Wake Forest University Department of Counseling CNS 770: Classification of Mental Health Disorders Fall :45 4:15pm Mondays Location: DeTamble

Transcription

1 Wake Frest University Department f Cunseling CNS 770: Classificatin f Mental Health Disrders Fall :45 4:15pm Mndays Lcatin: DeTamble Instructr: Office: Office Hurs: Mail bx: Edward G. Shaw, MD, MA, NCC, LPCA A122 Tribble Hall Mnday: 11:00am-1:45pm r by appintment eshaw@wfubmc.edu Cunseling Suite (Back f Tribble Hall) Curse Overview and Methds f Instructin: This curse will prvide students with an verview brain structure and functin, persnality disrders, the DSM-IV-TR classificatin and descriptin f mental health disrders, and psychtrpic medicatins. It will cmbine reading f the required texts, jurnal articles and ther selected publicatins, lectures, discussin, small grup activities, student presentatins, and use f varius media t help students learn and assimilate the key principles in the described areas f instructin necessary t successfully cmplete the Masters in Cunseling prgram and practice as prfessinal mental health r schl cunselr. Curse Cntent and CACREP Standards: This cntent f the curse is designed t meet the Cuncil fr Accreditatin f Cunseling and Related Educatinal Prgrams (CACREP) standards ( detailed in Sectin III, Prfessinal Practice: Prfessinal practice, which includes practicum and internship, prvides fr the applicatin f thery and the develpment f cunseling skills under supervisin. These experiences will prvide pprtunities fr students t cunsel clients wh represent the ethnic and demgraphic diversity f their cmmunity. Under the subheading Diagnsis, the fllwing standards are described: Knwledge Knws the principles f the diagnstic prcess, including differential diagnsis, and the use f current diagnstic tls, such as the current editin f the Diagnstic and Statistical Manual f Mental Disrders (DSM). Understands the established diagnstic criteria fr mental and emtinal disrders, and describes treatment mdalities and placement criteria within the cntinuum f care. Knws the impact f c-ccurring substance use disrders n medical and psychlgical disrders. Understands the relevance and ptential biases f cmmnly used diagnstic tls with multicultural ppulatins. Skills and Practices Demnstrates apprpriate use f diagnstic tls, including the current editin f the DSM, t describe the symptms and clinical presentatin f clients with mental and emtinal impairments. Is able t cnceptualize an accurate multi-axial diagnsis f disrders presented by a client and discuss the differential diagnsis with cllabrating prfessinals. Required Texts: American Psychiatric Assciatin (2000). Diagnstic and Statistical Manual f Mental Disrders (4 th ed., Text Revisin). Washingtn, DC: Authr. Referred t as DSM fr reading assignments. Mrrisn, J. (2007). Diagnsis Made Easier (1st ed.). New Yrk: Guilfrd Press. Referred t as DME fr reading assignments.

2 2 Supplemental (Optinal) Texts, Bks, and Internet Resurces: Badench, B. (2008). Being a Brain-Wise Therapist (1st ed.). New Yrk: Nrtn. PDR (2007). Drug Guide fr Mental Health Prfessinals (3rd ed.). Mntvale, NJ: Thmpsn. Nte this is als an excellent resurce fr the class n Addictins Cunseling. Natinal Institutes f Health (NIH) internet resurces Natinal Institute f Mental Health (NIMH): Natinal Institute f Neurlgic Diseases and Strke (NINDS): Natinal Institute n Alchl Abuse and Alchlism (NIAAA): Natinal Institute n Drug Abuse (NIDA): Other Internet Resurces: Cmmunity Psychlgy Net: Psychlgy.inf: Natinal Mental Health Infrmatin Center: Wikipedia: (Beware cntent is nt peer-reviewed) Brderline Persnality Disrder bks Kreisman, J.J. & Strauss, H. (1989). I Hate Yu, Dn t Leave Me (1st ed.). New Yrk:Avn. Masn, P.T. & Kreger, R. (2010). Stp Walking n Eggshells - Taking Yur Life Back When Smene Yu Care Abut Has Brderline Persnality Disrder. Oakland, CA:New Harbinger. Student perfrmance evaluatin criteria: Class Participatin and Attendance (10% f grade): Class participatin is required. One absence will be excused withut penalty, tw absences will result in a 5% deductin in yur final grade, three absences will result in a 10% deductin, and fur r mre absences may result in failure t receive credit fr the curse. Excessive tardiness and/r unprfessinal behavir (e.g., use f unrelated technlgy such as cell phnes, internet, etc. during class) als will negatively impact yur grade. In rder t participate effectively, yu must cmplete the assigned readings prir t class. Assignments due n a given day shuld be turned in n the day they are due, preferably prir t the beginning f class. Bring the required textbks t class. Unless instructed therwise, yu will nt need yur cmputer fr class. The Slist Mvie Review (15% f grade) due Sept. 13: the purpse f this assignment is t intrduce yu t diagnsis f mental health disrders and think abut it frm multiple perspectives. Wrk in small grups f 3-5 and watch the mvie The Slist (4 cpies available t brrw, r yu can rent a cpy). Answer the fllwing questins in a 5 t maximum10 page grup paper, 1-2 written pages per questin (Arial r Times New Rman fnt, size 11 r 12, duble spaced, standard MS Wrd dcument margins). Des Nathaniel Ayers meet the criteria fr 295.XX schizphrenia and a schizphrenia subtype? As best as yu can, prvide the multi-axis (i.e., Axis I-V) diagnsis fr him. Describe the relatinship between Nathaniel and the reprter Steve Lpez. What is healthy r helpful in the relatinship, what is unhealthy r unhelpful? Steve has a different ntin f hw Nathaniel shuld be helped than David Ellis, the directr f the hmeless shelter. Hw are their views f helping Nathaniel different? Hw are they similar? Wh is mre crrect in hw they view Nathaniel s ptential fr recvery? If Steve gt his wish and successfully gt Nathaniel t see yu, what wuld yur therapeutic apprach be (include meds, cunseling, and anything else that might help)? Pwerpint Presentatin fr Persnality Disrders (15% f grade) due Sept. 27: the purpse f this assignment is t familiarize yu with the spectrum f persnality disrders and t teach yu t present tpical infrmatin clearly and cncisely in a relatively shrt defined perid f time. The 2

