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Prior to beginning work on this assignment, please read Chapter 1: Differential Diagnosis Step by Step in DSM-5: Handbook of Differential Diagnosis and review the same case study you used to write your Weeks One and Two discussion forums and Week Three Assignment.For this assignment, you will create a differential diagnosis for the patient in your chosen case. This assignment continues the work you started in the Weeks One and Two discussion forums and the Week Three assignment. Be sure to follow the instructions in Chapter 1: Differential Diagnosis Step by Step when creating your differential diagnosis. Your assignment must include the following:Recommend a diagnosis based on the patient’s symptoms, presenting problems, and history.Assess the validity of your diagnosis using a sociocultural perspective.Compare at least one evidence-based and one non-evidence-based treatment option for the diagnosis. Research a minimum of two peer-reviewed sources to support your choices.Propose and provide an explanation for a minimum of two historical perspectives and two theoretical orientations that are inappropriate alternates for the conceptualizations in this case.The Making a Differential Diagnosis assignmentMust be three to five double-spaced pages in length (not including title and references pages) and formatted according to APA style as outlined in the Ashford Writing Center (Links to an external site.).Must include a separate title page with the following:Title of paperStudent’s nameCourse name and numberInstructor’s nameDate submittedMust use at least two peer-reviewed sources in addition to the course text.Must document all sources in APA style as outlined in the Ashford Writing Center.Must include a separate references page that is formatted according to APA style as outlined in the Ashford Writing Center.Week one HomeworkReceptionist: Hello, thank you for calling The Vines Health Clinic. How may I help you?Julia: Hello, my name is Julia. I’m 19 and I was told that I needed to contact your offices for services. Apparently, my mother thinks that there is something wrong with me. Well, I won’t say just my mother, my roommate was the one who opened her big mouth to my mom. I don’t know why she couldn’t just mind her own business. She’s just mad because I haven’t been hanging out with her lately.Receptionist: Ok. Ok. You’re talking a little fast. Can you slow down so I can make sure I have all the information I need to help you?Julia: I don’t think there’s nothing wrong, I’m just trying to live my best life. Why is it that when I finally feel and look healthy everyone has something to say. Why can’t everyone just leave me alone?Julia crying: I was told that I was gaining weight and I should try a diet, so I did. I realized how easy it was for me to lose weight by exercising and sticking to a diet. I am down to a weight that I am happy with so I don’t really understand what the problem is. I realize when I came home for thanksgiving it took a while for my mom to get used to my weight loss but I think I look fantastic. Why can’t I do what I want to do, why is there someone always think and talking negatively?Receptionist: I understandJulia: Now I’m pissed because I have to talk to you. I’m sure you’re going to evaluate me and, let me guess, tell me what my problem is. I don’t need your help. I’m only here so I can keep my scholarship. So doc what do you think. Can you cure me? There is nothing you can do that I can’t do for myself.Receptionist: Julia I have a doctor available later this afternoon. Will 4:30 work for you?Julia: I guess how long will it take. What’s the doctor’s name?Receptionist: Dr. Browning. She is great. Make sure to bring your ID. I look forward to seeing you later this afternoon.Julia: OK Thanks. See you later.Week Two homeworkCase 18-JuliaMe: Hello, Julia my name is Dr. Browning. How are you doing?Julia: I’m ok… I guess just a little nervous.Me: It’s only natural to be a little nervous. That’s ok. I will be doing you intake.Julia: What do you do in an intake?Me: I will be asking a few questions to find out the best way we can help you.Julia: Ok but is this going to be confidential?Me: Of course. Anything that you tell me will be kept with in the wall of this room. Well, Let us get started then. How old are you?Julia: 19Me: Are you in college.Julia: Yes. I just finished my first year of college.Me: So why are you here today?Julia: Everyone things I have a problem because I have lost a little weight. My mom started panicking when she saw me and now the school say’s before I can run track again I had to come see you.Me: I thank you for sharing this with me. I can see that track is very important to you.Julia: I’m on scholarship for track. So yes I love track.Me. Oh Wow you must be good. Well, let’s see what we can do to keep you running.Three questions:Why do you think that your mom is so concerned with your well-being right now?Julia: I don’t know. It’s probably of her way of keeping control over me.I think it’s important to find out what the relationship is like between the mother and her daughter. It may be the root of some of her issues.Me: Have you ever known anyone with an eating disorder?Julia: Yes.I would ask this question because many time patients only think about the extreme when it comes to disorders. So knowing what it looks like may help.Me: What do you consider to be healthy?Julia: A skinny person who doesn’t eat a lot and has a lot of energy.Everyone’s perception on what healthy means can be different. To know how she defines healthy will help to determine the kind of help she will need.6 days agoREQUIREMENTS

