Working Primary Diagnosis:
1) What diagnosis is the primary diagnosis for Autumn considering the information you have gathered? Please list the criteria necessary for this diagnosis and include what criteria Autumn meets.
Differential Diagnosis:
2) What differential diagnosis should you consider when reviewing Autumn’s case? List at least two diagnosis that should be ruled out including all inclusionary and exclusionary criteria for these differentials.
Treatment Plan:
3) Would you plan to make any changes to Autumns treatment plan? Please explain what changes you would or would not make with supporting information.
Follow up:
-Follow up in 4-6 weeks or sooner if needed.
Clinical Pearls:
-Naltrexone is an opioid agonist medication that can be used off-label to help with self-injurious behaviors. There is limited research to support its use outside of case studies. However, since there are not any FDA-approved medications to reduce SIB, a trial of Naltrexone could be considered.
-Clinical practice guidelines for personality disorders can be found at: https://cpnp.org/faq/457958/treatment-guidelines-personality-disorders (Links to an external site.)
Test Questions:
4) Upon reviewing Autumn’s case, what would you consider the most significant symptom that identified her primary diagnosis? Explain your rationale associated with an external resource for support (this can be your DSM 5).
5) What are some important symptoms that should consistently be addressed with Autumn as you continue treatment with her? Provide supporting evidence as to why these symptoms are important to assess.
6) What educational information would you provide for Autumn before ending your interview today? (HINT- Think about her safety and what to do when she feels unsafe).
7) What rating scales would be helpful to evaluate the clients eating habits?
