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what is vingette 3 1

Total pages 5-6 plus title and reference Vignette Two Frank is a 28 year old African-American man, accompanied by Sarah, his 24 year old wife…

Total pages 5-6 plus title and reference
Vignette Two
Frank is a 28 year old African-American man, accompanied by Sarah, his 24 year old wife of Asian descent. They have been married for 3 years and have no children. Sarah tells you that Frank is not the man she married. In the last year, she has come home from work and has found Frank staring out the window with a terrified look on his face. “Heâ€s so out of it! I donâ€t know whatâ€s wrong with him. Heâ€s not the man I married. This started when he lost his job. Heâ€s always been a bit eccentric, but I liked that about him. Now he seems lost in his own world. Iâ€ve found empty whiskey bottles around the house, but Frank gets angry when I ask him about them.” Frank was raised in a tumultuous home. His father was an alcoholic, his mother a quiet, passive woman. Both of his brothers are recovering drug addicts. Frank is hesitant to talk to you. He tells you that, “people are out to get me and if I give you information, you will be in danger.” Sarah tells you that this is not true, and starts to cry. “I canâ€t eat, donâ€t sleep and Iâ€ve been getting terrible migraines. I donâ€t know how much longer I can take this.”
Consider Dissociative, Somatic, Psychotic and Substance Use Disorders 1. Taking into account the genetic, neurobiological, sociocultural, familial and environmental factors of assessment and diagnosis, what are your diagnostic thoughts for Frank? What about Sarah? Use the DSM-5 criteria to formulate your diagnostic impressions for Frank and Sarah, supporting what you see in the vignette that supports your diagnostic impressions.
2. Using the psychotherapeutic and pharmacological interventions discussed in the text, describe an initial treatment plan for Frank and Sarah. Remember to treat the persons in the vignette, and not the diagnosis. Also remember to consider culture and legal/ethical issues.
 
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