Mental Health Case Study Analysis: Kimi, Julio, and Reese Diagnosis

This case study analyzes three different patient cases – Kimi, Julio, and Reese – each presenting with distinct mental health concerns. Kimi's case focuses on binge eating disorder, detailing her symptoms of compulsive overeating and purging, the diagnostic process using DSM criteria and assessment tools like the SCOFF questionnaire, and recommended treatments involving cognitive behavioral therapy and medication. Julio's case centers on attention-deficit/hyperactivity disorder (ADHD), specifically the inattentive presentation. The analysis covers his symptoms of difficulty concentrating and organizing tasks, differential diagnosis, assessment using the ASRS-v1.1 checklist, and proposed treatments including cognitive behavioral therapy, life coaching, and medication. Finally, Reese's case examines adjustment disorder with anxiety, triggered by a stressful life event. The study explores her symptoms, differential diagnosis, assessment using the ADNM-6 and Level 1 Cross-Cutting Symptom Measure, and recommended treatments such as psychotherapy and pharmacological interventions. The study utilizes DSM and ICD codes for each diagnosis and provides insights into the complexities of mental health assessment and treatment planning.

Running head: MENTAL HEALTH 1
[Unit and Assignment Title]
[Learner Name]
[COURSE NUMBER – NAME]
[Date]
[Professor Name]

Running head: MENTAL HEALTH 2
Unit and Assignment Title
Presenting Concerns: Case of Kimi
An analysis of the case study suggests that Kimi presents symptoms related to unhealthy
eating patterns that are manifested by her behaviour of binge eating, followed by purging, by
vomiting. The most common symptoms that she exhibits include eating large amounts of food in
sohort time intervals, and her subsequent attempts to get rid of the consumed food. All
individuals suffer stress due to a multitude of different factors that heighten their mental anxiety
(Westerberg & Waitz, 2013). Stress faced by Kimi due to problems in her relationship with her
husband makes her act in a compulsive way and adapt poor eating habits. The symptoms fit with
the perspective of a mental health problem that focuses on rapid and out-of-control eating. It can
be categorized as a mental disorder due to the fact that it encompasses a plerhora of underlying
factors such as, genetics, neurochemical changes, low self-esteem, and lack of confidence
(Gianini, White & Masheb, 2013).
Differential Diagnosis: Case of Kimi
The DSM criteria for mental diagnosis was thoroughly viewed before diagnosing the her
symptoms as binge eating disorder. Intitally it was evaluated whether the symptoms occurred due
to direct impacts of any physiological condition or medical condition. This was followed by
categorizing it into psychotic disorder as it occurred due to general medical conditions, since it
was not induced due to action of psychoactive drugs. The DSM-5 criteira for eating disorders
were matched to her symptoms and evaluated (Hudson et al., 2012). Kimi showed similarities
with the DSM features related to recurrent binge eating episodes, marked distress, absence of
inappropriate compensatory behaviour, and eating alone whe feeling depressed and being guilty
afterwards. Presence of these critieria helped in differential diagnosis of disorders.

Running head: MENTAL HEALTH 3
Evaluation of Assessment Results: Case of Kimi
The SCOFF questionnaire will be used to assess the prevailing conditions. Questions
related to whether Kimi made herself sick while she felt uncomfortably full, if shew worried
about losing control over her eating will be asked. She will also be questioned if she had lost
more than 1 stone weight in the past three months (Solmi et al., 2015). Further questions related
to if she considers herself fat and what food items dominated her life will also be asked. An
analysis of the results and her reports will help in screening binge eating disorder. The DSM-5
Self-Rated Level 1 Cross-Cutting Symptom Measure—Adult will also be used for assessing the
symptoms presented by Kimi. It will facilitate in determining her mental health domain and
identify the probable prognosis and treatment of her condition (Clarke & Kuhl, 2014).
DSM and ICD Diagnosis: Case of Kimi
An analysis of the symptoms that are manifested by Kimi suggests that that she is
suffering from binge eating disorder. The ICD and DSM codes for binge eating disorder are
307.51 and F50.8 respectively. The diagnosis can be considered appropriate due to the fact that
this disorder is commonly characterized by compulsive overeating and consumption of abnormal
food proportions due to lack of control. The episodes are generally exhibited twice a week. A
discussion with Kimi provided the information that she regularly indulges in eating unhealthy
foods due to the stress and depression she faces, after her husband left her. The strong
psychological correlation of her depression with the eating habits and her dissatisfaction and low
self-esteem confirm the diagnosis.
Medication Referral/Consultation: Case of Kimi
Research evidences suggest that binge eating disorders should be managed by addressing
both physical and psychological sife effects. Dietary counseling and cognitive behavioural

