David, 50-years old, and Simon, 32-years old, self-identify as cisgender, Latino-American gay men. The couple is seeking treatment for concerns about their 6-year-old son Adam. David and Simon have been together for 10-years. Adam is Simon’s biological son conceived through a surrogate. David was raised by his mother along with his 4 younger siblings. He describes his father as an abusive, volatile alcoholic who he has not seen since he was 8-years-old. David admits to being the target of severe physical abuse by his father as he would try to protect his younger brothers and sisters from his father’s wrath. Simon describes his upbringing as ‘traditional’, where he was the only child. He describes his father as a hard worker who took care of his family’s needs but had difficulty showing or expressing emotions. He describes his mother as loving, yet overly reliant on Simon to meet her own emotional needs. Little is known about Adam’s surrogate mom, though there is suspicion that the mother was a drug user. David believes she agreed to be their surrogate “for the money” so that she could continue her mal-adaptive lifestyle.
David and Simon are present for the first session where they focus their concern on Adam. They describe their son as being a happy, loving and affectionate child the first 4 years of his life. Once he started pre-school, his mood and behavior began to change. He became sullen, withdrawn, would have temper tantrums, would break his toys or throw them across the room. He refuses to eat what he doesn’t like and throws his food on the floor in a rage. Adam has also been acting out in his first grade class, and has had to be removed several times for hitting his classmates. Simon reports that he often hears Adam sobbing in his room at night, goes in to comfort him, but that Adam refuses to talk to him. When asked if anything has changed over the last few years in the household, both David and Simon look at each other with trepidation. Simon is the first to speak. He reports that 2 years ago, David lost his job and is now a ‘stay at home’ dad. Simon does express concern that since David is no longer working, he had become moody, short-tempered and irritated with Adam often. Simon has also found empty liquor bottles around the house. While he has never seen David physically hit Adam, Simon is concerned that David is becoming like his own father. David denies that he drinks excessively, and that he is nothing like his father. He points to Simon as the problem due to his inability to set limits with Adam and that he is overly indulgent and ‘rescues him’ whenever there is tension in the home. David feels that Simon is overcompensating for his own childhood and that he needs to toughen up and partner with him in parenting.
In the second session, David, Simon and Adam are present. Initially, Adam appears rigid and sullen, but after a few minutes, he begins to explore your office, running about, picking up random items and asking you questions rapidly. He does not appear to acknowledge your responses and continues a barrage of questions. David tells him to sit down and be quiet at which point Simon picks Adam up and sits him on his lap. At that point, the couple begins to reiterate what they told you in the first session. David’s voice escalates and Simon holds Adam closer to him. Adam closes his eyes and appears to be asleep. You notice a few bruises on Adams arm. When you ask about the bruises, David tells you that Adam is clumsy and doesn’t watch where he is going, similar to how Adam just acted in your office. Simon says nothing. Adam continues to appear asleep. You also smell alcohol on David’s breathe.
Provisional Diagnosis (Adam Only) [1 pages] When looking at possible diagnoses, look at all of the factors presented in the case with regard to Adam’s presentation.
Choose two (2) provisional diagnoses for Adam that are evident in the case as written. Use and cite the DSM-5 (American Psychiatric Association, 2013), criteria to support your provisional diagnosis. Do not just copy the DSM-5 diagnosis. Illustrate what you see in the case that aligns with the diagnostic criteria.
Treatment Plan [1 pages] When formulating a treatment plan, the treatment modality, goals and objectives should be specific to the client and not the diagnosis.
Create an integrative treatment plan for Adam that considers current, evidence-based treatment, for both individual and family intervention. Consider factors relevant to culture and diversity, legal and ethical issues, possible consequences of reporting child abuse and all pertinent information given in the case. Justify if your treatment plan should consider management of David’s alcohol use as well as factors relevant to Adam’s birth that you might need to consider.
Demonstrate proficiency in the major theories of psychotherapy
Demonstrate proficiency in the etiology and treatment of psychopathology
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