Personality disorders can arise through trauma, and they often carry added stigma. In this Discussion, you analyze a case study focused on a personality disorder while also reflecting on how power, privilege, and stigma affect such diagnoses.
To prepare: Review “The Case of Cathy” and consider your differential diagnostic process for her. Be sure to consider any past diagnoses and what influence they might have on her current diagnosis and needs. Finally, return to the Week 1 Discussion topic of stigma and reflect on stigma related to personality disorders.
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Post a 300- to 500-word response in which you address the following: (Be detailed in response and diagnosis)
- Provide the full DSM-5 diagnosis. Remember, a full diagnosis should include the name of the disorder, ICD-10-CM code, specifiers, severity, and the Z codes (other conditions that may need clinical attention).
- Identity any close differentials and why they were eliminated. Concisely support your decisions with the case materials and readings.
- Explain how diagnosing a client with a personality disorder may affect their treatment.
- Analyze how power and privilege may influence who is labeled with a personality disorder and which types of personality disorders.
- Identify how trauma affects the case, either precipitating the diagnosis and/or resulting from related symptoms or treatment of diagnosis.
Morrison, J. (2014). Diagnosis made easier (2nd ed.). New York, NY: Guilford Press.
- Chapter 16, “Diagnosing Personality and Relationship Problems” (pp. 251–270)
American Psychiatric Association. (2013m). Personality disorders. In Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author. doi:10.1176/appi.books.9780890425596.dsm18
Cicchetti, D. (2014). Illustrative developmental psychopathology perspectives on precursors and pathways to personality disorder: Commentary on the special issue. Journal of Personality Disorders, 28(1), 172–179. doi:10.1521/pedi.2014.28.1.172
Ferguson, A. (2016). Borderline personality disorder and access to services: A crucial social justice issue. Australian Social Work, 69(2), 206–214. doi:10.1080/0312407X.2015.1054296
Laureate Education (Producer). (2018e). Psychopathology and diagnosis for social work practice podcast: Personality disorders [Audio podcast]. Baltimore, MD: Author.