Running head: MENTAL HEALTH 4
therapy will be most effective for treating this condition. More than 50% BED patients have
demonstrated complete remission from the abnormal eating on CBT administration. Further
benefits are also related to its success in addressing psychiatric cormorbidites and self-image
issues. In addition, antidepressants, anti-obestiy medicines and anticonvulsants can also be
administered. Use of SSRI such as, fluvoxamine or fluoxetine will reduce her weight and binge
eating symptoms. Anticonvulsants like zonisamide and topiramate will suppress appetite.
However major contradictions are related to the fact that these medications can lead to insomnia,
nausea, fatigue, tremor and weight gain, as well.
Presenting Concerns: Case of Julio
Most common symptoms that are manifested by Julio include difficulty in remembering
relevant information, problems in concentration on tasks, organizing events, and following
instructions. The symptoms are a combination of several persistent problems that are associated
with impulsive behaviour, without hyperactivity. The symptoms create significant impacts on the
person’s daily functioning and result in restlessness and impulsiveness. Poor skills in managing
work, problems in prioritizing, disorganisaiton and multitasking troubles fit with the perspective
that it shows devition from normal mental states and makes it difficult for a person to pay
sustained attention.
Differential Diagnosis: Case of Julio
The developmental trajectory and behavioural symptoms were reviewed for diagnosing
the mental condition. Julio was diagnosed on the basis of presence of some behaviours such as
not giving close attention to detailed information or making careless mistakes, trouble in keeping
attention on activities, not listening to people when being spoken directly and failing to follow

Running head: MENTAL HEALTH 5
appropriate instructions in the workplace (Willcutt, 2012). Similar reports were provided by
Julio, in addition to his difficulty in organizing activities and getting easily distracted. This
helped in differential diagnosis of attention-deficit/hyperactivity disorder, predominantly
inattentive presentation.
Evalaution of Assessment Results: Case of Julio
The Adult ADHD Self-Report Scale (ASRS-v1.1) Symptom Checklist will be used for
assessment of the mental conditions (Van de Glind et al., 2013). Questions related to the
frequency of events related to trouble in wrapping up fine details of a work, difficulties in
remembering obligations and appointments, squirming or fidgeting with the hands, making
careless mistakes, difficulty in keeping attention and distracted by noise or other things will be
asked (Barkley, 2012). Responses of the client will help in evaluating the prevailing mental
condition related to ADHD with predominance in inattentive symptoms. Owing to the fact that
adult ADHD symtoms can frequently overlap with a range of psychiatric comorbidities, this
screener will help in analyzing the results.
DSM and ICD Diagnosis: Case of Julio
The mental symptoms presented by Julio are diagnosed to be Attention deficit
hyperactivity disorder predominantly inattentive, commonly referred to as ADHD-PI. The ICD
and DSM codes for the condition are 314.00 and F90.0, respectively. Julio’s diagnosis can be
considered appropriate as his symptoms match the diagnostic criteria. He reports difficulty in
listening to his boss’s instructions during direct conversation. He also failed to provide close
attention to details that were told to him while organizing office events. Thus, responses and self-
reports that accurately matched the assessment tool questions and DSM-V critieria helps in
confirming the diagnosis.

