ADSM-IV-TRY Сriteria Case study
Provide a multimedia diagnosis based on the ADSM-IV-TRY criteria for the case study presented below. Use the format that follows the case study and give a multimedia diagnosis. Give a brief explanation for your decision on the different axes in 1-3 sentences in the respective boxes. You must provide information for each of the five axes.
The diagnostic codes should be included with the diagnostic labels for Axis I and Axis II. Charlene (a pseudonym) is an African American female from an impoverished native family in New Orleans. At the age of 20, she was first admitted to the inpatient
Internal medicine unit off public hospital for evaluation of weight loss. She was 5’2″ in height and weighed 79 lbs (25 percent below her minimal body weight). Her past medical history was significant only for hyperthyroidism. Her medical workup was essentially within normal limits, including her thyroid function.
During the medical evaluation, it was discovered that the patient was not eating. She was forced fed by tube for the duration of her medical workup and then transferred to psychiatric services after 22 days. Her desire to lose weight was the most prominent feature of her initial psychiatric evaluation.
She felt fat, stating that her ideal weight was 95 lbs; she acknowledged, however, that she would likely want to lose additional weight after reaching that goal in order to feel satisfied’. She denied feeling hungry and denied any history of alcohol or drug abuse.
At the time of evaluation, there was no evidence of thought disorder except for the delusion that her sister, who had died two years previously of pneumonia and rehabilitations (likely secondary to alcohol dependence), was on a trip and would return. The patient appeared mildly depressed and anxious; her sleep, memory, and concentration were within normal omits.
There was no suicidal ideation and she denied any history of physical or sexual abuse. AXIS I Anorexia Nervous Disorder code 307. 1 Charlene IS diagnosed with a clinical disorder of Anorexia Nervous because she refuses to maintain a normal body weight.
The client controls her food intake as well stating she Nas fat, which are major indicator of Anorexia. AXIS II Personality Disorder NOSE code 301. 9 The Patient is diagnosed with personality disorder NOSE because the client doesn’t meet a specific criteria disorder but she does meet the criteria for the larger group.
AXIS Ill Physical Disorder Hyperthyroidism Charlene has a medical history of hyperthyroidism. She also suffers from depression Inch contributes to her physical disorder.
V Improvised Environment Due to Charlie’s improvised environment, her disorder maybe affected in a negative way. Subsequently, the patient’s upbringing and lack of resources to treat her disorder may weaken her conditions as well as he sister passing. AXIS V Global Assessment of Functioning (GAFF).