3 3 ttal presentatin length must be precisely 35 minutes in length, including up t 10 minutes fr questins at the end f the presentatin (yu must manage the Q&A prtin f the presentatin s yu dn t g ver the alltted time). There will be 3 persnality disrder presentatins; grup size shuld be adjusted accrdingly (i.e., 3-5/grup). Tpics fr the grups include: Cluster A (Mature) Persnality Disrders paranid, schizid, schiztypal Cluster B (Immature) Persnality Disrders antiscial, histrinic, narcissistic (brderline persnality disrder is als in this cluster, but I will cver it in class) Cluster C (Anxius) Persnality Disrders avidant, dependent, bsessive-cmpulsive Required cntent f each presentatin: In general, figure ne slide per minute At least ne slide shuld prvide backgrund infrmatin (e.g., incidence, risk factrs, etc.) At least ne slide shuld describe the DSM-IV-TR criteria fr the persnality disrder Several slides shuld summarize infrmatin n the persnality disrders frm the Lester handut, including the drama triangle At least ne slide shuld describe brain and neurchemical abnrmalities fr the persnality disrder (if knwn) At least ne slide shuld describe medicatins used t treat the disrder Several slides shuld describe cunseling appraches fr the disrder Include a creative prtin t the presentatin, such as a rle-play, mvie clip, YuTube clip, etc. Persnality Prfile Paper (15% f grade) due Oct. 11: the purpse f this assignment is t better understand yur wn persnality. This assignment will be due after we have cvered the persnality disrders in class via lecture and class presentatins. After reviewing the diagnstic criteria f the 10 persnality disrders, write a 4 t maximum 6 page paper (Arial r Times New Rman fnt, size 11 r 12, duble spaced, standard MS Wrd dcument margins) describing persnality traits f yurs that are similar t the described diagnstic criteria fr the persnality disrders. Sme issues t address in the paper include the fllwing. Cnceptually, wuld yu describe persnality as smething which is dichtmus (nrmal r abnrmal) r cntinuus (range frm nrmal t abnrmal)? Hw have yur persnality traits impacted yur relatinships with family, friends, and c-wrkers? Hw might they impact the prfessinal cunseling relatinship yu will have with clients? Will yur newly gained insight int persnality traits/disrders be helpful t yu persnally r prfessinally? Przac Natin Mvie Review (15% f grade) due Nv. 22: the purpse f this assignment is t expse yu t cexisting Axis I and Axis II disrders, drama triangles, and the impact f substance use n mental health disrders. Wrk in small grups f 3-5 and watch the mvie Przac Natin (4 cpies available t brrw, r yu can rent a cpy). Answer the fllwing questins in a 5 t maximum10 page grup paper, 1-2 written pages per questin (Arial r Times New Rman fnt, size 11 r 12, duble spaced, standard MS Wrd dcument margins). What is (are) yur Axis I diagnsis (-es) fr Elizabeth Wurtzel, if any? Supprt yur answer using DSM-IV-TR diagnstic criteria. What is (are) yur Axis II diagnsis (-es) fr Elizabeth, if any? Supprt yur answer using DSM-IV-TR diagnstic criteria. Describe a scene in the mvie which demnstrated a Drama Triangle. What were the triggers that initiated r escalated the drama? Hw did the drama end? Describe the therapeutic relatinship between Elizabeth and Dr. Sterling. If yu were Elizabeth s cunselr, hw wuld yur apprach t Elizabeth have been similar t Dr. Sterling s, and hw wuld have it been different? 3

