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Mental status examination quiz
Mental status examination quiz
Components of the mental status examination
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I like you emphasized that the Mental Status Examination (MSE) is a tool to be used as a guide. I agree with your statement that in the end it is all about the counselor and how they weigh all the data by using their instinct, experience, and intuition. The final process in determining a diagnosis is difficult to filter our biases from impacting how we weigh the data. Do you think counselor should write pre-notes to use as a discussion prompts? I did consider using the pre-treatment form as a tool to assess their physical image with what was written. In session observation are just as critical as the discussion content in building an accurate client assessment. The systematic behavioral, cognitive, and audio observation of characteristics
I have not worked with clients in a formal counseling setting. However, I know the importance of clients taking assessments to gain a better understanding. For example, if the client is having difficulty selecting a career, I would have the client take a career assessment to determine client strengths. Then, the client can use the evaluation to research jobs that would allow the client to use their strengths.
First of all, this case is associated with biopsychosocial approach which recognizes that, it is the approach that considers human behavior to be the result of interactions of integrated biological, psychological, and social systems. This approach helps us to recognize the ways in which women’s biology, psychology, and their social world intertwine within each other affect their reactions to alcohol and alcohol interventions. In order to explain some of the concepts and theories, we must first sort through the facts that have been presented in the case study. This particular case is concerned with developing a better understanding of the relationship between Casey, and alcoholism.
First of all, through this assignment, I have learned that a theory is an interrelated set of concepts and propositions, organized into deductive systems that explain relationships among different aspects. It is an overall explanation of the person in environment configuration, and helps explain why a problem is occurring. It will also provide a social worker with a set of ideas that will help the social worker get a better understanding of the problem. In addition, there are many different theories, and perspectives that are used in the social work field to empower people and to promote a positive society for all. This particular case is associated with bio-psychosocial approach
Hood, A.B., & Johnson, R.W. (2007). Assessment in Counseling: A guide to the use of psychological assessment procedures (4th ed.). Alexandria, VA: American Counseling Association.
Case conceptualization explains the nature of a client’s problem and how they develop such problem ( Hersen, & Porzelius, p.3, 2002) In counseling, assessment is viewed as a systematic gathering of information to address a client’s presenting concerns effectively. The assessment practice provides diagnostic formulation and counseling plans, and aids to identify assets that could help the client cope better with concern that they are current. Assessment is present as a guide for treatment and support in the “evaluation process. Although many methods can be employed to promote a thorough assessment, no one method should be used by itself” (Erford, 2010, p.269-270). Eventually, it is the counselor's job to gain adequate information concerning the client and the client's presenting concerns to establish an effective treatment strategy. Using a combination of assessment techniques increases the likelihood of positive interventions and promotes successful treatment (Erford, 2010, p.271). A case conceptualization reflects how the professional counselor understands the nature of the presenting problems and includes a diagnostic formulation. Case conceptualization organizes assessment data into meaningful outline, applying research, and theory to make sense of client’s current problem.
Even though conceptualization may develop along the time, the lack of a firm formulation from the first session is often a factor for delayed results (Curwen, Ruddell, and Palmer, 2000). As perceived on the video, using the Five Areas Model the therapist offers a useful way of accounting for the maintenance of the client’s anxiety (Williams and Garland, 2002). A discussion of the formulation with the client should had occurred more elaborately, as this is a very important step to promote the client in engaging in the therapeutic process (Dobson and Dobson, 2009). At the end of the video session, the therapist gives a summary of the problem currently being experienced using the Five Areas Model (Williams and Garland, 2002), however, this could have been done with more detail. As a formulation is hypothetical and based on a theory, the therapist should have asked for the client’s feedback on the formulation (Butler, Fennell, and Hackmann, 2008). In the first session, the therapist should have educated the client about her diagnosis, explaining the cognitive model. As viewed on the assessment session video, the therapist elicits expectation of the treatment and most important, instils hope by setting specific goals with the client on the first session (Primary Psychiatry,
...sts continue their path of over-diagnosing patients, the lack of reliability in psychiatrist will be the issue to follow. The overlapping features BD shares with other mental illnesses, contributes to the diagnostic errors. A universal assessment technique would reduce the issue by having a broad view of BD features. Regardless of what your take in on the issue it is evident that over- diagnosing is a problem and it must be addressed for the well being of the general public.
Corcoran, J., & Walsh, J. (2008). Mental health in social work: a casebook on diagnosis and strengths-based assessment. Boston, MA: Pearson/Allyn and Bacon.
Kendell, R. and Jablensky, A. (2003), Distinguishing between the validity and utility of psychiatric diagnoses, American Journal of Psychiatry, Vol. 160, No. 1, pp. 4-12.
The assessment will include to seeing how each family member expresses their thoughts to each other. “Based on information provided by the clients, a therapist can select an unresolved issue in the family and ask them to spend ten minutes or so discuss it while the therapist observes or perhaps videotape” (Nichols, 2013, p. 198). For example, Mary talks about how she wants to share the chore with Gladys.
Simpson, C. (2007) ‘Mental Health part3: Assessment and Treatment of Depression’ British Journal of Healthcare assistants. pp 167-171.
...counselor want to make sure that the counselor provides the best services possible. The retrieval of new information is valuable when trying to make a diagnosis. For a clinical and therapeutic plan to be developing the biographical information that the client provided, direct therapist observations, and data from specific psychological tests is what help to determine the treatment plan.
When it comes to mental health and diagnosing there is many challenges that a therapist or clinician could encounter. In any professional occupation one has to consider all of the ethical principles put in place as well as the legal laws; if one is incompliant to these ethical guidelines in a mental health field, in varying circumstances, failure to comply with these codes could involve legal issues which could even result in lose of licensure. Common ethical issues involved in the mental health field could include: misdiagnosis or missed diagnosis, legal incompetence, and health care fraud (misdiagnosis for insurance reimbursement).
Assess client’s current mental status and LOC. Rationale: determine a baseline as well as the client’s current state of mind.
Assessment is used as a basis of identifying problems, planning interventions, evaluating and diagnosing clients. Assessment involves identifying statements; actions and procedures to help individuals, groups, couples and families make progress in the counseling environment. Although counselors have the opportunity to limit their scope of practice with respect to modalities, theories, and types of clients, a counselor cannot function without an understanding of the processes and procedures of assessment in counseling. Formal and informal help counselors more accurately assess client issues, create case conceptualizations and select effective empirically proven therapies. The focus of assessments is on gathering information. Thus testing is a way in which counselors construct a measure of psychology through instruments or specified procedures to obtain valid and reliable methods in assessing a client. Counselor uses established scientific procedures, relevant standards and current professional knowledge