In this paper we shall discuss two (2) fictional clients and their symptoms, and attempt to diagnose the clients using the DSM-IV TR. We then shall discuss specific treatment strategies that are based on the four (4) approaches discussed during the Introduction to Psychology course and briefly discuss ethical obligations in regard to the client during their treatment.
Amanda is a 25 year old Caucasian female whom has a history of sexual abuse as a child and is in therapy to deal with emotional issues in regards to the abuse. She has been married for three (3) years and enjoys sexual activity with her husband. Her concern lies in the fact that although she is enjoying sexual intercourse and other sexual activities with her husband, she has noticed since becoming sexually active at age 17 that there have been reoccurring issues in regards to maintaining adequate lubrication. This has been frustrating for both Amanda and her husband and caused some strain on their marriage.
Regina is a 28 year old Caucasian female. She has been married for nine months to her husband, they have two children together and each have one child from a previous relationship. Regina and her husband are seeking family counseling in regards to issues pertaining on ways better integrate their blended family. During the initial intake Regina is forthcoming but her husband brings up her “immense need” to clean and maintain their home. He gives specifics to what he describes as a “compulsiveness”, after talking with Regina she explains she feels an overpowering need to clean and pick up after the children. She goes on to explain her mother was not one for keeping a tidy house and would be embarrassed that it was “ dirty “when friends would visit, she also states that she will not allow the children to have friends in the house as so that they cannot make a mess.
Amanda exhibits symptoms of suffering from the inability to maintain an adequate lubrication-swelling response associated with sexual activity. This can possibly be associated to the victimization and sexual abuse she received as a child. After receiving reports from her gynecologist, a thorough medical exam, a complete medical and psychological history, and lab work to rule out any medical conditions, Amanda’s symptoms could be diagnosed as Female Sexual Arousal Disorder (FSAD). Female Sexual Arousal Disorder (FSAD) is the “Inability to attain or maintain until completion of sexual activity adequate lubrication in response to sexual excitement. Must result in significant distress and not better accounted for by another disorder or the use of a substance” ("Female Sexual Arousal Disorder in Sexual Disorders and Dysfunctions at ALLPSYCH Online", n.d., p. xx-xx).
Regina is displaying signs of disruptive behavior that is affecting her and her family’s day to day functioning. She exhibits an irrational compulsion and urge to clean her home and maintain it. Regina displays persistent...