Read the following case vignette of Luisa:

In the discussion, address the following using headings to match content in each bullet point:Review the questions in domain IV of the Level I Cross-Cutting Symptom Measure in the Assessment Measures of the DSM-5. Describe how each of the three items would be scored. What additional information is needed to rate these items?At the same link, scroll down to locate the WHODAS. Which assessment domains may provide required information to fully assess the extent of Luisa’s symptoms?Explain the DSM disorder that appears to be most accurate for Luisa and include your rationale.
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Anxiety Diagnosis and Assessment
Read the following case vignette of Luisa:
Luisa is a 38-year-old office manager referred to counseling by her employer through the
companyâ??s employee assistance program. Her boss has become increasingly concerned as
she has noticed that Luisa seems to be on edge quite often over the last several months.
Approximately nine months ago, Luisa discovered her husband was having
an extramarital affair. Upon learning of the relationship, Luisa’s husband abruptly left
their marriage of six years, filed divorce papers, and moved in with his girlfriend. Since
this time, Luisa has begun to experience significant anxiety around simple and routine
tasks. She’s often consumed with worry about mistakes at work and finds herself tense
and fatigued quite often. Luisa has also begun to worry excessively about money and to
scrutinize every penny she spends. She consistently seeks reassurances from her coworkers and family, but with little positive effect.
Increasing fear has caused Luisa to isolate over the past three months. She avoids going
out even during the daytime. She states that she feels scared and vulnerable even walking
her dog around the block. Her fear is that something horrible will happen and no one will
come to her rescue. She knows that this is irrational but feels that so much of her anxiety
is beyond her control.
Luisa stated that she had been sad for a few weeks after her husband left, but
denies thoughts for self-harm, or revenge to her husband. She does not have a history of
alcohol or substance abuse. Her sleep has been erratic but her physical health has been
relatively normal. Her score on the Beck Anxiety Inventory was 27 indicating a severe
level of anxiety.
In the discussion, address the following using headings to match content in each
bullet point:
â?¢
â?¢
â?¢
Review the questions in domain IV of the Level I Cross-Cutting Symptom Measure in the
Assessment Measures of the DSM-5. Describe how each of the three items would be
scored. What additional information is needed to rate these items?
At the same link, scroll down to locate the WHODAS. Which assessment domains may
provide required information to fully assess the extent of Luisa’s symptoms?
Explain the DSM disorder that appears to be most accurate for Luisa and include your
rationale.
Support your ideas with references to the course texts, articles from this learning
unit, articles from the Optional Readings, or articles from peer-reviewed journals
that you locate in the Capella University Library.
Response Guidelines
Respond to the initial discussion post of one other learner. What reactions do you
have to the ideas the learner has presented? Include examples from your own
experience to support your perspective, and raise questions to continue the
dialogue.
Learning Components
This activity will help you achieve the following learning components:
â?¢
â?¢
â?¢
â?¢
â?¢
Identify presenting problems from a client’s perspective.
Apply assessment tools to aid in the diagnostic process.
Utilize the DSM-5 to locate ICD codes for psychological disorders.
Use language appropriate for a counseling professional.
Cite and reference resources, giving appropriate credit for anotherâ??s work.

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