Category: Pueblo Community College Sociological Theories of Deviance Discussion

Client Termination Summary : With the client you selected in mind, address in  a client termination summary (without violating HIPAA regulations) the  following: Identifying information of client (e.g., hypothetical name and age) Date the client initially contacted therapist, date therapy began, duration of therapy, and date therapy will end Total number of sessions, including number of missed sessions Whether termination was planned or unplanned Presenting problem Major psychosocial issues Types of services rendered (e.g., individual, couple/family therapy, group therapy) Overview of treatment process Goal status (goals met, partially met, unmet) Treatment limitations (if any) Remaining difficulties and/or concerns Recommendations Follow-up plan (if indicated) Instructions for future contact Signatures

With the client you selected in mind, address in  a client termination summary (without violating HIPAA regulations) the  following:

Identifying information of client (e.g., hypothetical name and age)
Date the client initially contacted therapist, date therapy began, duration of therapy, and date therapy will end
Total number of sessions, including number of missed sessions
Whether termination was planned or unplanned
Presenting problem
Major psychosocial issues
Types of services rendered (e.g., individual, couple/family therapy, group therapy)
Overview of treatment process
Goal status (goals met, partially met, unmet)
Treatment limitations (if any)
Remaining difficulties and/or concerns
Recommendations
Follow-up plan (if indicated)
Instructions for future contact
Signatures

