The application of Diagnostic and Statistical Manual of the American Psychiatric Association (DSM-IV) is described as the most appropriate and applicable model for her diagnosis. The treatment process which is guided by the designed treatment plan follows the diagnosis of Barbara’s condition. Detoxification process for the alcohol problem and the application of a dual treatment approach for psychotherapy and activities of a rehabilitative process are described within the treatment plan for her dual diagnosis condition. More importantly, the epidemiological considerations, social-cultural, legal and ethical factors are illustrated as mandatory factors to consider by clinicians in charge of care for the patient’s dual diagnosis disorder. Introduction Co-occurring disorders or dual diagnosis is a condition in psychology and psychiatry which describes a state where psychiatric disorder and a problem of substance abuse occur concurrently or at the same time (Sonneborn, Christina and Marc 42). Because dealing with both a psychiatric disorder and abuse and addiction to drugs is a challenge and troubling to patients, immediate diagnosis and treatment are necessary. The treatment of patients with a co-morbid condition is achieved by a critical and accurate assessment of the condition by a psychiatrist to allow for the use of the correct model of diagnosis and treating the patient. This paper presents a case of Barbara, a psychiatric patient who is faced with co-occurring disorders. According to the symptoms of the patient, as provided within the case, a differential of a drug problem and psychiatric disorder that occurs concurrently is reflective. However, an accurate diagnosis will be reached through a procedural process of assessment which will be followed by the treatment of the co-morbid condition. Therefore the paper includes an assessment process for Barbara, diagnosis, and assessment of her level of risk in addition to her treatment plan. Furthermore, the paper describes the epidemiological implications which are associated with treating the patient and the social-cultural and ethical considerations which the psychiatrist must put into consideration in her assessment, diagnosis, and treatment. Assessment of the Patient The assessment of the patent will involve a psychiatric evaluation by a psychiatrist. The goal of the assessment is to obtain a comprehensive history of the patient that will be used to diagnose the two conditions which characterize her co-morbid condition or dual diagnosis. In this regard, the psychiatrist will arrange for the session with the patient for the purpose of critically assessing her condition. Barbara has psychiatric conditions which have lasted for a long time. Therefore the history of the client will trace her condition to childhood and the experiences that she went through at home, school, and college and at the workplace. In the assessment of the client, her symptoms will be a point of focus. The assessment process will be carried out in a relaxed environment within the office of the psychiatrist. This will allow the patient to feel free to talk about her condition and experiences. The psychiatrist will encourage the patient to talk about her feelings and experiences since her childhood through an assurance that what she says will be confidential.
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This research paper "Co-Occurring Disorders and Treatment" presents a clinical assessment of Barbara’s dual diagnosis which is achieved through a thorough history taking process within the interviewing of the client in psychiatric sessions. …
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