Case of Mary

Abstract

There are many obligations on a community counselor. A counselor must be rational and be without prejudice in assessing a case. Latest psychological diagnostic guidelines are used in the analysis of mental issues related to the case subject. A logical conclusion is achieved by suggesting proper mode of advice and future course of action. If right guidelines are followed, good results can be achieved by all local community center counselors.

Table of Contents

Abstract2

Introduction4

Discussion5

DSM-IV-TR5

DSM-IV-TR ANALYSIS6

Axis-I6

Axis-II7

Axis-III7

Axis-IV7

Axis-V8

Treatment Options8

Medical Examination8

Psychotherapy9

Medication9

Antipsychotics10

Life Style Adjustment10

Referral10

Legal Issues10

Ethical Issues11

Transference and Countertransference Issues12

Conclusion13

References14

Case of Mary

Introduction

In Mary's case, one has to assess and enhance the safety and care of the patient. The establishment of mental disorders is also important. Collaboration with the patient must be done to develop resources for a systematic treatment. Evaluation must be done on several grounds. We need to specify Mary's legal and ethical issues in relation to her mental disorders and pregnancy problems. A positive relationship with the client needs to be achieved for good resolution of issues. A continual reassessment is required due to the persistent nature of disorders of this particular subject (American Psychiatric Association 2006). The test case of Mary requires a thorough working of DSM-IV-TR analysis and diagnosis. This diagnosis will provide the reasoning needed to conclude a plan of treatment for the case. Referrals are then made based upon the review established during the diagnosis of the test case. This is a typical case of uncatered runaway youth. This outlines the problems faced by people living without a permanent pay. The case also shines light on the issue of problems faced by unrecognized prostitutes and the problems faced by having relationships with drug addicts. The test subject has arrived to a psychologist to take advice about a very serious situation. She thinks that she has got pregnant, and her boyfriend also wants her to have a baby if she wants. However, she is in a dilemma due to her drug addiction and source of work. There are many legal issues to be considered in this case. A prostitute without license having no health insurance will find it very hard to gain medical care. She is also a drug addict. She uses banned drugs which makes her a criminal under the law. She also admits that she uses medicinal drugs in case of not having her usual heroin. There are also ethical issues to be observed. It is very unethical to be living off prostitution with a partner who is not willing to work. The transference issue is also there as the case subject has never been to a counselor and is in an uncomfortable territory. She wants to be very open to the counselor to have a clear and objective advice on her current situation. The counselor must also keep in mind about the counter transference. The counselor must push aside his or her personal thoughts arising within the circumstances and provide a clear and open environment to the test case. This paper will reflect the test case of ...