Running head: MENTAL HEALTH 6
Medication Referral/Consultation: Case of Julio
Major treatment approaches should include cognitive behavioural therapy, life coaching,
job coaching and relaxation training. CBT will help in lowering rates of inattentive behaviour
and will also enhance self-esteem. Researche evidences suggest that relaxation training and job
coaching will helped in lowering levels of stress, anxiety, and improving on-the-job performance
(Antshel, Faraone & Gordon, 2012). Fast acting amphetamine mixed salts that trigger dopamine
release in synaptic cleft will act as potential medications for the condition. Fast acting
methylphenidate, a dopamine reuptake inhibitor can also be administered. However, the major
contradictions are related to restlessness, tremor, weakness, blurred vision and sleep problems
(Fredriksen et al., 2013).
Presenting Concerns: Case of Reese
Most common symptoms that are presented by Reese include excessive or abnormal
reactions to identifiable life stressors. Her symptoms occue when she failed tp adjust or was
unable to cope with major life events related to failure of her husband in meeting the pre-
wedding contract rules. This added stress to her life (Strain, 2015). It culminated into feeling of
hopelessness, anxiety, and miserability. The symptoms presented by Reese are also indicative of
situational depression. Other common signs and symptoms manifested in this case include,
worry, nervousness, crying spells, and sorrow. The symptoms fit within mental health due to the
fact that presence of psychological conditions result in inability of an individual to adjust to
particular events or conditions, which are not considered stressful by other people.
Differential Diagnosis: Case of Reese
Intitally it was evaluated whether the disorder occurred due to influence of medical or
physiological condition, followed by assessing the impacts of substance abuse or psychoactive

Running head: MENTAL HEALTH 7
drugs on the underlying conditions. It was difficult to diagnose the condition due to presence of
symptoms that overlap with other mental abnormalities. The DSM-V critieria for adjustment
disorders were evaluated by checking presence of behavioral or emotional symptoms in response
to identifiable stressors (failure of her husband to follow the rules and work appropriately
according to the contract). It was assessed whether the ongoing distress was not any form of
escalation of already exisiting mental conditions (Casey, 2014). Furthermore, the differential
diagnosis also included a verification that the disorder occurred firtst before presentation of
anxiety or depression.
Evalaution of Assessment Results: Case of Reese
A screeing scale for adjustment disorders: ADNM-6 will be used for the assessment.
Reese will be made to rethink about the stressful condition and its burden on her life (Bachem,
2016). She will also be asked to respond to questions on withdrawing from her friends, and
family, suppressing her feelings, lack of sleep, and apathy. The self-rated The DSM-5 Level 1
Cross-Cutting Symptom Measure will also be used to assess prevailing mental health domains
that exist in this psychiatric condition.
DSM and ICD Diagnosis: Case of Reese
Diagnosis of the condition suggests that Reese is suffering from Adjustment disorder,
With anxiety. The ICD and DSM codes for the same are 309.24 and F43.22, respectively.
Confirmation of positive diagnosis is established by the fact that Reese reports of condition and
situations that confirm her failure to adjust to or cope with her husband’s ways of conduct,
related to his incapability to earn the predecided amount of money or follow the rules of work for
each day (Boelen & Prigerson, 2012).
Medication Referral/Consultation: Case of Reese

Running head: MENTAL HEALTH 8
Psychotherapy is an effective treatment that can be administered upon Reese. It will bring
about behaviour changes and symptom relief. This treatment will allow Reese to put her rage or
distress into words rather than destructive actons (Deacon, 2013). Crisis intervention and
counseling her along with her husband will facilitate a better understanding of the preferences
and demands of each partner. Pharmacological interventions will include administration of
anxiolytics, benzodiazepines, alprazolam, and tianeptine. Their effectiveness in treating patients
with AD, in combination with anxiety have been proved by several research studies. However,
the major side effects will include diarrhea, dizziness, insomnia, dry mouth and drowsiness (Bet
et al., 2013).

Running head: MENTAL HEALTH 9
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