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Colleagues Response week 11 : ASSIGNMENT:  Respond to at least two of your colleagues by comparing the differential diagnostic features of the disorder you selected to the diagnostic features of the disorder your colleagues were assigned. Note: Support your responses with evidence-based literature with at least two references in each colleague’s response with proper citation in APA Format.  Colleagues Respond # 1 Gender Dysphoria Transgender is the term used to mean that individual sex assigned during birth based on the external genital does not fit their gender identity. These kinds of people usually experience gender dysphoria, which is one of the psychological distresses associated with the incongruence between one’s gender identity and the sex they were assigned during birth. Gender dysphoria usually starts at the beginning of childhood, but in some cases, individuals may not experience it until after puberty and even much later in their stages of life. People with transgender may pursue different domains of gender affirmation, which includes: surgical affirmation, medical affirmation, legal affirmation, and social affirmation (Lindley, 2020). Not all people with transgender issues will desire to have all these domains of gender affirmation as these are highly individual and personal decisions. Medical treatment for gender dysphoria Medical treatments for this condition may include hormone therapy, such as masculinizing hormone therapy or feminizing hormone therapy. Surgery includes masculinizing surgery or feminizing surgery, which intends to change chest or breasts, internal genitalia, external genital, body contouring, and facial features. Some people used hormone therapy to seek maximum masculinization or feminization. Other people find relief from gender dysphoria by using hormones to maximize secondary sex characteristics such as facial hair and breasts. These kinds of treatments are based on individuals’ goals and the evaluation of the benefits and risks of the medication use, presence of any other conditions, and consideration of individual’s economic and social issues (Zucker, 2018). Most of these gender dysphoria individuals find surgery the most effective and necessary procedure that relieves their condition. The World Professional Association for Transgender Health gives the following procedure for the surgical or hormonal treatment for people with gender dysphoria. 1. Persistent and a well-documented gender dysphoria 2. The capacity to make consent and an informed decision for the treatment 3. The aged majority of a given country and when the patient is young need to follow the standard of care for the adolescents and children. Behavioral health treatment This treatment aims to improve the individual’s psychological well-being, self-fulfillment, and quality of life. This kind of treatment does not aim to alter an individual’s gender identity, but it aims to explore gender concerns and find ways to reduce gender dysphoria. The main goal here is to help the gender-nonconforming and transgender individuals become more comfortable with the situation as gender identity expressions enable success in their education, work, and relationships. This therapy can also address any other mental health concerns (Kaltiala-Heino, 2018). The therapy can be individual, family, group, or couple, which will help the individual explore and integrate on their gender identity and accept themselves. It will address the emotional and mental impact of the minority stress and build on a support network. To achieve these entire, one needs to develop a plan to address legal and social concerns related to the transition and coming out to the loved ones, close contacts, colleagues, and friends. This will make one more comfortable by expressing their gender identity. It will also explore healthy sexuality and make the right decision on medical treatment options and ensure an increased quality of life and well-being. Therapy might be needful and helpful during many stages in everyone’s life. The pre-treatment of behavioral health evaluation is done by a doctor who is an expert and has experience in intersex and transgender health when needed for surgical and hormonal treatment of gender dysphoria. Colleagues Respond # 2 Diagnostic Criteria for Gender Dysphoria            According to the DSM V, Gender Dysphoria occurs when an individual believes that their gender identity does not correspond to the biological sex (APA, 2013).  These individuals prefer to be identified as the gender they personally identify with, not with the gender assigned at birth. Within their family and socially, they wish to be identified as either male or female depending upon their self-identification.  They experience personal distressed when they are viewed as the gender they were born with and they have a desire to have the body of the opposite sex (Sadock, Sadock & Ruiz, 2014).   Those with gender dysphoria often opt to have gender reassignment surgery and receive hormonal treatments (Kaltiala-Heino, 2018). At around age 2 or 3 gender identity is established (Sadock et. al., 2014). The criterion for Gender Dysphoria includes  two of the  following for at least 6 months: an incongruence between experienced gender and assigned gender, a desire to get rid of or prevent the development of primary and/or sex characteristics, a strong desire to have the sex characteristics of the other gender, a strong desire to be the other gender, a strong desire to be treated like the other gender, and a belief that one has the feelings and beliefs of the other gender and secondly,  distress or impairment in school, social settings and daily functioning (APA, 2013). Gender dysphoria may occur in children, adolescents and adults.          Psychotherapy and Psychopharmacologic Treatment for Gender Dysphoria For this disorder treatment options include psychotherapy, hormone therapy and gender reassignment surgery.  For children and adults, individual, group and family therapy is beneficial. With adults, hormonal and surgical options can be explored.  Since physicians who perform gender reassignment surgery require a letter from a mental health provider, individuals would participate in treatment so that they could get a psychiatric clearance for surgery. Nguyen et. al., (2018) suggest that prescribing gender affirming hormone therapy helps alleviate the mental distress related to gender dysphoria by reducing the symptoms of anxiety and depression Otherwise, these individuals would avoid mental health treatment. There is now an informed consent model in some clinics so that they could receive hormone therapy without a mental health professional’s involvement.  This is unfortunate since many adults and children with gender dysphoria have underlying psychiatric diagnoses such as anxiety , social anxiety , depression, risk of suicide, substance abuse and other self-harm behaviors (Sadock et.al., 2014). Mental health professionals do have an essential role in promoting the wellness of patients with gender dysphoria. Johnson, Shipherd and Walton (2020) emphasize the many services such as advocacy, coordination of care, and referrals for medical care and surgery.  Because of stigma and social anxiety, patients with this diagnosis may not seek help. Gabbard (2014) emphasized the importance of psychoeducation for spouses, parents and family members. A psychotherapist knowledgeable about gender dysphoria can be an invaluable resource. Those who offer conversion therapy are not abiding by the position statements by the American Psychiatric Association or the guidelines established by the American Academy of Child and Adolescent Psychiatry (Sadock et. al., 2014).  Additionally, cognitive behavioral therapy (CBT) can be helpful for transgender or gender non-conforming (TGNC) patients by targeting social anxiety.       Differential Diagnosis for Gender Dysphoria  The patient must experience distress with their gender identity.  Those with psychosis who have delusional thoughts that they are the opposite gender may experience distress, however, once the psychosis is treated, the distress regarding gender diminishes.  Body dysmorphic disorder is a differential diagnosis in that some people may want to change gender body parts but they believe it is abnormal but they do not question their assigned birth gender.. Another differential diagnosis is transvestic disorder in which the individual identifies with their birth gender but is aroused by wearing the opposite gender’s clothing.

ASSIGNMENT: 
Respond to at least two of your colleagues by comparing the differential diagnostic features of the disorder you selected to the diagnostic features of the disorder your colleagues were assigned.
Note: Support your responses with evidence-based literature with at least two references in each colleague’s response with proper citation in APA Format. 

