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DSM-5 diagnoses in descending order, from the dominant to the least dominant DSM-5 diagnoses in descending order, from the dominant to the least dominant DSM-5 diagnoses in descending order, from the dominant to the least dominant Paper Specifications: Topic 4 DQ 1: What are some of the difficulties in diagnosing someone with persistent depressive disorder or cyclothymic disorder as opposed to their more severe counterparts? Use examples to demonstrate. Topic 4 DQ 2: Read the case study of “Jack” from the Topic 4 materials and provide the appropriate DSM-5 diagnoses in descending order, from dominant to least dominant. Provide an explanation of the diagnostic criteria you found to be compelling for each diagnosis you assign, as found in the DSM-5 diagnostic criteria monograph for each disorder. The family physician refers Jack, a pleasant 67-year-old gentleman, and his wife Jill, age 63, to your outpatient counseling practice. Referral data identifies difficulties in coping with issues related to their stage of life. Jill and Jack are both retired. Jill worked as a schoolteacher for 35 years until she retired at the age of 60 to assist her husband Jack, who had bilateral knee replacement surgeries. Jack worked as an accountant for a local firm, and despite his desire to work well into his 60s, he retired because the recovery from his knee replacement surgeries proved to be more extensive than anticipated. During the first session, you notice that Jill does the majority of the talking, frequently responding to questions directed at Jack. The majority of Jack’s responses are brief, closed-ended remark or shrug, followed by charming smiles. It is clear that the couple has been together for a long time. Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: DSM-5 diagnoses in descending order, from the dominant to the least dominant PCN 605 Case Study of Jack, Topic 4 They had been struggling for some time with the abrupt shift in their roles from high-functioning professionals to caregivers for Jill and patients for Jack. You concentrate your assessment on Jack at this point and discover that there were noticeable changes in his mood as early as four years ago. Jill describes Jack’s mood as persistently grumpy about a year before his retirement, which was a significant change for him from the happy, energetic, optimistic person he had been most of his life. Jill feared that Jack was having difficulty coping with the prospect of retirement and tried to be supportive at the time. During that year, he lost about 10 pounds and was prescribed a sleeping aid to help him get his usual six hours of sleep per night. Jack, who was always active and an avid golfer, decided to take a medical leave of absence from work three years ago to get “new titanium knees.” His knees had deteriorated gradually over the previous ten years, and the impairment had become increasingly inconvenient. While the surgery went well, Jack’s recovery took longer than expected. Medically, he met all of the rehabilitative markers, but it took a lot of work. At the skilled nursing facility, it became clear that Jack’s schedule needed to be divided into small, manageable chunks. Normal tasks that take a longer time to complete. At this point, he began to forget, having difficulty recalling recent events or activities scheduled for his physical rehabilitation. This occurrence, which he described as having a “fuzzy head in the morning,” clearly irritated him. He attributed it to his pain relievers. To compensate, Jack began carrying a small notebook in his shirt’s front pocket. He jokingly called it his detective notebook. Jill noticed a subtle but consistent change in his overall attitude and personality during this time. Jack was becoming increasingly apathetic, displaying less affection and empathy for Jill and increasing frustration with himself and his caregivers when he couldn’t think of a word or had difficulty recalling a fact or situation. During a routine visit after his discharge from the skilled nursing facility, the family physician performed a mini mental status exam. Jack was frustrated at the time because he couldn’t recall the three random objects named by his doctor. Jill began to cry as she told the family doctor about her ordeal since Jack’s surgery and all the tasks she had to perform on his behalf (such as paying bills), tasks that he could no longer perform reliably. She expressed concern about how their lives would change now that he had returned home, raising concerns about her ability to take on all of the tasks that he had previously attended to. The couple’s distress was clinically significant enough to refer them to you. Order Now