NU 665 WEEK 1 DISCUSSION 1
NU 665 WEEK 1 DISCUSSION 1
Biopsychosocial Profile and Screening
Case Scenario: Sarah, a 32-Year-Old Female Patient
Sarah is a 32-year-old marketing professional who presented to the clinic with problems of loneliness, a lack of ability to create and maintain intimate relationships, and withdrawal from emotional contact following a recent breakup. She described feelings of inadequacy, low self-worth, and uncertainty about her ability to form meaningful relationships in the future. While talking with Sarah, she mentioned that she did not want to go out and meet people anymore; since the breakup, she got stressed with work due to a lack of interaction with co-workers. Before this, Sarah seemed to be doing well in her professional and private life. However, she expressed a sense of failure in forming relationships and intimacy here.
Assessment of Psychosocial Development Stage
From Erikson’s psychosocial stages of development, Sarah can be described as in the stage known as intimacy vs isolation, which takes place in young adulthood and favors intimacy over isolation. Some of the patient characteristics mentioned during the clinical interaction include difficulties in forming new relationships and increased negative self-image, which suggest this is likely an area of difficulty (Ngo et al., 2020). This was because of stress from break up and stress from work leading to social isolation to the extent that she cannot develop intimate relationships. Such concerns suggest that she is not positively meeting the developmental objectives at this stage (Darling-Fisher, 2019). This psychosocial stage may require counseling to improve her self-esteem and social activities that will make her more appropriate to engage in healthy interpersonal relationships, thus improving her interpersonal relationships.
Biopsychosocial Assessment
The patient mentioned above is a 32-year-old professional with problems associated with loneliness, trouble in interpersonal relationships as well and client isolation due to a recent separation. The individual exhibited signs of low self-esteem, difficulties in relationship management, and refusal to form new friendships, as seen in social and working life. The separation was reported to be one of the significant sources of stress that resulted in withdrawal and a high incidence of depression. During the interaction, intentional non-expression of emotions and minimal social contact suggest relational dependency challenges (Darling-Fisher, 2019). Such behaviors match the struggles in Erikson’s “Intimacy vs. Isolation” phase, which shows a failure of the patient at this stage to develop close and trusting interpersonal relationships.
The patient seems to be lonely, which may be due to ongoing emotional problems, such as low self-esteem, unresolved dependent issues as well as previous relationship problems. The breakup acted as a precipitating factor, intensifying existing vulnerabilities. Since self-esteem and social engagement will be focus areas, individual therapy will be the main form of treatment. Structured social interactions or counseling should be arranged to assist in the development of interpersonal skills and diminish loneliness (Novalis et al., 2019). If treated with the right therapies or counseling and the right support structures, the individual has a good chance to experience emotional healing or undergo the right process through this psychosocial stage.
References
Darling-Fisher, C. S. (2019). Application of the modified Erikson psychosocial stage inventory: 25 years in review. Western Journal of Nursing Research, 41(3), 431-458. https://doi.org/10.1177/0193945918770457
Ngo, H., VanderLaan, D. P., & Aitken, M. (2020). Self-esteem, symptom severity, and treatment response in adolescents with internalizing problems. Journal of Affective Disorders, 273, 183–191. https://doi.org/10.1016/j.jad.2020.04.045
Novalis, P. N., Virginia Singer, D. N. P., & Peele, R. (2019). Clinical manual of supportive psychotherapy. American Psychiatric Pub.
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NU 665 WEEK 1 DISCUSSION 1
Value: 100 points
Due: Create your initial post by Day 3 and reply to at least two of your peers by Day 7.
Grading Category: Discussions
Note: In this type of discussion, you will not see the responses of your classmates until after you have posted your own response to the following prompt.
Initial Post
Review the following PowerPoint presentation on Case Formulation (PPT)
Review the article, Biopsychosocial Model and Case Formulation (Biopsychosocial Model and Case Formulation, 2024).
Look at the chart of Erikson’s Psychosocial Stages in Table 34-16 on page 1073 in the Kaplan and Sadock Synopsis of Psychiatry (2021) textbook.
Think of a patient you have seen thus far in your clinical setting; one you have not discussed before. Describe the stage of psychosocial development the patient is expected to be in based on chronological age. Discuss how your observations during the interaction informed your assessment of whether the patient is in the expected stage. Is the patient at this stage presently? Why or why not? (1-2 paragraphs)
Next, use the PowerPoint presentation on case formulation to write up a biopsychosocial assessment. Include specific observations that guided your assessment. Use relevant patient information but be sure to exclude identifiers (1-2 paragraphs).
Replies
Reply to at least two of your peers. Explain how you can use what you have learned from this post in your own practice. Explain the purpose of incorporating the evaluation of developmental vulnerabilities within the holistic, psychosocial assessment and treatment plan (1-2 paragraphs).
Use APA formatting as stated in the syllabus and grading rubric.
Please refer to the Grading Rubric for details on how this activity will be graded.
The described expectations meet the passing level of 80%. You are directed to review the Discussion Grading Rubric for criteria which exceed expectations.
Posting to the Discussion Forum
- Select the appropriate Thread.
- Select Reply.
- Create your post.
- Select Post to Forum.