Colleagues Respond # 1
Gender Dysphoria
Transgender is the term used to mean that individual sex assigned during birth based on the external genital does not fit their gender identity. These kinds of people usually experience gender dysphoria, which is one of the psychological distresses associated with the incongruence between one’s gender identity and the sex they were assigned during birth. Gender dysphoria usually starts at the beginning of childhood, but in some cases, individuals may not experience it until after puberty and even much later in their stages of life. People with transgender may pursue different domains of gender affirmation, which includes: surgical affirmation, medical affirmation, legal affirmation, and social affirmation (Lindley, 2020). Not all people with transgender issues will desire to have all these domains of gender affirmation as these are highly individual and personal decisions.
Medical treatment for gender dysphoria
Medical treatments for this condition may include hormone therapy, such as masculinizing hormone therapy or feminizing hormone therapy. Surgery includes masculinizing surgery or feminizing surgery, which intends to change chest or breasts, internal genitalia, external genital, body contouring, and facial features.
Some people used hormone therapy to seek maximum masculinization or feminization. Other people find relief from gender dysphoria by using hormones to maximize secondary sex characteristics such as facial hair and breasts. These kinds of treatments are based on individuals’ goals and the evaluation of the benefits and risks of the medication use, presence of any other conditions, and consideration of individual’s economic and social issues (Zucker, 2018). Most of these gender dysphoria individuals find surgery the most effective and necessary procedure that relieves their condition.
The World Professional Association for Transgender Health gives the following procedure for the surgical or hormonal treatment for people with gender dysphoria.
1. Persistent and a well-documented gender dysphoria
2. The capacity to make consent and an informed decision for the treatment
3. The aged majority of a given country and when the patient is young need to follow the standard of care for the adolescents and children.
Behavioral health treatment
This treatment aims to improve the individual’s psychological well-being, self-fulfillment, and quality of life. This kind of treatment does not aim to alter an individual’s gender identity, but it aims to explore gender concerns and find ways to reduce gender dysphoria. The main goal here is to help the gender-nonconforming and transgender individuals become more comfortable with the situation as gender identity expressions enable success in their education, work, and relationships. This therapy can also address any other mental health concerns (Kaltiala-Heino, 2018).
The therapy can be individual, family, group, or couple, which will help the individual explore and integrate on their gender identity and accept themselves. It will address the emotional and mental impact of the minority stress and build on a support network. To achieve these entire, one needs to develop a plan to address legal and social concerns related to the transition and coming out to the loved ones, close contacts, colleagues, and friends. This will make one more comfortable by expressing their gender identity. It will also explore healthy sexuality and make the right decision on medical treatment options and ensure an increased quality of life and well-being.
Therapy might be needful and helpful during many stages in everyone’s life. The pre-treatment of behavioral health evaluation is done by a doctor who is an expert and has experience in intersex and transgender health when needed for surgical and hormonal treatment of gender dysphoria.

