Review and respond to the posts of two peers. In each case, recommend how your peer can effectively use the NASW Standards for Social Work Case Management, Standard B: Interdisciplinary and Interorganizational Collaboration when working with the community medical facility’s multidisciplinary team.
#1 Reply with 125 words
In this week’s discussion post, I am challenged to research each diagnosis and identify the psychological histories that align to each disorder. Based on that, I would determine how this information could be utilized to form an intervention recommendation. Each of these case examples has an interplay based on gender, race and adverse childhood experiences which creates a psychological history which informs the practitioner. (Bruni, et al, 2018). Bruni, et al, 2018 state that “The main purpose of this study was to compare history of early childhood adversity in patients with different psychopathological profiles. The results confirm that specific environmental factors seem to be associated to major psychiatric disorders” Gender differences also play a part in emotional processing and coping. (Bruni, et al, 2018)
Psychotic disorders, such as schizophrenia, are characterized by disturbances in thinking (cognition), emotional responsiveness, and behavior and these behaviors affect social and occupational functioning. (APA, 2013) Bruni, et al, state, “Some forms of childhood adversities, such as the neglect of major needs, physical abuse and loneliness, appear to play a crucial role in SSD.” As a clinician, I would be looking for these adverse experiences shaped the individual and that their symptoms may be strength in a harsh environment as a child.
Borderline personality disorders involve difficulty regulating mood and emotions. (APA, 2013). The psychological history would involve abuse history and as a result the client has a fragile sense of themselves in relationship to others. Culture plays a role in diagnosis, specifically on the part of the clinician’s culture and that of the client. Jani, et al, 2016, recommend that using assessment tools such as the Five Factor Model, “rather than a criteria based evaluation method.” They state that “these layers to the pathophysiology and diagnostic process make it imperative for psychiatrists to develop cultural competence in addition to more inclusive domain-based diagnostic processes.” (Jani, et al, 2016) Sexuality in Native American cultures incorporates two sexual identities living in the same person, as a third gender. This is not considered mental illness and is culturally valued in Native American culture. (Ginicola, 2017)
Trichotillomani, is defined as an obsessive compulsive disorder. (APA, 2013) However, in the light of adverse childhood experiences as an African American man and culture in light of the significance of stigmatizing experiences of race, hair, and identity formation, this can be more complex than managing a emotional state. A culturally humble clinician will ask the client for cultural understandings of hair in their own culture. The individual may have experiences in childhood of having to appear or be perfect to others who see them as defective, such as in encounters with oppression and racism. (Neal-Barnett, et al, 2010)
#2 Reply with 125 words
According to Jauhar et al. (2022), schizophrenia is commonly regarded as being among the most incapacitating mental diseases. The diagnosis can have severe implications on a person’s life, including but not limited to social isolation, stigma, and lower chances of finding a spouse. Some examples of these impacts are included in the following paragraphs. There is a high mortality rate among those who get the condition and attempt to treat it. Schizophrenia is characterized by a wide range of symptoms, including delusions, hallucinations, a formal cognitive dysfunction, a lack of drive, diminished language output, and a flattening of affect. Reality distortion, which includes delusions and hallucinations, disorganization, which includes formal thought disorder, disorganized behavior, and the extremely uncommon symptom of inappropriate affect, and negative symptoms, also known as the so-called clinical poverty syndrome, are the three primary categories into which these symptoms fall.
A mental health condition known as borderline personality disorder, or BPD, is characterized by extreme anxiety about being alone, difficulty controlling one’s emotions, loneliness, a lack of close friendships, a lack of trust in others, a tendency toward acting on impulses, and a high tolerance for risk. Other symptoms include a high tolerance for risk and a propensity toward acting on impulses. People who suffer from borderline personality disorder frequently entertain thoughts of harming themselves or taking their own lives. The most prevalent kind of personality disorder is borderline personality disorder (BPD), which has a reported lifetime prevalence of around 1.7%. (Otto et. al, 2021). The core component of treatment for BPD is psychotherapy. Nevertheless, medication is occasionally an element of treatment, and it frequently is when a person with borderline personality disorder also battles with other conditions that co-occur (Hairston, 2022).
It has been a point of discussion in reviews and coordination with Kevin’s multidisciplinary team to investigate whether or whether Kevin’s habit of pulling out his hair is brought on by stress, or whether or if it is easier to control at times when he is distracted or relaxed (Neal-Barnett, et. al., 2010). Loss of hair due to hair-pulling can have a significant psychological impact, both in terms of triggering feelings of guilt about one’s appearance and one’s inability to stop, and in terms of shaping other aspects of one’s psychological history. These feelings can be triggered when one pulls at their hair, which can cause them to lose their hair. Because of this, it is possible for this to have an impact on a person’s perception of their own self-worth and to contribute to the development of additional depressive symptoms. This, in turn, can cause a person to withdraw from important aspects of their life, such as their personal relationships, social activities, and jobs (Thompson, et. al., 2022). People who suffer from trichotillomania (TTM) frequently also struggle with mental health issues including depression and anxiety, which may be linked to a less severe manifestation of TTM symptoms (Thompson, et. al., 2022).
