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Assignment on Diagnosis PDF

Added on - 18 Nov 2021

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Name of the Student:
Name of the University:
Author note:
Diagnosis Assignment Two
Key Issues
1.Trauma associated feelings of guilt where Peter blames himself extensively for the
2.Frequent negative recollections and nightmares pertaining to the accident victim
3.Fear associated with the accident leading to illogical driving behaviors.
4.Exhibition of psychosomatic systems as a resultant of guilt such as clenching of hand grip
and sweating at excessive levels.
5.Occupational and martial conflicts with spouse
Rationale for order of prioritization
The feeling of extreme guilt, related to trauma lies at the heart of Peter’s mental illness,
since the emotion has resulted in the manifestation of traumatic thoughts, repentance and
nightmares of the expired accident victim. Further, trauma-related guilt and extreme phobia phas
been associated with exhibition of pathologically harmful behaviors aggravating to obsessive-
compulsive disorder (Hennig-Fast et al., 2015). Peter has been shown to exhibit irrational
behaviors in driving for fear and guilt of the past accident. The feeling has also resulted in
psychosomatic symptoms of sweating and tightening of hands in Peter along with interpersonal
conflict at home and at his workplace.
Important features and Reasons
The important issues here are Peter’s trauma-associated guilt, fear and irrational
behaviors which are resulting in his physiological symptoms, occupational and marital conflicts.
Treatment Outcomes
This will include aiding Peter in the self-monitoring and awareness of his feelings of guilt
associated with the accident, to reduce his symptoms by understanding that not every situation
will be under his control. The next outcome would aim at reducing Peter’s illogical behaviors
associated with guilt, such as undertaking new roads while travelling. Lastly, the psychologist
would aid Peter in gaining control of his feelings to prevent their interference in his marital and
work life and the resultant trauma-related conflict.
List of Key Issues of the Client
Peter may present the following list of issues, which may be slightly different than those
written by the psychologist. In accordance to this list, the psychologist will work collaboratively
with Peter for the formulation of his treatment plan:
1.Extreme guilt for causing the accident
2.Occurrences of nightmares of the victim
3.Conflicts with his employer at his workplace
4.Conflict with his wife at home
5.Occurrence of illogical driving behaviors
Additional Information
A biopsychosocial assessment can be performed by the psychologist in order to uncover
additional information about Peter’s biological and social factors which would lead to the
development of a case history which may provide details about the underlying reasons behind his
feelings of guilt (Kent, Rivers & Wrenn, 2015).
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