Colleagues Respond # 2
Diagnostic Criteria for Gender Dysphoria
           According to the DSM V, Gender Dysphoria occurs when an individual believes that their gender identity does not correspond to the biological sex (APA, 2013).  These individuals prefer to be identified as the gender they personally identify with, not with the gender assigned at birth. Within their family and socially, they wish to be identified as either male or female depending upon their self-identification.  They experience personal distressed when they are viewed as the gender they were born with and they have a desire to have the body of the opposite sex (Sadock, Sadock & Ruiz, 2014).   Those with gender dysphoria often opt to have gender reassignment surgery and receive hormonal treatments (Kaltiala-Heino, 2018). At around age 2 or 3 gender identity is established (Sadock et. al., 2014). The criterion for Gender Dysphoria includes  two of the  following for at least 6 months: an incongruence between experienced gender and assigned gender, a desire to get rid of or prevent the development of primary and/or sex characteristics, a strong desire to have the sex characteristics of the other gender, a strong desire to be the other gender, a strong desire to be treated like the other gender, and a belief that one has the feelings and beliefs of the other gender and secondly,  distress or impairment in school, social settings and daily functioning (APA, 2013). Gender dysphoria may occur in children, adolescents and adults.
         Psychotherapy and Psychopharmacologic Treatment for Gender Dysphoria
For this disorder treatment options include psychotherapy, hormone therapy and gender reassignment surgery.  For children and adults, individual, group and family therapy is beneficial. With adults, hormonal and surgical options can be explored.  Since physicians who perform gender reassignment surgery require a letter from a mental health provider, individuals would participate in treatment so that they could get a psychiatric clearance for surgery. Nguyen et. al., (2018) suggest that prescribing gender affirming hormone therapy helps alleviate the mental distress related to gender dysphoria by reducing the symptoms of anxiety and depression Otherwise, these individuals would avoid mental health treatment. There is now an informed consent model in some clinics so that they could receive hormone therapy without a mental health professional’s involvement.  This is unfortunate since many adults and children with gender dysphoria have underlying psychiatric diagnoses such as anxiety , social anxiety , depression, risk of suicide, substance abuse and other self-harm behaviors (Sadock et.al., 2014). Mental health professionals do have an essential role in promoting the wellness of patients with gender dysphoria. Johnson, Shipherd and Walton (2020) emphasize the many services such as advocacy, coordination of care, and referrals for medical care and surgery.  Because of stigma and social anxiety, patients with this diagnosis may not seek help. Gabbard (2014) emphasized the importance of psychoeducation for spouses, parents and family members. A psychotherapist knowledgeable about gender dysphoria can be an invaluable resource.
Those who offer conversion therapy are not abiding by the position statements by the American Psychiatric Association or the guidelines established by the American Academy of Child and Adolescent Psychiatry (Sadock et. al., 2014).  Additionally, cognitive behavioral therapy (CBT) can be helpful for transgender or gender non-conforming (TGNC) patients by targeting social anxiety.
      Differential Diagnosis for Gender Dysphoria
 The patient must experience distress with their gender identity.  Those with psychosis who have delusional thoughts that they are the opposite gender may experience distress, however, once the psychosis is treated, the distress regarding gender diminishes.  Body dysmorphic disorder is a differential diagnosis in that some people may want to change gender body parts but they believe it is abnormal but they do not question their assigned birth gender.. Another differential diagnosis is transvestic disorder in which the individual identifies with their birth gender but is aroused by wearing the opposite gender’s clothing.

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Client Termination Summary : PLEASE FOLLOW THE INSTRUCTIONS BELOW 5 REFERENCES ZERO PLAGIARISM  Develop client termination summaries To prepare: For guidance on writing a client termination summary, review pages 693–712 of Wheeler (2014) in this week’s Learning Resources. Identify a client who may be ready to terminate therapy. Assignment With the client you selected in mind, address in a client termination summary (without violating HIPAA regulations) the following: Identifying information of client (e.g., hypothetical name and age) Date the client initially contacted therapist, date therapy began, duration of therapy, and date therapy will end Total number of sessions, including number of missed sessions Whether termination was planned or unplanned Presenting problem Major psychosocial issues Types of services rendered (e.g., individual, couple/family therapy, group therapy) Overview of treatment process Goal status (goals met, partially met, unmet) Treatment limitations (if any) Remaining difficulties and/or concerns Recommendations Follow-up plan (if indicated) Instructions for future contact Signatures

PLEASE FOLLOW THE INSTRUCTIONS BELOW
5 REFERENCES
ZERO PLAGIARISM 

Develop client termination summaries

To prepare:

For guidance on writing a client termination summary, review pages 693–712 of Wheeler (2014) in this week’s Learning Resources.
Identify a client who may be ready to terminate therapy.

Assignment
With the client you selected in mind, address in a client termination summary (without violating HIPAA regulations) the following:

Identifying information of client (e.g., hypothetical name and age)
Date the client initially contacted therapist, date therapy began, duration of therapy, and date therapy will end
Total number of sessions, including number of missed sessions
Whether termination was planned or unplanned
Presenting problem
Major psychosocial issues
Types of services rendered (e.g., individual, couple/family therapy, group therapy)
Overview of treatment process
Goal status (goals met, partially met, unmet)
Treatment limitations (if any)
Remaining difficulties and/or concerns
Recommendations
Follow-up plan (if indicated)
Instructions for future contact
Signatures