4 4 Pwerpint Presentatin fr Anxiety Disrders (15% f grade) due Nv. 1: the purpse f this assignment is t familiarize yu with the spectrum f anxiety disrders and t teach yu t present tpical infrmatin clearly and cncisely in a relatively shrt defined perid f time. The ttal presentatin length must be precisely 25 minutes in length, including up t 5 minutes fr questins at the end f the presentatin (yu must manage the Q&A prtin f the presentatin s yu dn t g ver the alltted time). There will be 5 anxiety disrder presentatins; grup size shuld be adjusted accrdingly (i.e., 3-4/grup). Tpics fr the grups include: Panic Disrder Agraphbia Generalized Anxiety Disrder Pst-Traumatic Stress Disrder Obsessive-Cmpulsive Disrder Required cntent f each presentatin: In general, figure 1 slide per minute. At least ne slide shuld prvide backgrund infrmatin (e.g., incidence, risk factrs, etc.) At least ne slide shuld describe the DSM-IV-TR criteria fr each anxiety disrder At least ne slide shuld describe brain and neurchemical abnrmalities fr the disrder (if knwn) At least ne slide shuld describe medicatins used t treat the disrder Several slides shuld describe cunseling appraches fr the disrder Include a dem slide in yur presentatin. Specifically, a mvie clip, YuTube clip, etc. shuld be embedded in the slide that yu activate during the presentatin. D nt use rle plays. At least ne slide shuld describe areas f current research as well as yur recmmendatins fr future research Final Exam (15% f grade): 100 pint multiple chice test in same frmat as Natinal Cunselr Exam will cver key terms and cncepts cvered during the semester. Grading Scale: A C A C B C B D B F <60 Schedule f Classes and Assignments: What will be cvered in class Assignments Due Date (Presentatins Due) Reading Assignments Aug. 30 Review f Syllabus Brain and Human Behavir Part I Diagnsis and DSM Part I Assignment Discussin The Slist Mvie Review Sept. 6 Labr Day N Class DME Ch. 1-7 DSM pgs. xxiii-xxv Sept. 13 Brain and Human Behavir Part II The Slist Mvie Diagnsis and DSM Part II Review due Overview f the Persnality Disrders/ The Drama DME Ch. 16 Triangle DSM pgs

5 5 Sept. 13 (cnt.) Assignment Discussin Persnality Disrders Presentatins Sept. 20 Brain and Human Behavir Part III Diagnsis and DSM Part III Brderline Persnality Disrder Pwerpint Presentatin Skills Sept. 27 Persnality Disrders Presentatins Assignment Discussin Persnality Prfile Paper Oct. 4 Md Disrders I (Depressin) and Adjustment Disrders Oct. 11 Md Disrders II (Mania/Biplar I/Biplar II Disrder) Oct. 18 Anxiety Disrders Assignment Discussin Anxiety Disrder Presentatins Oct. 25 DSM Hdgepdge: Dissciative Identity Disrder, Pervasive Develpmental Disrders (Autism/Asperger s Disrder), Attentin Deficit and Disruptive Behaviral Disrders (ADHD/Cnduct Disrder/ODD), and Eating Disrders (Anrexia/Bulimia Nervsa) Nv. 1 Anxiety Disrder Presentatins Nv. 8 Schizphrenia and Other Psychtic Disrders Assignment Discussin Przac Natin Mvie Review Nv. 15 N Class Nv. 22 Disrders f Thinking/Memry (Delirium/Dementia) Substance-Related and Impulse-Cntrl Disrders Nv. 29 Review f Key Terms/Cncepts fr Final Exam (1:45-2:45pm) Nv nd Year Students Pster Displays/Discussin (3:15-4:15pm) Dec. 6 In-Class Final Exam (Clsed bk) Lester handut DME Ch DSM pgs Optinal - bks n BPD (see pg. 2 f syllabus) DME Ch. 11 DSM pgs & Persnality Prfile Paper due DME Ch. 11 DSM pgs DME Ch. 12 DSM pgs DSM pgs , 70-75, , , , & Supplemental articles (t be distributed in class) DME Ch. 13 DSM pgs Przac Natin Mvie Review due DME Ch. 14 & 15 DSM pgs , , & Handut key terms/ cncepts 5