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Psychiatric Diagnosis
Regina Rodriguez
PSY 645
Instructor: Yolanda Harper
June 29, 2019
The given diagnosis manual was chosen over the others because its content covered more
areas which needed a psychiatrist to address before coming with the best diagnosis. The
psychiatric diagnosis selected had followed most of the steps undertaken by health professionals
to come up with the most favorable diagnosis. The questions asked by Dr. Browning in the
diagnostic manual were in the right order and covered all the possible approaches which might
have caused the eating disorder of Julia. Some of the aspects in which the questions where based
is the age of Julia, her current environment, her mother’s thinking in relationship to Julia wellbeing, historical background of whether she has ever witnessed eating disorder in her family and
also her understanding of what it means to be healthy (Morin, Understanding How an Accurate
Diagnosis is Made, 2018). Additionally, the chosen diagnostic manual is useful in portraying an
excellent doctor-patient relationship because the receptionist and Dr. Browning they interacted
with Julia who is the patient in the best considerable way despite Julia’s poor communication
skills because of the bitterness she has.
There are different theoretical orientations which can be used to derive out the cause of
Julia’s eating disorder. Theoretical orientation is a platform that offers various ways of
identifying the possible causes of an individual’s health disorder and on how to solve the health
problem (Kolmes, 2009). Some therapies used in theoretical orientation are cognitive-behavioral
therapy, optimistic/humanistic therapy, gestalt therapy, and behavioral therapy, among others
(Beasley, 2018). From the chosen diagnostic, different symptoms have been evidenced, which
can be evaluated using theoretical orientation approach. Julia’s mother has been keeping track of
her daughter’s well-being and frequently sharing to Julia on the noticeable weight loss. Julia
quotes to Dr. browning; everyone thinks that she has a problem because she has lost a little of
her weight. From the above explanation of Julia’s behavior, the psychiatrist can apply behavioral
therapy to diagnose Julia eating disorder. Behavioral treatment focuses on the client’s present and
past behavior analytics and evaluates the cause of the health disorder based on the behavioral
results obtained (Cherry, 2019).
Family therapy is another type of theoretical orientation which can be used to evaluate
the cause of Julia eating disorder. Family therapy is used to solve health disorders caused as a
result of family issues, or a family transmitted health disorder (Staff, 2017). Family therapy also
helps in training the family of the patient to know how they can best relate with the patient to
avoid worsening of the condition. From the chosen diagnosis, Julia, who is the client, openly
displays the conflict which has been there between Julia and her mother about Julia’s subsequent
loss of weight. The conflict between Julia and her mother might be the cause of Julia’s eating
disorder. Therefore the psychiatrist can use family therapy to evaluate the cause of Julia’s eating
disorder. The psychiatrist can also use the person-centered therapy, which is a humanistic
approach which focuses on the individual’s potentials to self- actualization. Personal-centered
therapy also analyses the client’s thinking ability, empathy, and how an individual relates to the
environment to actualize his/her goals. From the chosen diagnosis, Julia is frustrated and worried
by the people’s concern about her loss of weight despite Julia’s thinking that a healthy person
should be skinny. Therefore the psychiatrist can use person-centered therapy to come up with the
best results about Julia’s eating disorder, which is the cause of Julia’s loss of weight. The chosen
diagnostic manual has widespread problems which need to be evaluated using the theoretical
orientation approach; therefore, it was the best to use because it illustrated most of the possible
therapies which can be used by a psychiatrist to assess given symptoms for better diagnosis.
Beasley, N. (2018, December 20). What Is Theoretical Orientation? Retrieved from BetterHelp:
Cherry, K. (2019, March 17). How Behavioral Therapy Is Used in Psychology. Retrieved from
the very well mind:
Kolmes, D. K. (2009, May 29). What’s a Theoretical Orientation? Retrieved from drkkolmes:
Morin, A. (2018, August 22). Understanding How an Accurate Diagnosis is Made. Retrieved
from the very well mind:
Staff, M. C. (2017, September 20). Family therapy. Retrieved from Mayo Clinic:

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