CBT being helpful in addressing the mood swing and history.
4. Discuss what modality (in-person or virtual) you believe would best serve your client. Provide justification for your recommendation.
Please write that either modality could work with the above-mentioned symptomatology and treatment models, the important thing is developing the therapeutic relation first. Please cite research showing that virtual is as effective or in some cases better than in person. I would use whatever modality that is best for the client. Together we would decide.
Grading Criteria
1. Demonstrated an understanding of diagnostic formulation in adherence to the coding and classification of DSM-5-TR with an outstanding ability to demonstrate differential diagnosis skills. Discussed at least three differential diagnoses.
2. Clear indication of diagnostic process includes thorough discussion of information needed to determine if the diagnosis is warranted, including social, biological, cognitive and developmental factors and impairment to both the individual and the family.
3. Fully formulate an appropriate treatment plan based on presenting concerns and history and evidence-based treatment models (included at least two evidence-based treatment models).
4. Demonstrated the ability to address individual and family intervention relevant to the diagnosis, including impairment to treatment due to biopsychosocial functioning.
5. Recommendations and referrals align with theoretical orientation and diagnostic criteria.
6. Provided a thorough justification for the modality selected (in-person or virtual) to serve client.
7. All work was outstanding in 7th edition, APA style and written at the graduate level.
8. Demonstrated exemplary use and integration of required reading and current research and cited them using 7th ed APA formatting and included them in the reference list.
9. Minimal use of direct quotations was able to construct arguments and demonstrate critical thinking skills and originality of thought.
10. Demonstrated a concise, organized, well supported and professionally written assignment.