Factors surrounding presenting a problem in diagnosis



    • When
      assessing and diagnosing clients, it is important to consider factors
      surrounding the presenting problem. Please address anytwoof
      the following factors and explain your thought process: medical factors,
      individual factors, relationship factors, and cultural and/or religious



    • List
      the 2-3 diagnoses you considering at this point ().
      Provide your reasoning.



    • As
      therapists, its necessary to be aware of our own biases. Reflect on
      anyoneof the following: your comfort level with talking
      about sexual dysfunctions, what role you think sex plays in a partnership,
      and thoughts/feelings toward treatment planning for sexual issues.


Read the vignette in Lecture 6 and answer the
questions below.

for TD#1

Susan and John have been married for 3 years.
They seek couples therapy because they have problems in the bedroom. John
shared that Susan is never into sex. He complains that she has never had an
orgasm with him and that their sex life has gotten even worse recently, as she
displays less desire to have sex as well. When the therapist asked Susan about
her difficulty with orgasm she replied, I dont see the problem. I dont mind
not having orgasms and I dont understand why he cares so much. She also stated,
John constantly talks about how I havent climaxed and now I feel the
pressure to have an orgasm. Susan reported that this resulted in her feeling
less hopeful. Ive given up. Susan comes from a conservative Catholic family.
John was raised in a more liberal home. Susan does not practice her religion,
and has become more agnostic since meeting John. John also expressed that
before marriage, when they had sex, Susan seemed to experience more pleasure.
Susan agreed with John in this regard. John complained in the first meeting in
your office, To be honest, I dont know what happened. She was always very
passionate when we were dating, and now weve lost that passion.

TD #1 Sexual Dysfunctions

theDSM-5, read Sexual Dysfunctions, pages 423 – 450.

Psychiatric Association. (2013). Diagnostic and statistical manual of mental
disorders (5thed.). Arlington, VA: American Psychiatric


In your own words, explain the three clusters within the
Personality Disorders classification. What are their distinct qualities?

common for people with Personality Disorders to be known by the people around
them. Can you think of 1-2 famous individuals who might have a Personality
Disorder? Explain your reasoning, including signs and symptoms.

TD #2 Personality Disorders

in Action
, read Chapter 13, pages 467 – 498.


your DSM-5. First, choose one diagnosis that was not covered yet (refer to this
modules lecture for a complete list of disorders). Next, copy and paste the
following outline. Use it to create a summary sheet for your classmates. Please
select a different diagnosis that has not been completed yet. This way, the
class is exposed to a variety of diagnoses.


    • Classification
      (i.e. Feeding and Eating Disorders) 1 line


    • Diagnosis
      (code, name, severity, and specifiers) 1 line


    • Diagnostic
      Criteria (signs and symptoms, time frame) bullet/list format


    • Modality
      (i.e. individual therapy, couples therapy, family therapy, and/or group
      therapy) – bullet/list format


    • Research-based
      Therapeutic Model (i.e. CBT, , etc) 2-5 sentences


    • 1-2
      Interventions and which symptom(s) they address 3-6 sentences


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