Diane The Diagnostic Formulation

Question: Explain the main initiatives that are taken as far descriptive assessments are concerned are psychological concepts and procedures which help in delineating the phenomena characteristics? Answer: Obsessivecompulsive disorder The application of research work in psychology to assess behavioural patterns revolves around descriptive assessments and assessments related to treatments of such disorders. The behavioural descriptive assessments have no immediate implications for treatment while the other has definite implications. The main initiatives that are taken as far descriptive assessments are concerned are psychological concepts and procedures which help in delineating the phenomena characteristics. Discriminations are the basis of understanding and identifying the differential diagnosis or may be the clinical entities which definitely implies for treatment and such discriminations do play a major role in clinical research (Murphy, 2015). Case study: Diane Children having the fear of falling into ditches or falling from high ground, or imaginative pain sequences usually involve the cognitive behavioural processes. Diane in this case has been suggested to undergo cognitive behavioural therapy. But we need to know what exactly we mean by cognitive behavioural therapy? Aaron Beck developed a psychological form in the 1960s which he termed as cognitive therapy. He devised a very short period structure where only the present oriented psychotherapy for patients who undergo depression bouts. These were directed for solving the current problems and also help in modifying dysfunctional or rather situations which are unhelpful and inaccurate thinking patterns and behaviour. Aaron Beck and many others have successfully used and adopted the cognitive behavioural therapy across a wide range of population having this disorder and problems and they got success. The cognitive therapy adaptations have helped in changing the focus, the techniques used for solving such issues, and also the overall length of the treatment but what remained same is the theoretical assumptions. From whatever form of cognitive behaviour therapy that are derived from Becks cognitive model the overall treatment are based particularly on cognitive formulations, the several beliefs that accompany these therapies and finally the behavioural strategies that usually characterize the specified disorder. The diagnostic formulation for such Obsessivecompulsive disorder Diane having multiple motor and other related restlessness, intrusive thought patterns, redoing work or repetitive behaviours and not able to remember anything suggestive of Obsessive compulsive disorder. The time spent on or basically the level of distress about such behaviours is not specified in history but at the same time Diane would have met the criterias for the full disorder or may be even sub threshold condition which are better known as youth with Tourettes disorder. Other forms of difficulty were not able to sleep at night weak in fine motor skills and coordination and the overall tendency to worry suggest the generalized anxiety disorder (Malik, 2008). Diane is also aware of the behaviour isues might have effected her concentration and somewhat withdrawn socially along with significant distress leading to conflict and distance between she and her relatives. Diane also showed adjustment disoder and depressed mood or basically mixed anxiety and these could be considered for differential disgnosis. Biopsychological perspective Dianes illness from biopsychological perspective has several biologica cntributors and its definite that her neurological development could have been affected due to some birth time distress. There is also a possibilty of family history with Tourettes disorder in either father side and or anxiety disorder may be on mothers side, most probably obssesive compulsive disorder. From epidemiological perspective Diane showed the disorder severity from a very early childhood and continued for 26 years also shows that she must have carried several other biological physical dificulties like asthma where she found difficulty in breathing and insomnia (Shugart, 2015). Dianes repetitive behaviour where she repeated the same act almost every night have every features that are characteristics of tics and clearly distinguish them from other types of abnormal behaviour. Tics are sudden often rapid and recurring which are non-rhythmic and stereotyped movements. These are often found to be purposeless which Diane used to carry out very often at night when she could not sleep. Many important factors from psychology could contribute to the cognitive formulation and despite being good at rest of things like child birth and general health she definitely suffered from social and emotional stress. As a child Diane must have showed Yale- Brown obsessive compulsive scale considered as clinical rated measure of obsessive compulsive symptoms. Treatment recommendation for Dianes son Diane has admitted that her elder son is suffering from obsessive compulsive disorder and as far the disorder and associated disorder are concerned that usually borderlines these the parental guidance and support is very much essential. She has to be aware of the kind of support she has to show to her son given the fact she herself went through these phases. Both she and her husband must be educated regarding the kind of nature of support, phenomenology (which is specific about obsessive compulsive disorder) along with comorbidity and expected course and outcome for the disease her son is going through. Diane should also be getting in touch with support and research group which helps in keeping the effected families informed of the developments in these fields. From the pharmacologic perspective the long term treatment might result in weight gain and other related side effects. These are not recommended for first line treatment method for people who have mild to moderate obsessive compulsive disorder. Primary adverse effect is sedation but those could be mitigated with low dose in the initial periods. Psychotherapeutic interventions could also be considered which include intervention for tic better known as habit reversal therapy. These are basically supported by a growing evidence base as having efficacy in treatment of tic disorder which is again related to OCD. Conclusion The review of Dianes cognitive therapy for anxiety, her state of panic and other related disorders clearly shows that the most suitable approach for such people suffering is cognitive behavioural therapy. Moreover, its evident that the need for research on cognitive therapy comes under the purview of addressing the learning shortcomings or disabilities and emotional stress that these people usually go through. The prescriptive pharmacological cure might be long due and the present day drugs are not going to help in getting a permanent solution to such disorders and hence only cognitive therapy is the way out. References Stein, D. J. (2002). Obsessive-compulsive disorder.The Lancet,360(9330), 397-405.Malik, T. (2008). Obsessive compulsive disorder.BRITISH ASIAN MEDICAL ASSOCIATION-BAMA (nd): n. pag. Obsessive Compulsive Disorder. 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