What is vingette 3
Humanities
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. “He’s
so out of it! I don’t know what’s wrong with him. He’s not the man I
married. This started when he lost his job. He’s always been a bit
eccentric, but I liked that about him. Now he seems lost in his own
world. I’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 can’t eat, don’t
sleep and I’ve been getting terrible migraines. I don’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.
