Bianca Fernandez Case Study

Bianca Fernandez is a client suffering from severe depression problems after a traumatic incident in her life. Bianca has a Bachelor’s Degree in Modern Art. She organizes sculpture expositions every year from, which she generates a decent income of approximately $110,000. She recently married her fiancé Carlos, who is thirty-five years old same as Bianca, who worked in Miami Beach as an architect. They were compatible in many things such as, dancing, reading and exploring nature, and they mutually agreed to have kids on their third wedding anniversary. The next day after a great exposition, they decided to go to a bar to celebrate. Bianca was a very attractive green eyes Brunette, with an extrovert personality.

Unfortunately, that same day of joy changed

her life drastically. As Bianca was walking into the bar with her husband, a middle-age indigent persistently asked her for money to buy food. Her husband offered the homeless food, but he insisted for cash. Her husband refused to give the homeless cash. The old man was immediately removed from the premises. However, he waited outside the bar for Bianca’s husband and killed him.

Consequently, Bianca’s personality changed, she became lonely, and she stopped sculpting, started to see hallucinations, could not sleep or eat and for two years believed that her husband was still living with her. Her mom alleged that Bianca as a child had an extraordinary imagination that she used to hallucinate being in magical places and bring them to life through art.

Based on the above, answer the following questions:
1.

What would be the most appropriate instrument in personality assessment for evaluating the primary presenting problem?
Based on the information compiled during the assessment and the symptoms shown, the visual hallucinations, the loss of appetite, insomnia, and the unsociable behaviors are indication that Bianca is suffering from Major Depression or Clinical Depression due to the loss of her husband (WebMD, 2016). The appropriate instrument to evaluate and complete a determination to start an intervention will be to use the Beck Depression Inventory, BDI-II.
2. Why is this the most appropriate instrument? (Be sure to include appropriate reference to source materials.)
The second edition of this measuring instrument includes other symptoms existing in patients with Depression. The BDI-II has 21 items to evaluate the acuteness of depression in individuals previously diagnosed and those with transitory emotional distress due to specific circumstances in their lives. (Pearson, 2016). On the other hand, the reliability of this instrument is .92 in comparison with the first edition with a Coefficient Alpha of .86 from a 500 sample (Pearson,

2016).
3. What are the limitations of what this instrument can tell us about the client?

4. What are the strengths regarding what this instrument can tell us about the client?
The strength of the usage of the BDI-II with Bianca will help us identify and estimate the frequency of the episodes exhibited by Bianca and to determine how to implement appropriately the intervention. Perhaps, Bianca will have to visit a psychiatrist who can prescribed antidepressants to accelerate the intervention process. On an important note, the BDI-II is a two-week assessment that can be administered in 5 minutes, which will benefit Bianca in getting the necessary support immediately.

Pearson. (2016) Beck Depression Disorder (BDI-II). Retrieved from http://www.pearsonclinical.com/psychology/products/100000159/beck-depression-inventoryii-bdi-ii.html?origsearchtext=100000159#tab-details
WebMD. (2016). Major Depression (Clinical Depression). Retrieved from http://www.webmd.com/depression/g