Management of Clients with Dissociative and Psychosomatic Disorders
Management of Clients with Dissociative and Psychosomatic Disorders
Discussion
Purpose
The purpose of the graded collaborative discussions is to engage faculty and students in an interactive dialogue to assist the student in organizing, integrating, applying, and critically appraising knowledge regarding advanced health assessment. Meaningful dialogue among faculty and students fosters the development of a learning community as ideas, perspectives, and knowledge are shared.
Course Outcomes
This discussion enables the student to meet the following course outcomes:
CO 1: Interpret subjective and objective data to develop appropriate diagnoses and evidence-based management plans for patients and families with complex psychiatric mental health diagnoses across the lifespan. (PO 5)
CO 2: Formulate appropriate evidence-based management plans of complex psychiatric mental health patients across the lifespan that align with the patient and family goals and perspectives of mental health and wellness. (PO 5)
CO 5: Employ appropriate health promotion and disease prevention strategies in the management of the complex healthcare needs of the psychiatric mental health patient. (POs 2, 5)
Due Date
Initial posts are due to the discussion board by Wednesday at 11:59 p.m. MT. Instructor and peer responses are due by Sunday at 11:59 p.m. MT. Students must post on a minimum of two separate days. A 10% late penalty will be imposed for discussions posted after the deadline Wednesday at 11:59 p.m. MT, regardless of the number of days late. NOTHING will be accepted after 11:59 p.m. MT on Sunday (i.e., the student will receive an automatic 0).
Total Points Possible
This discussion is worth a total of 100 points.
Preparing the Assignment
Follow these guidelines when completing each component of the assignment. Contact your course faculty if you have questions.
Dissociative and somatic symptom and related disorders are complex mental health problems that are often associated with trauma. These conditions can create diagnostic and therapeutic challenges. Afflicted individuals may not be aware of their condition and may not seek psychiatric care. Stigma and biases, both in society and in providers, may also hinder treatment. Address the following in your post.
Application of Course Knowledge
Explain how trauma is related to the development of dissociative and somatic symptom and related disorders.
Describe how clients with dissociative disorders are represented in the media. What role does media portrayal play in the public’s perceptions of these disorders? What role does media portrayal play in mental health providers’ perceptions of these disorders?
Discuss at least two (2) potential personal or professional biases providers may need to address to effectively diagnose and treat clients with dissociative and somatic symptom and related disorders.
Describe two (2) or more treatment challenges associated with treating clients with dissociative and somatic symptom and related disorders.
Integration of Evidence
Discussion post is supported by appropriate, scholarly sources; AND
Sources are published within the last five years; AND
Reference list is provided and in-text citations match; AND
Includes a minimum of one scholarly reference in addition to the textbook.
Engagement in Meaningful Dialogue: Respond to a student peer and course faculty to further dialogue.
Substantive posts contribute new, novel perspectives to the discussion using original dialogue (not quotes from sources).
Student posts at least two responses to peers and/or faculty.
Student responds to all faculty questions posed directly to the student.
Post includes evidence from at least one scholarly resource to support interactive dialogue.
Professionalism in Communication: Present information in a logical, meaningful, and understandable sequence that is relevant to the discussion topic.
Grammar, spelling, and/or punctuation are accurate.
Good writing calls for the limited use of direct quotes. Direct quotes in discussions are to be limited to one short quotation (not to exceed 10 words). The quote must add substantively to the discussion.
Reference Citation: Provide references with complete information as required by APA (0-1 errors). Include in-text citations included for all references AND references for all in-text citations (0 errors).
Wednesday Participation Requirement: Provide a substantive response to the graded discussion question(s) or topic(s), posted by the course faculty (not a response to a peer), by Wednesday, 11:59 p.m. MT of each week.
Total Participation Requirement: Provide at least three substantive posts (one to the initial question or topic, one to a student peer, and one to a faculty question) on two different days during the week.
**To view the grading criteria/rubric, please click on the three (3) dots in the upper in the box at the end of the solid gray bar, above the discussion board title, and then Show Rubric.
Management of Clients with Dissociative and Psychosomatic Disorders
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Management of Clients with Dissociative and Psychosomatic Disorders
Dissociative and psychosomatic disorders represent diverse psychiatric conditions presenting complex symptoms of excessive feelings, thoughts, or behavioral issues. Okur Gьney et al. (2019) indicate that the diseases have complex presentations that are difficult to attribute to body structural changes, conventional illnesses, or biochemical aberrations. The challenges in diagnosis and treatment make them disruptive and can have complex ramifications for patients’ quality of life. Thus, they require a thorough assessment by healthcare providers for quality outcomes.
Physicians should uncover the relationship between trauma and these conditions during their assessment. For instance, van der Feltz-Cornelis et al. (2022) indicate that DSM-5 considers a distressful physical event the primary classification criterion for this disease. Such an aspect triggers significant role functioning impairment. Gentsch and Kuehn (2022) also note that past adverse bodily experiences, including trauma, lead to traumatic re-experiences and somatic signs and symptoms in individuals. The authors indicate that these corporeal memories trigger mental health issues through somatic-level re-enactment. Thus, the past frightening or painful incidents that characterize trauma are the main culprits in the emergence of dissociative and somatic symptoms through the encoding of stored memories. Such an understanding requires the healthcare providers to assess past exposures to determine the cause of current mental health issues and for accurate diagnosis.
The challenging aspect of dissociative disorders is media representation. Sampson (2020) indicates that films often present exaggerated misconceptions and stereotypes of this disease. For instance, the author demonstrates that movies such as The Hours and Hereditary portrayed patients with this illness as aggressive and violent with an increased propensity to criminality. They also displayed a sense of concealed incompetence and extreme alternate identities (Sampson, 2020). As a result, this media representation creates a misleading public perception about this condition, leading to increased fear and suspicion of the patients in society because of the association with crimes and violence. The inaccuracies may also lead to the neglect of appropriate symptoms by healthcare providers due to their popularization (Sampson, 2020). As a result, these professionals should remain aware of such misleading content and ensure it does not impact their approach to assessment, diagnosis, and care of these patients.
Healthcare providers must address their implicit bias and doubting trauma hist...