Please read the following case study and answer the questions to the best of your ability.

Case 14.1: Intake for Hira

Hira called into the agency because she is not "feeling right." She sounds somewhat tearful as she describes an inability to sleep and a loss of weight over a 4-week period. She reports that she experienced a miscarriage four weeks ago and is not sure if she is dealing with a postpartum issue or grief over losing the baby. She is married and has been going out of her way to conceal her mood from her husband. He has begun to notice, however; this morning he asked if she was feeling well. Worried that she will be a burden to him, she decided to call the agency to get help, hoping she will be able to clear this up and feel better. Her mother is living in Saudi Arabia, and she has few friends in the United States. She has not told her closest friend how she is feeling because her husband and her friend's husband work together.

1. What would be a good chief complaint for Hira. What concerns has she presented during this call?

2. Why do you think Hira called today and not some other day?

3. What information did you choose to leave out of the chief complaint you wrote, and why?

4. How would you have addressed Hira's concerns if she was a walk-in at your agency?

Over the past decade, cases of substance related disorders have appeared more prevalent in society. From the mental health perspective, research has shown an increase in cases of substance related disorders, particularly with adolescents. This increase has prompted further investigation into adolescent risk and resilience factors, as well as accuracy in diagnosis and appropriate treatment plans. Yet, in cases of adolescent substance use, further investigation is still needed concerning notification rights of parents, legal authorities, and/or case workers.  

For this Application, review the client case study in the Learning Resources. Consider the characteristics of the client. Which specific characteristics might you consider important in developing a diagnosis? Consider your rationale for assigning particular diagnoses on the basis of the DSM. Also, think about what other information or people you may need to include in the assessment in order to make an accurate diagnosis.

The Assignment (3–4 pages)

A DSM diagnosis of the client in the case study

An explanation of your rationale for assigning the diagnosis on the basis of the DSM

An explanation of what other information you might need about the client to make an accurate diagnosis

A brief description of additional individuals you might include in your assessment and explain why

Substance Related and Addictive Disorders Program Transcript

FEMALE SPEAKER: He's-- he's always doing things on the computer. He talks on the telephone, texting. He never stops, not even to eat. He never eats much anymore.

MALE SPEAKER: Eat your veggies. Drink your milk. Eat your veggies. Drink your milk. Who needs to eat? Seen any good movies lately? I like horror movies, myself. Zombies, especially. The fast ones.

FEMALE SPEAKER: There's no alcohol or drugs in our house, none. We've never done that. We don't leave drink wine. That's why I wanted our minister to talk to him.

MALE SPEAKER: Talk about zombies.

FEMALE SPEAKER: He's the one who suggested that we come here and talk to because he was thinking that maybe something's going on.

MALE SPEAKER: Yuck! I hate booze. I don't do drugs, either. I say no every day.

FEMALE SPEAKER: Personally, I think it's the music he's listening to.

MALE SPEAKER: Oh, brother.

FEMALE SPEAKER: I mean, the screaming. It's so aggressive and angry.

MALE SPEAKER: Feels good.

FEMALE SPEAKER: Maybe you agree with your mom that you've been depressed and angry in the past, do you remember, maybe, why you felt that way?

MALE SPEAKER: Because I'm stupid.

FEMALE SPEAKER: You're not stupid, honey. See, he had to repeat the fifth grade, so he's a year behind all his friends at school.

MALE SPEAKER: They're not my friends. You hate my friends.

FEMALE SPEAKER: I don't hate them. It's just I don't think you should be hanging around boys who are that much older than you.

Peter Sanders, a member of the Board of Directors of Wheat Growers Corporation (WGC), was getting his shoes shined on his lunch break and reading the daily newspaper. Two men sitting to his right were discussing a business deal. At one point one of the men told the other, "I think this year's corn supply is going to be very small due to the cold winter we just had. Plus, I know some other info that no one else knows. If I were you, I would buy as many shares of Corn Supply of America (CSA) as I could get." The other man replied, "Thanks for the tip. I'll go and do just that." At that time, both men left the area. Peter heard all their statements. After getting his shoes shined, Peter left to return to work at WGC.

In the afternoon, he got a phone call from a manager at Butter Is Good (BIG), a company that makes and sells butter. The BIG manager wanted to order 800 bushels of wheat at $2 per bushel. The manager asked Peter, "Does that sound good to you?" Peters responded, "Most likely. Write a check and then send it to me." The BIG Manager agreed and hung up the phone.

Before leaving work that day, Peter went online and bought 2,000 shares of CSA stock at $10 per share through his stockbroker. The next day, the shares went up to $15 per share in the morning. The same day, in the afternoon, WGC and CSA announced a joint venture and business deal to supply each other with all necessary wheat and corn. None of the information about the joint venture or deal was public knowledge. Both companies had been discussing this joint venture and deal for more than three months. The Board of Directors of WGC had approved the deal two months prior to the announcement. At the end of the day, the shares of CSA were selling at $30 per share.

1. Do BIG and WGC have a contract for the bushels of wheat? Why or why not? Analyze all issues.
2. Is Peter liable for any criminal activity because he bought 2,000 shares of CSA stock? Why or why not? Analyze all issues.
3. Is Peter liable to his company, WGC, in any capacity? Why or why not? Analyze all issues.
4. Suppose Peter is charged with a crime in federal court. At his arraignment the judge sets his bail at $100 million, orders a jury trial, and does not allow Peter to retain an attorney in any future court proceeding. What can Peter argue to the court? Discuss all relevant issues.

. Mill explains that there are different forms of pleasure, and that a properly formulated utilitarianism accounts for the value of more than one kind of pleasure. Explain what we called the “swine objection” and the problem it charges utilitarianism with having. Next, carefully explain how Mill responds to this objection, including (but not limited to) what kinds of pleasures he thinks we value to a greater degree, why we do so, and how we can determine which pleasures those are.

In your (supported) opinion, what, if any, is the difference between "police community programs" and community policing?

How does the cognitive process of thinking affect our daily lives?

The increased use of teams in today’s organizations necessitates having leaders who are knowledgeable of various group and team dynamics and strategies. Discuss recommendations for battling the occurrence of groupthink.

Real life application: What are your personal experiences in making decisions in highly cohesive groups? Have you ever experienced groupthink? How would you address groupthink in your organization?

How does the stigma associated with labelling impact issues related to self-fulfilling prophecies (inevitable deviant behavior was expected) and the amplification of offending (engaging in more and or worse deviancy) for youth in society?

Mothers Against Drunk Driving (MADD) is the nation's largest non-profit working to protect families from drunk driving, drugged driving, and underage drinking. Briefly summarize why MADD was established and their mission. Also, visit madd.org and identify a component of MADD that you would like to include in your social media campaign.

1. Why has Schizophrenia been described as the ultimate psychological breakdown?  What happens for the individual that makes it hard to lead their lives?
2. You have a client who is depressed (Major Depressive Disorder).  First name, then discuss THREE treatment goals for working with this client.  CLUE:  What needs to change?
3. Anxiety, Depressive and Adjustment Disorders are diagnosed in out-patient clinical populations more frequently than other disorders.  Why?