Supplementary Assessment (Assessment 1) - Mental Health Status and Recovery

This document discusses the mental health status of a client in a case study and critically analyzes the factors contributing to their current mental health condition. It also explores the principles of respect, empowerment, and hope in the client's journey of recovery.

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Running Head: Supplementary assessment (Assessment 1)
401013 Spring 2018 – Supplementary assessment (Assessment 1)
Student’s Name:
University:

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Supplementary assessment (Assessment 1)
Table of Contents
Case study 2
Question 1 - 2
Solution: 2
Question 2 4
Solution: 4
Question 3 - 5
Solution: 5
References: 7

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Supplementary assessment (Assessment 1)
Case study
Peter is a 39 years old man who presented to the Accident and Emergency department for mental
health assessment. He was referred by his GP who visited Peter at home. His wife called the GP
as she was concerned about some of the things Peter has been saying over the past two weeks.
He commented that life was not worth living. He felt hopeless. He has lost 6 kilos in weight
during the last two months. Peter and his wife have a 4 months old daughter. He has been
working longer hours recently to sustain the family home since his wife has taken maternity
leave. They were expecting to have maternity pay but the government changed the regulations
six months ago and the family is no longer able to claim any maternity pay. Peter has felt
increasingly guilty in recent months. His wife had a very difficult labor, sustaining large blood
loss. Peter was informed at the time of delivery that his wife was in a critical condition. He was
in the room when the team was called to deliver the baby by emergency surgery. As a result of
the surgery and attempts to save her life and the life of the baby, his wife has substantial scarring.
Peter cannot get the images of his wife in the emergency situation out of his head. When you
chat with Peter, he reports initial insomnia, early morning wakening, he is hopeless and helpless
with thoughts of death and dying. He has ruminating thoughts of suicide but not disclosed a
method. He is worried about chatting to you in detail in case you inform his employer about his
current mental health status and it places his job as an accountant at risk.
Question 1 -
Using relevant literature critically discuss the mental health status of the client in the case
study.
Solution:
MSE also referred to as “Mental State Examination” is considered as an important and efficient
procedure used for assessment while practicing mental health. The process helps in observing
and describing the current situation of mental health in an individual effectively. MSE also
provides an understanding of the view point, mood and affect, verbal communication,
discernment and insight of an individual suffering from mental disorder (Larner, 2018). In the
present case scenario, it has been recognized by MSE that long working hours for the sustenance
of the family, inability to claim any maternity pay, risk to lose the current job and poor health
conditions have affected the mood and affect of Peter. Feeling of guilt, hopelessness and

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Supplementary assessment (Assessment 1)
helplessness, ruminating thoughts of suicide, minimum eye contact and limited affect have also
been recognised at the MSE session. Distress about his wife’s health status at the time of
delivery, long working hours as well as newborn baby have made Peter more anxious. Such
issues have caused stress affecting his physical condition. During MSE, symptoms such as
weight loss as well as waking up early in the morning have been identified. The poor physical
condition as well as mental stress have resulted in insomnia. MSE has also recommended that
there has been an occurrence of unexpected change in the thought process of Peter (Wiger &
Mooney, 2014). As per the case description of Peter, he has started to comment on his life to be
worthless due to his guilt and fear of losing his job. Such issues on the private and professional
life have resulted on his ruminating thoughts of suicide but haven’t disclosed any method
regarding it. Such mental health condition of Peter have suggested that these types of conditions
are responsible for him feeling hopeless and helpless.
DSM V also referred to as “Diagnostic and Statistical Manual” on mental disorder helps in
differentiating among various mental illness. The manual helps in providing a criterion for
diagnosis providing identification of the mental condition of an individual (Brown & Barlow,
2014). Peter has been found to be worried to speak in detail. In addition to that, feeling of guilt,
and avoiding eye contact and have suggested monotony in communication. Depression and
anxiety are found to be the consequences behind to the feelings of guilt and regret that were built
due to providing less time to the family and working long hours to sustain home. Such type of
conditions has created health problems in Peter such as insomnia and early wakening. However,
it has been found that his mental health status has affected his physical health. The Diagnostic
and Statistical Manual V have also recognized severe health condition of Peter’s wife at the time
of delivery to be one of the causes behind his mental stress and disorder (American Psychiatric
Association, 2013). Moreover, DSM V have also recognized stress and anxiety to be the major
factors leading to insomnia for Peter (Brown & Barlow, 2014). The ruminating suicidal thoughts
are recognized to be due to anxiety and stress. However, after considering all the factual details
recognized during the criteria of diagnosis of DSM V it can be rightly said that Peter has been
found to be an anxiety patient and have depression issues as well (Gerdner & Wickström, 2015).

