“1. Using the competency based model, please offer your own comprehensive diagnostic assessment for the client in the case study. Include any behavioral, emotional, psychological, social and cognitive risk factors/symptomatology and duration. Also, include at protective/strength factors in the case study.
Based on the information, provide a comprehensive diagnosis and your rationale for this case study.
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QUESTION 1
Joshua (25) has been down for a couple of weeks. His wife – Anne suggested that he come to see you. You work in a local mental health clinic. Joshua points out that he has been so down that he does feel like getting out of bed and he has no energy. You ask him about work and he points out that he is a police officer and he has been on sick leave for the last week. Joshua has lost interest in most things including his wife. All he wants to do is to sleep and vegetate. He has lost weight (about 20 lbs) because he says that food tastes like metal. He also has great difficulty falling asleep and he wakes up most nights at 3AM and cannot fall back to sleep. Joshua is on permanent day shift. He feels like a loser and he hears a voice telling him to kill himself. Joshua is not currently suicidal. He does think of suicide often. Joshua has been depressed before. As a child he was depressed at least twice. He also had difficulty in school and he is having some present challenges. Joshua has a very hard time concentrating. He had this same difficulty in school. He acted out and fidgeted a lot as a child and his parents said that he was a bad kid. However, Joshua felt like he could not keep still. He still has challenges with staying on task and always being on the go. His wife complains that Joshua will not slow down. As a child – Joshua would run and jump about. As an adult – Joshua likes to engage in sports such as motor cross and wrestling. Generally, Joshua cannot slow down. However, with this recent depression; he stays in bed. Officers at work complain that Joshua talks too much. Joshua says that he is bored most of the time. He does not “suffer fools easily” and is quite sarcastic. He does not like to wait his turn and drives aggressively. He has taken the Sargent’s exam, but his memory is so bad that he can’t seem to pass it. Joshua also admits that he is afraid of certain bridges, such as the Bay Bridge. He works for a county on the western shore of Maryland and has no friends or family across the Bridge so that he does not travel to the Eastern Shore. He also does not have any dreams about the Bridge. In fact, he rarely thinks about it. His wife kids him about wanting to go to a restaurant on the Eastern Shore, but they have found a restaurant in Annapolis.
QUESTION 2
Using the competency based model, please offer your own comprehensive diagnostic assessment for the client in the case study. Include any behavioral, emotional, psychological, social and cognitive risk factors/symptomatology and duration. Also, include at protective/strength factors in the case study. (4 points)
QUESTION 3
Based on the information, provide a comprehensive diagnosis and your rationale for this case study. (3 points)
Sample Solution
