Scenarios of Psychological Disorders

In this paper I will discuss three scenarios about individuals with psychological disorders. Each scenario is very unique and gives little details of what each person is experiencing. There is a seven year old girl who scored low on her IQ test that I will try to diagnosis successfully. Then there is albert who recently just went through a divorce who has different types of emotions. Lastly there is Gary a thirty year old male who loves to be the center of attention, but it now concerned about his fearing of getting older.

I believe that the seven year old child is showing signs of mild intellectual disability. Mild intellectual disability was once called mental retardation but there have been children who have beat the odds and became successful even with mild intellectual disability.

Albert is showing signs of adjustment disorder with depression present, after seeking help albert should be back to normal and he hopefully will not battle depression again.

Lastly Gary who is showing signs of narcissistic personality disorder. I believe once Gary gets down to the real psychological issue at hand, he will be able to be ok with getting older. I will explain how I came to the conclusion of their diagnosis and also explain what the diagnosis are. I will explain short term goals that the clients should try to reach within three to six months in their client treatment plan. I will also discuss long-term treatment plans for the clients to add to their lifestyle to help them manage their disorders and disabilities better.

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Lastly, I will explain my treatment approach for the client and hopefully it will be helpful in the future.

Final Paper Scenario 1

Scenario 1:Seven year old child is tested at school during a group IQ testing and is assessed to have an IQ of 67. She is having a hard time keeping up with her class is reading and arithmetic. She appears to be immature in her social development and needs support with daily living skills such as proper dressing and grooming. Mild Intellectual Disability At the age of seven, a child is normally in second grade. So they are able to form a more complex sentence, they can understand and follow a more detail set of directions. After reading this scenario about a seven year old child that is having a hard time keeping up with her class work in reading and mathematics. She also scored a sixty seven on her IQ test. I began to look for other signs of delays and deficits in behavior.

She showed immaturity in her social behavior and needs extra support with her day to day lifestyle routine. Children around the age of seven are becoming more independent and self-reliant. What I mean by my previous statement is children are learning to fix or cook themselves food and they are now starting to do chores and also starting to be able to communicate their feelings and need better. I’ve came to the conclusion that this child has Mild Intellectual Disability. You would like to know how I came to this conclusion well let me explain how I did. Mild intellectual is affects about one percent of the world’s population. There are different stages of intellectual disability which are severity, mild, moderate and profound. Typically when professionals are diagnosing a child with this disability, they are analyzing the intelligence functioning skills and adaptive skills.

This child has mild intellectual disability because she a delay in development and it affects every other part of her life including her social life. Mild intellectual disability is defined as impairment of cognitive skills, adaptive life skills and social skills according to educationcorner.com. People with mild intellectual disability tend to grasp new skills and concepts at a much slower pace than their counterparts. Children are observed by teachers and parents to see if children are having delays in certain areas such as adaptive behavior and they are tested intellectually. If the child does not meet the standards of what is considered normal, then they are labeled intellectually disabled. Since the child scored a sixty seven on the IQ tests it makes her fall into mild intellectual disability category.

She can read and write she just a hard time understanding what she is reading and writing. Most kids around seven with mild intellectual disability have cognitive impairments in the areas of reading, writing and mathematics. But this doesn’t mean that she will never be able to understand the information she just needs more attention with her class work. In the past mental health professionals used the term mental retardation when talking about intellectual disability. But over time experts defined intellectual disability as “significantly sub average general intellectual functioning, existing concurrently with deficits in adaptive behavior and manifested during the developmental period, that adversely affects child’s educational to healing place. The other diagnosis I considered was Specific Learning Disorder because it was stated that she had trouble keeping up with mathematic and reading. So I assume she must have a learning disability but her IQ score test was what help me come to the conclusion she has mild intellectual disability.

Short- terms goals I have for the client and the parents of the client is to go to the doctor to see if there are any other cognitive issues at hand, secondly work more with the child with mild intellectual disability at home to teach your child the work, and lastly make sure the school is equipped to teach your child properly with the disability. Three long- term goals stay active in your child’s educational journey, get outside help to teach your child how to successfully learn in school with their disability and lastly be patient it will get frustrating but stay positive. Three treatment approaches I have for the parents of the client and the client is to allow the child to watch YouTube videos to help with communication skills and social skills. Secondly allow the child to have integrated play groups to improve socialize skills with peers. Last short term goal is look for support groups for the parent because this can become challenging to experience, so you will need advice from individuals who have already experiences children with Mild intellectual disability.

Scenario 2

Scenario 2: The lawyer of a young man, Albert S., suggests that Albert see a therapist because he has been so depressed about his impending divorce. Albert says he has been feeling sad, lonely, and fatigued during the last month. You determine that Albert is not suffering from a severe mental disorder; and a physical exam indicates that Albert has no physical problems. Adjustment Disorder with depressed features Albert was recently divorced and is now seeing a therapist due to feeling sad, lonely, and fatigued during the last month. Divorce normally brings out different emotions including some of the ones Albert mentioned. But divorce alters your life and definitely is a big life adjustment change. According to DSM-5 adjustment disorder is defined as an abnormal and excessive reaction to an identifiable life stressor. Adjustment disorder can be linked to life alter events such as floods, divorce, new job and financial difficulties.

People who have adjustment disorder often experience some of these symptoms’ depression, anxiety and impaired social functioning. I came to the conclusion Albert is experiencing adjustment disorder with depressed features due to him stating he had been depressed due to him going through a divorce. Divorce is something that could have triggered Albert to feeling this way. Albert says he has been feeling sad, lonely, and fatigued but doesn’t have any severe mental disorder or physical pain. He is having withdrawals from something that he identified with. I honestly thing he was dealing with depression at first but after further research his symptoms and what he was dealing suited better with adjustment disorder. Three short term goals I have for albert is to continue to go therapy, find a hobby to bring him happiness and surround yourself with positive people. Three long term goals for Albert is to go to support groups for divorced people, figure out a healthier lifestyle habit and lastly go to the doctor for antidepressants medication if you continue to feel the way you feel.

The three approaches I would use for Albert in this situation is talk therapy, medication and lifestyle changes.

Scenario 3

Scenario 3: Gary, a 30 year old man, is known to be quite a ‘storyteller.’ He often brags about his accomplishments, both real and imagined. He passionately enjoys being the center of attention. Although he expects his circle of friends to be completely loyal, he lacks empathy and understanding in his relationships. Gary is preoccupied with his personal appearance and has a fear of growing old. Narcissistic Personality Disorder Gary love to be the center of attention and show a lack of empathy towards others around. Gary sounds like he might have narcissistic personality disorder. The reason why I believe this is because of all of the symptoms he shows.

Narcissistic personality disorder is defined as individuals who believe they are superior or specials often times enhancing their self-esteem but are very fragile underneath the surface. People with narcissistic personality disorder often show a sense of importance, show a lack of empathy, and are arrogance. Since Gary loves to brag about his accomplish this made this scenario easy to diagnosis. My boyfriend sounds a lot like Gary very arrogant, self-centered and always exaggerated his importance but is fragile as glass. Most men are diagnosed with narcissistic personality disorder. I honestly didn’t think of any other disorder that Gary may have because of the symptoms described.

Three short term goals for Gary to try to reach to look for a therapist ,write in a journal things about other people and work on loving yourself. Three long term goals are to find the root to the low esteem, attend group therapy so you can get a better sense of other feelings and lastly take medication. Three approaches I would use with Gary would be psychotherapy, medication and long term monitoring of behavior get Gary to journal his thought and deepest fears.