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Essay / Research Paper Abstract
A 6 page summary and analysis of a case scenario that involves making a psychiatric evaluation and diagnosis. The case scenario concerns an eleven-year-old girl, Shirley, who is the daughter of first-generation Chinese immigrants who was born in the United States. Shirley was referred to for psychiatric evaluation of her emotional status due to signs of depression and alopecia (hair loss). Bibliography lists 5 sources.
Page Count:
6 pages (~225 words per page)
File: D0_khalosh.rtf
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United States. Shirley was referred to for psychiatric evaluation of her emotional status due to signs of depression and alopecia (hair loss). Summarizing the significant facts of this case:
(1) Shirleys principal caregiver was her grandmother, with very limited interaction with her mother, due to her mothers work schedule; (2) her grandmother died when Shirley was four; (3) behavior
problems were noted immediately, such as problems with child care and refusal to attend pre-school; (3) Shirley showed increased anxiety after the birth of her brother; and (4) displays extreme
perfectionism and a compulsive desire for neatness that interferes with her life. She has trouble sleeping, has recently gained weight, is anxious and has hair loss, which manifests as a
prominent bald spot on the side of her head. Application of DSM-IV-TR diagnostic criteria The case scenario indicates that Shirleys evaluation results suggest Depressive-Anxious Syndrome. The Diagnostic and Statistical
Manual of Mental Disorders, fourth edition (text revised), which is known as the DSM-IV-TR, was conceptualized in terms of adult behavior; however, some criteria has been modified to reflect the
a "growing recognition that children experience depression differently" (Woolley and Curtis, 2007, p. 209). According to DSM-IV-TR criteria, dysthymia is a "form of chronic depression" that is characterized by
depressed mood and at least two of the following symptoms: "poor appetite or overeating, insomnia or hypersomnia, low energy or fatigue, low self-esteem, poor concentration or difficulty making decisions and
feelings of hopelessness" (Woolley and Curtis, 2007, p. 209). The DSM-IV-TR indicates that childrens behavior differs from adults in that their mood can be expressed as irritability. The case scenario
certainly supports the diagnosis that Shirley is a seriously depressed child, as she has exhibited all of these symptoms according to her own and her mothers report. However, it
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