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Supplementary assessment (Assessment 1)
Question 2
Critically discuss two (2) factors which have contributed to the development of the client’s
current mental health status.
Solution:
A standout amongst the best tools to recognize some effective factors which are in charge of the
mental disorder is a Stress vulnerability model. This model helps in the identification of the role
of stress in creating mental disorder in an individual. The Stress vulnerability model has
separated such types of potential factors into three such as protective, vulnerability and
environmental (Calvete, Orue and Hankin, 2014). In the following case of Peter, the use of this
model would help in recognizing the potential factors which have played a key role in creating
Peter's mental health condition. The model has recognized two vulnerability factors for Peter
such as work-related stress and having a new infant (Kumar et al., 2014).
It has been identified that occurrence of stress is due to the feeling of helplessness in an
individual to adapt up to their own idea amid the important time of his/her life (Martin, M. Blair,
Clark, Rock & Hunter, 2017). In the present case scenario of Peter, stress has added to his
serious mental health in a compelling way. Working long hours to sustain the family home has
been recognized as the major cause of his stress. Contrary to that, Peter's wife has been found to
suffer from very difficult labor, sustaining large blood loss and substantial scarring at the time of
the birth of their daughter. Amid such essential time, he was not able to give sufficient time and
care to his wife. Peter has been encountering guilt and blame because of such circumstances.
Together such circumstances have added to the stress development in Peter. The increased
feeling of anxiety has prompted the advancement of psychotic side effects inside the patient
(Chandorkar et al., 2015). Adjacent to mental wellness, the expanding stress has influenced the
physical condition of Peter as well. In this manner, he has been encountering the possibility of
suicide. Such a dimension of pressure and stress has made him miserable and helpless also.
The other capable factor which have contributed to the bad mental health condition of Peter is
having a new child. The episode of having new infant acquires sensational differences in the
parents life. It causes variations in the way of life, hobbies, self-sense, managing the time and
relations too. Such changes once in a while lead to the result of an anxiety issue (Ridley, 2015).
In Peter's condition it has been discovered that, in the wake of giving birth to the baby girl,
Peter's wife has experienced very difficult labor, sustaining large blood loss. In such condition
satisfactory consideration and backing from Peter is expectable. Be that as it may, due to the

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Supplementary assessment (Assessment 1)
surgery and attempts to save her life and the life of the baby, his wife has substantial scarring
Peter cannot get the images of his wife in the emergency situation out of his head. He has been
encountering guilt and blame. Such mental issues have influenced his temperament, in this
manner, limited effect, lack of eye to eye connection, and intentional discourse has been found.
Such circumstance has prompted extreme depression too. Hence, having a new child can be
reflected as a dependable factor for the advancement of mental illness and poor psychological
health of the patient.
Question 3 -
Respect, empowerment and hope are three (3) positive aspects of mental health recovery.
Using relevant literature and the case study, critically discuss how these three (3) principles
could positively contribute to the client’s journey of recovery.
Solution:
The study has revealed that practice-based on mental health recovery is a standout amongst the
best evidence-based practice that encourages the recuperation of the patient like Peter with a
mental health condition. The standards of recovery-based practice consist of individual
uniqueness, genuine decision, frames of mind and rights, pride and regard, organization and
correspondence and assessing recuperation. The one-dimensional technique of mental health
practice based on recovery revolves around trust, perceiving the quality and inadequacy of the
patient and individual autonomy. Along these lines’ recuperation, oriented practice gives a
deliberate and significant life through promoting the positive feeling of self (health.gov.au,
2018). Hence, for this situation using the standards of recovery arranged practice would
encourage the patient and cultivate the recovery in a viable way.
The expectation/hope is a potential component amongst the best components that might be
utilized to treat the mental health issue. Building trust in terms of well being of mental health
recovery urge the individuals to create an expectation that there is a possibility of their present
condition to be enhanced. Consequently, could motivate them in contributing towards their
recovery procedure successfully (Gavin, 2015). In this case of Peter, because of the circumstance
of life, depression and stress of long working hours he has turned out to be more depressive and
anxious. Familiarizing desire could help with diminishing the element of stress, distress and
tension. Promoting trust at the time of recovery method would help in improving the mental
health condition through expanding family support. Any craving for advancement in the job and

