Question Description
As Good As It Gets
Overview
Melvin Udall, from As Good As It Gets, presents today in your clinic. He has a history of obsessive-compulsive disorder (OCD). Although past attempts at treatment were unsuccessful, Melvin wants to try again. He has just begun a relationship with Carol Connelly, a waitress, who has urged Melvin to explore treatment that will help him abandon some of his rituals, improve his social skills, and ultimately manage the anxiety and obsessions that cause his behavioral and interpersonal difficulties.
Client name: Melvin Udall
Psychiatric diagnosis: ObsessiveCompulsive Disorder with fair insight
*For the criteria supporting this diagnosis, please refer to the Diagnostic and Statistical Manual of Mental Disorders, 5th edition, by the American Psychiatric Association, and/or your Wolters Kluwer mental-health nursing textbook.
Name of the client you are assessing:Melvin Udall
Name of the movie:As Good As It Gets
What is the chief complaint? (Why, in his/her own words, would the client say he or she being assessed?)
Response:
Based on the above information and a close viewing of the movie, what questions would you raise during history taking? What are some possible answers?
You might base your questions on the:
- History of your clients present (and presenting) illness.
- Past psychiatric history, its treatment, and treatment outcomes.
- Psychosocial history.
- Past significant medical history.
Response:
What observations do you have about the clients behavior?
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In your opinion, is the diagnosis discussed above accurate?
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What requirements does the client meet that support this diagnosis, based on the DSM-5 criteria?
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What treatment plan would you outline?
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With what expected outcomes?
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