DSM-IV Diagnostics

Paper Summary:

In this paper, the writer looks at a Mexican American couple who visit a professional regarding the wife's recent suicide attempt. The writer notes that the wife is an attractive, meticulously dressed woman. The writer also points out that she mentions that she attempted to take her life as her only recourse to escape her husband's constant, verbally abusive demands that she lose weight. The writer explains that the husband comments that all he ever asked her when they got married was to stay thin and be faithful. He thinks that she purposely gained weight after their second child, just to spite him. This paper discusses the writer's diagnostic impressions of the wife. Further, the writer offers goals and treatment suggestions for both the wife and family. This paper includes approximately twenty pages of source copies.

From the Paper:

"It is important to discuss the symptomology behind each one of these Axis diagnoses, in order to better understand why it is believed that these are the issues and problems that the wife must deal with. The most significant of these, however, are the depression and the post traumatic stress disorder that the wife is dealing with, because these are the problems that must be addressed first and that appear to be the most serious where she is concerned. For the family, however, the Axis IV diagnosis of the wife must be addressed, because the wife is having problems with her social and family network due to the berating and verbal abuse that she is taking from her husband.
Post-traumatic stress disorder (PTSD) can usually be seen as a delayed reaction to some type of traumatic event that usually is psychological in nature. This type of trauma is outside of the normal human experience and can include some type of accident or natural disaster, psychological or physical abuse, terrorism, and war."

Sample of Sources Used:

• Niles, D.P. (1991). War trauma and post-traumatic stress disorder. American Family Physician, 44 (5):1663-1669.
• Moore M, Hofer S, McGee H, Ring L. (2005). Can the concepts of depression and quality of life be integrated using a time perspective? Health and Quality of Life Outcomes, 3(1):1
• U.S. Department of Health and Human Services. (1999). Mental health: A report of the Surgeon General. Rockville, MD: Author. Retrieved from http://www.surgeongeneral. gov/library/mentalhealth/chapter3/sec5.html

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