Research Paper on:
Patient Assessment: A Case Study

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including a father who was an alcoholic. In addition, the patient also outlined a long history of problems related to obesity and hypertension, and a review of his medical  history supported this. At the first assessment of this individual, he stated that he had sought help because his wife had stated a concern for his health related  to his drinking and because his depression had lead to suicidal ideation. Specifically, D.K.s drinking had become a personal focus, and had progressed from social drinking to hidden drinking  and the abuse of other substances, including crack-cocaine. Self-report also allowed for the assessment of suicidal ideation, which was consistent with the view that he was attempting to "poison"  himself with alcohol. The patient also mentioned an example of suicidal ideation, when he sat in his running car with the garage doors closed, perhaps attempting to induce carbon  monoxide poisoning. His mood was depressed, and he also expressed feelings of sadness, emotional pain, anxiety and fear. D.K.s affect was flat and his speech was slow but appropriate.  He also demonstrated good gestural posturing. These indices corresponded with the presentation of depression, and also underscored the view of the problematic nature of his suicidal ideation.  The following are the five DSM-IV-TR Diagnoses based on the DSM Five-Axis determinations: Axis I: Alcohol dependence  and depression Axis II: Deferred Axis III: Hypertension Axis IV: Missed work, legal problems, and excessive trips to obtain alcohol, family problems. Axis V: 15/50  The diagnoses of alcohol dependence and depression are primary determinants for the care plan for D.K., but depression is the primary diagnosis in terms of the analysis for the DSM-IV-TR.