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Supplementary assessment (Assessment 1)
future would assist the individuals with participating viably in the session of treatments and
would help in promoting early recovery (Newman-Taylor et al., 2017).
Another component which is considered imperative is Respect that improves the individual’s
recovery who is suffering from poor mental health condition (Moran and Russo-Netzer, 2016).
In the present case of Peter, it was recognized that he has been encountering disappointing
thoughts at his job as well as in personal life. Hence, prompting respect at the time of recovery
procedure could assist the individual with managing his disease in a viable way. Respect in the
work front could improve capable aptitude diminishing the guilt. In addition, as far as the family
is considered he has made a commitment to spend time with his wife and daughter even in the
wake of working for extended periods of time, which could give help to get free from any regret
of not spending much time with family. Thus, the individual could set up his own objectives
along with treatment with respect he could accomplish fruitful health results (Milton & Mullan,
2014).
Finally, it is critical to present strengthening in the recovery of mental health sickness.
Strengthening should be executed in the individual dimension and in the public arena too.
Include in the self-choice, commitment in more extensive network, confidence and nobility are
the four imperative components of incorporating strengthening to recovery (Piat, Seida &
Sabetti, 2017). Empowerment might provide help to Peter in determining the issue of
hopelessness. Thus, empowerment could promote self-assurance. Empowerment in the control,
impact and dimension of decision over the occasions of life could assist the patient with
understanding the life and carry on with a significant life. Through strengthening the patient
could build up informal organizations, hence, could improve the social help. Thus, empowerment
could help Peter to recover from his mental issue (Gavin, 2015).

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Supplementary assessment (Assessment 1)
References:
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental
disorders (DSM-5®). Retrieved from
https://www.psychiatry.org/psychiatrists/practice/dsm
Brown, T., & Barlow, D. (2014). Anxiety and Related Disorders Interview Schedule for
DSM-5 (ADIS-5L)-Lifetime Version: Client Interview Schedule 5-Copy Set
(Treatments That Work). Retrieved from
https://www.nytimes.com/2019/03/07/us/politics/sherrod-brown-2020-president.html
Calvete, E., Orue, I., & Hankin, B. (2014). A Longitudinal Test of the Vulnerability-Stress
Model with Early Maladaptive Schemas for Depressive and Social Anxiety Symptoms
in Adolescents. Journal Of Psychopathology And Behavioral Assessment, 37(1), 85-99.
doi: 10.1007/s10862-014-9438-x
Chandorkar, P., Setiobudi, T., Cai, C., Zainuldin, R., Koh, A., Lee, C., & Tan, H. (2015). A
combined orthopedic and physiotherapy service for patients with spinal disorders: a
patient satisfaction outcome. Physiotherapy, 101, e211-e212. doi:
10.1016/j.physio.2015.03.378
health.gov.au. (2018). Department of Health | Principles of recovery oriented mental health
practice. Retrieved from
http://www.health.gov.au/internet/publications/publishing.nsf/Content/mental-pubs-i-
nongov-toc~mental-pubs-i-nongov-pri
Gavin, J. (2015). Implementing a recovery-oriented learning collaborative. Mental Health
Weekly, 25(16), 5-6. doi: 10.1002/mhw.30156
Gerdner, A., & Wickström, L. (2015). Reliability of ADDIS for diagnoses of substance use
disorders according to ICD-10, DSM-IV and DSM-5: test-retest and inter-item
consistency. Substance Abuse Treatment, Prevention, And Policy, 10(1). doi:
10.1186/s13011-015-0008-3
Kumar, S., Hultman, R., Hughes, D., Michel, N., Katz, B., & Dzirasa, K. (2014). Prefrontal
cortex reactivity underlies trait vulnerability to chronic social defeat stress. Nature
Communications, 5(1). doi: 10.1038/ncomms5537
Larner, A. (2018). Mini-Mental State Examination: diagnostic test accuracy study in
primary care referrals. Neurodegenerative Disease Management, 8(5), 301-305. doi:
10.2217/nmt-2018-0018

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Martin, K., M. Blair, S., Clark, G., Rock, A., & Hunter, K. (2017). Trait Mindfulness
Moderates the Relationship Between Early Maladaptive Schemas and Depressive
Symptoms. Mindfulness, 9(1), 140-150. doi: 10.1007/s12671-017-0753-7
Milton, A., & Mullan, B. (2014). Communication of a mental health diagnosis: a systematic
synthesis and narrative review. Journal Of Mental Health, 23(5), 261-270. doi:
10.3109/09638237.2014.951474
Newman-Taylor, K., Garner, C., Vernon-Wilson, E., Paas, K., Herbert, L., & Au-Yeung, S.
(2017). Psychometric evaluation of the hope, agency and opportunity (HAO); a brief
measure of mental health recovery. Journal Of Mental Health, 26(6), 562-568. doi:
10.1080/09638237.2017.1385746
Piat, M., Seida, K., & Sabetti, J. (2017). Understanding everyday life and mental health
recovery through CHIME. Mental Health And Social Inclusion, 21(5), 271-279. doi:
10.1108/mhsi-08-2017-0034
Ridley, S. (2015). A Question of Identity: Mirrors as a Tool for Self-Reflection. Journal Of
Creativity In Mental Health, 10(2), 130-148. doi: 10.1080/15401383.2014.980926
Wiger, D., & Mooney, N. (2014). Mental Status Exam-The Encyclopedia of Clinical
Psychology.