Problem
Apply a psychotherapy theory that best fits based on this client's histories and presenting problems to conceptualize this case. For your case conceptualization:
A. Support your application of the theory with specific pieces of data from the case. In your application, explain what your selected theory says about dysfunction (or the root of pathology) in this client. Why are they experiencing dysfunction? What is contributing to it? Your application should be based on specific pieces of data from the case.
B. Discuss the techniques from the theory that should be applied to the case and justify your selection. Discuss three techniques that you would use with this client based on the theory you chose and justify your clinical decision.
C. Discuss your client's culture and articulate how you are taking this important information into your case conceptualization. Identify two ethical standards that apply to this case. Make sure that you identify the standard number and language that relates to the case. Then, apply those standards to the case, specifically discussing how and why that standard is connected to the case.
D. Offer at least two potential diagnoses based on the case details. Identify at least two diagnoses that may be present in this case. Justify your answer with data from the case.
E. Include your personal biases as they relate to this case and identify two ethical standards that are important to consider as you treat this client. Discuss these two personal biases associated with this case and analyze the impact of your biases.
F. Use references and cite them, must be within last 10 years.
Duri Case:
Duri is a 19-year-old, Korean American male who identifies as single (never been married). He recently returned home after his first year of college where he did well academically but had issues with his roommate over a girl whom they both liked. He said that his roommate's friends and roommate jumped him one evening, and the attack resulted in him needing 12 stitches on his forehead. He was subsequently moved to another room. This experience seemed to shock Duri, who was well liked in high school. His parents are married but informed Duri two weeks ago that they will be getting a divorce. He admitted that they have been living separately under the same roof for years (i.e., different bedrooms and bathrooms), and he is upset that they refuse to continue to live this way. From Duri's perspective, the arrangement has been working.
He is devastated by the idea that his parents will divorce. He has a younger brother, who is 14 and has Autism Spectrum Disorder. He worries that his brother will have a difficult time navigating the divorce, and he will be away at college not fully aware of just how much his brother is struggling. Since finding out about his parents' relationship, he has been down a lot and not interested in playing the violin, which he used to enjoy. During class, he has been preoccupied with worry about his family and has had difficulty concentrating. He has also felt angry with his parents for not upholding traditional Korean values related to family. He's also had trouble sleeping, but recently got some melatonin, which has helped slightly. Since his roomates' attack, Duri has been having frequent episodes where he can't breathe, and his chest gets tight. He feels sick (even dizzy at times) and wants to throw up, but doesn't. He reportedly has chest pains, heart palpitations, and hot flashes.
He has presented to the ER twice during the last term because he feels like he is having a heart attack. However, each time the EKG comes back as normal. Duri has started to feel anxious about driving because he is worried that he will have one of these "episodes" while behind the wheel. Unfortunately, his job is 25 minutes from his university, so he has to drive several times per week. He wants to quit his job, but he needs the money to support himself at college. His father has been very clear that he will only pay for tuition, room and board, and college fees. He will not pay for books, gas, Duri's cell phone, or other living expenses. He asked out a young lady who came into his job looking for a comic book. Unfortunately, he never picked her up because he had an "episode" about an hour before he was supposed to leave. When he has these "episodes," they take all his energy. Once they are over, all he can do is lay back down in bed where he falls asleep for hours. When he called to explain the next day, she refused his calls.