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    Use DSM 5 manual
    Below are your firstcase you will be discussing. Make sure you provide a full diagnosis including any specifiers that may be relevant. I will be monitoring your work carefully for this first group of cases.
    The Case of Aleta Austin
    Aleta Austin is a 26-year-old woman who was seen byan LPC during her first clinic visit. When asked what brought her in Aleta explained I work as an aide in a nursing home and I was lifting a patient up from a chair to her wheelchair. Well anyhow all of a sudden I felt this terrible and very painful snap in the back of my neck. I lost my balanceand fell on the floor. As I was falling I hit my arm realbad too. The next thing I knew I was in the hospital and they were doing some X-rays and an MRI. The doctors said I sprained my neck and I might have ahairlinefracture of my arm. They put some kind of neck brace on me and said I had to wear it for two weeks. Ididn’tneed to have a cast on my arm but I was supposed to be real careful.
    Aleta continued I wasn’t allowed to work for six weeks so I got workmen’s compbut the checks stopped when the doctorssaidIcouldgo back towork. It has been four months and they saythat’stoolongto havepainfor theinjuryI got. So now I havemoney problems on top of everything else but I don’t care what they say I still hurt. Apparently withoutrealizingit Aleta was rubbing her neckwhileshe wastalking.She went on After being discharged by thosedoctors I went to see several new ones. I thought youknow maybe thefirstonesdidn’tknow what theyweretalkingabout.
    The LPC asked what other doctors Aletahadseen.
    Well over the past three months she replied I saw two orthopedic surgeons one neurologist two chiropractorsanda massage therapist. I wasgivenlots of different medicinesandtreatments but Istilldidn’tget much relief. One of the doctorssaidIshouldsee ashrink.He thought my problems wereallin myhead. Can you beatthat?Aleta sounded veryannoyed. Thatreallysteamed medoesn’t he realizeIreallywant to go back to workandseeallmy friendsagain? Not only that does he think Ilikebeing in constantpain?Does hethinkIliketakingallthismedicine and notgettinganyrelieffromanyofit?
    ThepractitioneraskedAletaabout the medicationsshe is currently using.
    She answeredInthe beginning they gave mesomepainpillsthat helped somebutthe doctorswon’t prescribeanythingfor me now. TheythinkI’mgetting too used toallthepills.Now I can onlytakeover-the-counter stufflikeyou knowaspirinAleveTylenol Motrinbut they don’t do much good. Nothing seems tohelpnowadays.
    When asked how she spent her days she repliedI pretty much stay inside the house all day long. I havea hard time finding a comfortable place to sit or lay down. My brother Chad brought over his favorite recliner chair for me to use and that does help some. Most of the time I watch TV sleep or play with my dogs. Aleta volunteered that she and her husband are in the middle of getting a divorce after being marriedfive years. She stated It was his idea but I guess it’sall for the best. During the time we were married Irealized that I am a lesbian so…I always felt differentfrom other women andalittle confused about this. Itried really hard tojustbury these feelingsmy familysort of freaked out. It’s so hard to come to terms withthis. . . . But I can’t believe he wants a divorce after allthe time we’ve been together. He doesn’t know about me being gayandhe told me he isn’t seeing anyoneelsehejustsaid he was tired of me being sickallthetime. I don’t believe him. Aleta studied her fingernailsfor a moment. WelllikeIsaid maybe it’s for the best.He’s absolutely no use to me now.
    The practitioneraskedAleta to say alittlemoreaboutthat.As it happensAleta’sparentshadmovedintoher home three months ago so theycouldhelpoutwhileIwasrecoveringsheexplained.My dadworksfull-timeas a barber but hefindsthetimeto mowthegrassrunerrandsanddo the houserepairs.I’mstarting to get alittlebehind on my billsandDadtriestohelpout alittleinthatdepartmenttoo.Aletarepeatedly stated she wanted to go back to work; however she alsosaidIt’skindanicetohaveMomandDad aroundthehouserightnow.Momfixesallmyfavoritefoods[laughing]IknowI’mgonnagainten pounds before sheleavesto go back home!
    You know my momtoldmethatwhen she wasyounger she had problemslikeme. I guess when shewas a teenager she had problems withpainin her backfor areallylong time.Isn’tthat weird? Mom said when she was around 20 she had trouble withreallybad headachesandsomethingwithher breathingshedoesn’tliketotalkabout it much. Aleta relatedthatshe once asked her AuntDolly(hermother’s oldest sister) about it and shehadjustsaid Oh it’sjustsomething the Walker women get when they areyoung’uns.When askedifshe had experienced any previouspsychological problems such ashallucinationsdelusions depression suicidal ideation or anxiety Aletalaughed and said My lord no. Aside fromthisneckand arm pain my health has been somewhat good. She described herself having frequent bouts of low back pain headaches and sometimes my jaw hurts real bad off and on she offered but overall I don’t have any serious medical problems.
    During the relating of her past medical history theLPC observed that Aleta’s train of thought had been derailed somehow. Sure enough she interrupted herself You know Ive been thinking aboutthe question youjustasked the question aboutpsychological problems. Does sibling rivalry count as a psychological problem? She continued When Chad my brother and I were growing up we fought like we were mortal enemies. I mean we hated eachother. I always feltlikeChad was Mom’s favorite so Igrew up feeling like a Secondhand Rose it was awful.The session continued along these lines for another I5 minutes or so. When the time was up and Aleta was walking out the door she said to the LPC You know it’s really great to have all of my mother’s attention right now because Im in so much pain.

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