Prior to beginning work on this interactive assignment, please view the required video read Chapters 15, 20, and the Classes (or Names) of Medications That Can Cause Mental Disorders appendix in DSM-5 Made Easy: The Clinician’s Guide to Diagnosis; read Chapter 1 of DSM-5: Handbook of Differential Diagnosis; and read Section 4: Privacy and Confidentiality Links to an external site.from the APA’s Ethical Principles of Psychologists and Code of Conduct: Including 2010 Amendments.
To view the written transcript, please click here Download here. (The transcript is uploaded below GRAND ROUND)
Mental health professionals hold grand rounds events to maintain their current knowledge of health care practices and to consult with colleagues on particularly difficult cases. During these professional events, mental health professionals sometimes present a case and seek feedback from peers regarding conceptualization and treatment of a patient’s problems. This interactive assignment is an opportunity to simulate a grand rounds event.
For your initial post in this forum, you will provide written feedback regarding your colleague’s presentation and questions. Your post must include the following:

Provide an evaluation of the degree to which the presenter followed the ethical standards outlined in Section 4 Links to an external site.of the APA’s Ethical Principles of Psychologists and Code of Conduct: Including 2010 Amendments.   (
Highlight the relevant information from the patient’s history you will use to inform your conceptualization of the patient’s problems and diagnosis.
Provide an evaluation of the patient’s symptoms and presenting problems within the context of a theoretical orientation that seems to be most appropriate for the situation. Be sure to indicate which theory you are using for your evaluation and provide a justification for your choice. (e.g., cognitive, behavioral, humanistic, biological, sociocultural, evolutionary, psychoanalytic, integrative, etc.). NOTE: Be clear that you are writing about theoretical orientations and using the theoretical orientations to explain the client’s symptoms and presenting problems. Do not use the theoretical orientations to discuss any therapy or treatment approaches. Your application of the theoretical orientations should answer the question: How did this client develop the symptoms and current presenting problems? For example, “Based on the cognitive perspective, how did this client develop the symptoms and current presenting problem?” “Based on the humanisitic perspective, how did this client develop the symptoms and current presenting problem?” Etc.
Provide a diagnosis for the patient based on the DSM-5. Be specific about the DSM-5 criteria required for the diagnosis and how the client meets those criteria.
Describe at least one evidence-based and one non-evidence-based treatment option for this diagnosis.
Pose appropriate questions that you would ask the client to help determine the most accurate diagnosis for this patient.Grand Rounds

Hi, and thanks for attending this case presentation. My name is Dr. Stephen Brewer and I am a licensed

clinical psychologist in San Diego, California and Assistant Professor of Psychology and Applied

Behavioral Sciences at Ashford University. Today, I will be sharing with you the story of Bob.

Presenting problem

Bob Smith is a 36-year-old man who came to me approximately six months ago with concerns about his

career choice and life direction. He did not have any significant psychiatric symptoms, besides some

understandable existential anxiety regarding his future. Bob was cooperative, friendly, open, and

knowledgeable about psychology during our first few sessions together. I noticed that he seemed

guarded only when talking about his family and childhood experiences. To confirm his identity, I checked

his driver’s license to ensure his name was indeed Bob Smith and that he lived close by in a mobile home

in Spring Valley. Given his relatively mild symptoms, we decided to meet once a week for supportive

psychotherapy so he could work through his anxieties. I gave him a diagnosis of adjustment disorder

with anxiety.


Here’s some background on Bob to give you a sense of who he is.


Bob grew up as an only child in Edmonton, Canada, in a low-income, conservative, and very religious


He shared that his father was largely absent during his childhood, as he spent most of the week residing

north of Edmonton, where he worked as a mechanic in the oil fields near Fort McMurray. On weekends,

Bob’s father would return home and spend as much time as possible with his family. Bob described his

father as warm, caring, and a hard worker. His father reportedly died one year ago.

Bob’s mother was described as a strict, rule-based woman who had a short temper and was prone to

furious outbursts over trivial matters. She worked in Bob’s junior high as a janitor, which meant that Bob

often crossed paths with his mother at school, where she would often check up on him. During Bob’s

high school years, Bob’s mother got a new job as a high school librarian.

At 18, Bob moved to San Diego to study psychology at San Diego State University. He lived in the dorms

for his first few years, where he easily made friends and joined a fraternity. Bob maintained contact with

his parents, but ceased all contact when his mother suggested she would move to San Diego to be closer

to him. He graduated with a 3.2 GPA and began working for the county as a psychiatric technician. He

worked as a psych tech for 14 years and described it as “fun at first, but it got boring and predictable

after a while.”


Bob shared that he has a medical doctor that he visits once every few years for his routine physical. He

denied having any significant medical problems. Additionally, he denied using any illicit substances and

reported drinking only on occasion with friends from his fraternity

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