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 Analyze and apply critical thinking skills in the psychopathology of mental health patients and provide treatment and health promotion while applying evidence-based research.Scenario:

Jax is a 66-year-old Caucasian female whose wife has encouraged her to seek treatment. She has never been in therapy before, and has no history of depression or anxiety. However, her alcohol use has recently been getting in the way of her marriage, and interfering with her newly-retired life. She describes drinking increasing amounts over the last year, currently consuming approximately a six-pack of beer per day. She notes that this amount “doesn’t give me the same buzz as it used to.” She denies ever experiencing “the shakes” or any other withdrawal symptoms if she skips a day of drinking.

Jax comments that her wife is her biggest motivation to decrease her alcohol use. She tells Jax that she gets argumentative and irritable when she drinks, though she does not always remember these incidents. She has also fallen while intoxicated twice, causing bruises both times and hitting her head on one of the occasions.

Questions:

Remember to answer these questions from your textbooks and NP guidelines. At all times, explain your answers. 

1. Describe the presenting problems/issues. Is there any information that was not provided that you would need to formulate a diagnosis?
2. Generate a primary and differential diagnosis using the DSM5 and ICD 10 codes.
3. What physiological and psychological processes lead to substance dependence?

Submission Instructions:

• Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.  Your initial post is worth 8 points.
• You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.) 
• All replies must be constructive and use literature where possible.
• Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
• Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor.
• You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.

View the TEDTalk “Why I live in Mortal Dread of Public Speaking”Links to an external site. by Megan Washington (TEDx, 2014). Then, view the Sources of Communication Apprehension presentation (adapted from Engleberg & Wynn, 2015). In light of the TEDTalk, the presentation, and your own experiences respond to the following questions:

• What strikes you as most interesting about Ms. Washington’s talk?
• Do you relate in any way to her talk or to the Sources of Communication Apprehension presentation?
• If you had to pick one or two sources of communication apprehension that you feel relate to you, which ones would they be and how do you manage them?

Be sure to respond to your peers as well. As a note, aim for full credit and connect to a scholarly source beyond the TED Talk to show how the discussion ties to your studies in the course. For this post, an integration of a scholarly course should go beyond a mention of the apprehensions from the text above. 

References 

Engleberg, I. N. & Wynn, D. R. (2015). Think communication. Boston, MA: Pearson 

TEDx. (2014). Megan Washington: Why I live in mortal dread of public speaking. http://www.ted.com/talks/megan_washington_why_i_live_in_mortal_dread_of_public_speaking 

case study 

 Consider a population health topic that rises to the presidential agenda level. Which social determinant most affects this health issue? How did two recent presidents handle the problem? What would you do differently?