1. Formulate a Differential Diagnosis for Sara. What comorbid disorders might you see? Support your ideas by discussing what you see in the vignette utilizing your course readings thoroughly in your diagnostic formulation. What information would you look for to confirm your diagnostic impression and why?

1. Formulate a Differential Diagnosis for Sara. What comorbid disorders might you see? Support your ideas by discussing what you see in the vignette utilizing your course readings thoroughly in your diagnostic formulation. What information would you look for to confirm your diagnostic impression and why?

2. Choose two (2) theoretical models to explain to explain Sara’s clinical presentation and suggested treatment modalities. Support your ideas by discussing the models directly and specifically to Sara.

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Case

Sara is a 38 year old woman who was referred by her employer for mandatory counseling. She presents as markedly underweight, in baggy clothing. She tested positive for amphetamine on a recent random test at work and is on suspension. It is obvious that Sara does not want to be there, but knows she must cooperate to get her job back. Sara is currently taking anti-psychotic medication and mood stabilizers. When you ask her why, she tells you that “my shrink thinks I’m nuts. OK, I admit that sometimes I think the devil is telling me to kill myself, but I never do it. I just cut myself instead. Nothing serious, just a scratch here and there”. She admits that, “a couple of drinks or a line, calms the beast and the voices stop”. She also admits to loving excitement and risk taking. “I love it when my mind races and I just hop in the car and go. Messes with my job sometimes, but who cares”…,

All discussions must take into account the legal and ethical considerations, as well as issues of culture and human diversity that may pertain to the vignettes above. Legal and Ethical information is in Chapter 16 of the course text. Cultural information is covered throughout the course text and DSM 5. You may use alternative cultural resources to enhance your work.

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