What is Vignette II

This assignment focuses on vignette analysis and direct application of
course concepts to the persons and situations presented in the
vignette for each question. 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 situation presented below.
Cultural information is in both the course text and DSM 5. You may use
alternative cultural resources to enhance your work. Legal/Ethical
information is in Chapter 16 (Kring, et al 2014). You are also
encouraged to familiarize yourself with and apply the laws and ethics
of mental health professionals in your state or country.

Use the reading assignments thoroughly in an integrative discussion.
Remember to reference all work cited or quoted by the text author. You
should be doing this often in your responses

You are encouraged to use the DSM-5 Level I Assessment Measure(s) to
formulate your diagnosis:
http://www.psychiatry.org/practice/dsm/dsm5/online-assessment-measures#Level1

Please keep your responses focused on what is presented in the
vignette. Do not add information but use your creativity to support
what you see in the vignette as written. Avoid elaborations and
assumptions. This assignment MUST be typed, double-spaced, in APA
style, and must be written at graduate-level English.

Vignette Two

Frank is a 28 year old African-American man, accompanied by Sarah, his
24 year old wife of Asian descent. They have been married for 3 years
and have no children. Sarah tells you that Frank is not the man she
married. In the last year, she has come home from work and has found
Frank staring out the window with a terrified look on his face. “He’s
so out of it! I don’t know what’s wrong with him. He’s not the man I
married. This started when he lost his job. He’s always been a bit
eccentric, but I liked that about him. Now he seems lost in his own
world. I’ve found empty whiskey bottles around the house, but Frank
gets angry when I ask him about them.” Frank was raised in a
tumultuous home. His father was an alcoholic, his mother a quiet,
passive woman. Both of his brothers are recovering drug addicts. Frank
is hesitant to talk to you. He tells you that, “people are out to get
me and if I give you information, you will be in danger.” Sarah tells
you that this is not true, and starts to cry. “I can’t eat, don’t
sleep and I’ve been getting terrible migraines. I don’t know how much
longer I can take this.”

Consider Dissociative, Somatic, Psychotic and Substance Use Disorders
1. Taking into account the genetic, neurobiological,
sociocultural, familial and environmental factors of assessment and
diagnosis, what are your diagnostic thoughts for Frank? What about
Sarah? Use the DSM-5 criteria to formulate your diagnostic impressions
for Frank and Sarah, supporting what you see in the vignette that
supports your diagnostic impressions.

2. Using the psychotherapeutic and pharmacological interventions
discussed in the text, describe an initial treatment plan for Frank
and Sarah. Remember to treat the persons in the vignette, and not the
diagnosis. Also remember to consider culture and legal/ethical issues.