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1. Formulate a Differential Diagnosis for Roger. What are your diagnostic considerations and why? Support your ideas by discussing what you see in the vignette utilizing all course readings thus far. What information would you need to look for to confirm your diagnostic impression and why?
2. In considering the biopsychosocial view of Schizophrenia outlined by Comer (2007), and potential substance abuse, create a treatment plan for Roger? Integrate a discussion of which model of treatment you might use in the treatment of Schizophrenia from Chapter 15.
Session Two
In this second session, you meet with Roger alone. He looks at you with a blank stare and frozen smile. His eyes are glassy and his pupils are fixed. He tells you that his parents are just old style folks that don’t understand his special gift. Roger believes that he has contact with other dimensions of reality and has visited himself in past lives. He thinks he has met you before but not in this century. Roger thinks he has met you during the reign of Julius Cesar. He wishes he could stay in that era where he was free to practice sexual difference without being condemned by Satan.
1. What diagnostic issues arise during your second session with Roger? What assessment and intervention techniques might you consider for him at this point in treatment? What referrals might you consider making for Roger and why?”
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