A series of conflicts over trade in the 1640s between the Hu…
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A series оf cоnflicts оver trаde in the 1640s between the Huron аnd Hаudenosaunee
Find the DSM-5-TR diаgnоsis fоr Dаvid Sebаstian. List the diagnоsis fully including all numbers, subtypes, and specifiers (4 points) List one treatment goal that matches/ ameliorates or resolves any of David's symptoms (1 point) REMEMBER THERE IS ONLY ONE DIAGNOSIS AND YOU HAVE COVERED IT IN SOCW 850 - NOT SOCW 855David Sebastian, a 24-year-old single, Catholic, ex-divinity student, is hospitalized for the second time demonstrated "episodes of inappropriate behavior and being out of touch with reality." For 16 hours nonstop, his inappropriate behavior consisted of masturbatory movements accompanied by groans, prayers, flailing limbs, and head-banging. During these episodes, he was totally self-absorbed: If asked questions, he would not respond; all attempts to restrain him (for his own physical safety) were fiercely resisted. Eventually, he slept.On awakening, he started a conversation with a nurse, He accused the Pope of "fornicating nuns," "spreading diarrhea and gonorrhea," and "plotting to assassinate me [David]." He was convinced that St. Christopher, the former patron saint of travel, was removed from the Catholic Church calendar because David was having sexual thoughts while traveling. His thoughts traveled incoherently from topic to topic. When asked if he feared anything, he replied with a flat affect: "Nothing but the Pope who wants slivers up his ass or my ass or he's an ass; you know, this is not me talking but a taped recording of how you are today that couldn't communicate any level as a dialectical incongruence of spiritual sexuality."Until about a year ago, David was an outstanding biology student, a jogger, a bit of a loner prone to lengthy philosophical and religious discourses. His neighbors would remark, "Such a sweet boy to live with his parents." At age 23 David began to change; however, his grades began to slip, he stopped working out, and he became far more reclusive.God's voice accused him of being too preoccupied with sex and proclaimed that becoming a priest was his only salvation. This divine instruction gave renewed purpose to his life while permitting a rapprochement with his family. He enrolled in divinity school, but a month later he could no longer concentrate. New and unfamiliar voices began discussing his plight, with one voice saying that "David's prick doesn't work," and the other saying, "If you were a real man, you'd go out and use your prick." He did. David picked up a co-ed and went to her apartment. They hopped into bed, but when David was about to enter her, he began praying out loud and banging his head. Horrified, she fled from the room, called the police, and David was admitted to the hospital where he proceeded to masturbate incessantly.Repeated neurological exams and tests revealed no physical disorder. He was placed on antipsychotic medication and over the next ten days, his episodes (catatonic excitement alternating with negativism), delusions, hallucinations, incoherence, paranoia, and self-referential ideas gradually disappeared. Three days after admission he joined group therapy, but within minutes pointed to the nine people in the room and exclaimed, "Eighteen eyes haunting my head, changing its size, televising my mind, eating it, bleeding it, feeding it. You gyrating Judases, how dare..." Suddenly silent, he left the room. Days later he said he had felt besieged by the other members and that he left the room to escape this bombardment and to stop "embarrassing myself further." Once his psychotic symptoms abated, David actively participated in group and supportive individual psychotherapy and was discharged with medications and a treatment plan to continue therapy.For three months David worked at his father's grocery store, visited daily with a neighborhood priest, lived at home, read theology, painted a little, and saw friends. Then, when his father suggested that maybe he should live away from home, David stormed out of the house, wandered the streets, and stopped his medication because "it was digesting my sex organ." Within weeks he looked like a homeless person. He kept to himself, either in his room at his parent’s house or in the nearby parks. When he encountered his mother in the hallway he said, “Saint Theresa is going to be removed from the Catholic calendar next because she has always liked the sex with the Pope and we all know that’s not okay.” Voices began mocking his scrawny figure and sexual inadequacies and insisted he go out with prostitutes. After considerable guilt, he succumbed. Upon entering the prostitute's room, however, he extricated himself as before-by praying out loud and banging his head. The prostitute called the police and David's second admission began. Later he told a therapist that he was in a "no-win" situation: If he did have intercourse, he was committing a sin; if he did not, his voices were right, and he was not a man.