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I’m working on a History writing question and need support to help me understand better .
California HIstory Five 80-90 words identification, one 750 words essay . For identification For a full and complete answer, you
must “Identify, Cite, and Explain” (ICE) each ID as it relates to the class . That is, you must (1)
identify the concept/theme/individual (explain who or what it is); (2) *cite where you found the
information (reading, lecture, or film), and (3) explain the significance of that concept,
individual, or event, as it relates to California history . Be sure to include evidence from the
readings, lectures, and/or films . No outside sources . Finally, use complete sentences—no lists—
and check for spelling and grammatical mistakes .
*Sample citations and format Readings (Johnson, 134-35); Videos (Salazar, Oct . 8, 2020) or (6
Generations, 2011) 80-90 words each . 1 . 1850 Act for the Government and Protection of Indians 2 . Biddy Mason 3 . Chinese massacre of 1871
4 . Tomol (plank canoe) 5 . Wong Kim Ark
For essay Choose and answer one of the following two essay prompts . A complete answer will have an essay format, an
argument, specific examples that support your argument, and a conclusion showing you proved
your argument . Be sure to address the question in its entirety and to include evidence from the
readings, lectures, guest speakers, and/or films . No outside sources . Finally, check for spelling
and grammatical mistakes .
1 . The Spanish conquest and colonization of California in the late 1700s and early 1800s had an
immediate as well as prolonged impact on Native Californians . How were the lives of California
Indians transformed, and in what ways did they resist Spanish domination? Describe at least
three different ways Native Californians challenged Spanish attempts to subdue their cultures
and communities . In your response, be sure to give specific examples from the readings, that is,
give names, dates, and other details of events, demonstrating how indigenous peoples contested
Spanish efforts . *Be sure to cite sources . 2 . In the early 1900s, Progressives in California became increasingly alarmed at the social and
moral decay they associated with the growing industrialization, urbanization, and immigration .
As we have read, they were particularly concerned with what they saw as poor housing, illicit
sexuality, and juvenile delinquency . How did Progressives respond to these concerns? In your
response, identify at least three ways they reacted to these pressing social issues . *Be sure to
cite sources .
Essay format Please use double spacing, 12-point font, and 1-inch margins .
No cover pages needed, begin on page one .
Include name and date on upper right-hand corner of first page . 750 words . “
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Help me study for my Psychology class . I’m stuck and don’t understand .
Psychological Treatment PlanIt is recommended that students review the e-book The Complete Adult Psychotherapy Treatment Planner (Jongsma, Peterson, & Bruce, 2014) for additional assistance in completing this assignment . Clinical and counseling psychologists utilize treatment plans to document a client’s progress toward short- and long-term goals . The content within psychological treatment plans varies depending on the clinical setting . The clinician’s theoretical orientation, evidenced-based practices, and the client’s needs are taken into account when developing and implementing a treatment plan . Typically, the client’s presenting problem(s), behaviorally defined symptom(s), goals, objectives, and interventions determined by the clinician are included within a treatment plan . To understand the treatment planning process, students will assume the role of a clinical or counseling psychologist and develop a comprehensive treatment plan based on the same case study utilized for the Psychiatric Diagnosis assignment in PSY645 . A minimum of five peer-reviewed resources must be used to support the recommendations made within the plan . The Psychological Treatment Plan must include the headings and content outlined below . Behaviorally Defined SymptomsDefine the client’s presenting problem(s) and provide a diagnostic impression . Identify how the problem(s) is/are evidenced in the client’s behavior . List the client’s cognitive and behavioral symptoms . Long-Term GoalGenerate a long-term treatment goal that represents the desired outcome for the client . This goal should be broad and does not need to be measureable . Short-Term ObjectivesGenerate a minimum of three short-term objectives for attaining the long-term goal . Each objective should be stated in behaviorally measureable language . Subjective or vague objectives are not acceptable . For example, it should be stated that the objective will be accomplished by a specific date or that a specific symptom will be reduced by a certain percentage . InterventionsIdentify at least one intervention for achieving each of the short-term objectives . Compare a minimum of three evidence-based theoretical orientations from which appropriate interventions can be selected for the client . Explain the connection between the theoretical orientation and corresponding intervention selected . Provide a rationale for the integration of multiple theoretical orientations within this treatment plan . Identify two to three treatment modalities (e . g . , individual, couple, family, group, etc . ) that would be appropriate for use with the client . It is a best practice to include outside providers (e . g . , psychiatrists, medical doctors, nutritionists, social workers, holistic practitioners, etc . ) in the intervention planning process to build a support network that will assist the client in the achievement of treatment goals . EvaluationList the anticipated outcomes of each proposed treatment intervention based on scholarly literature . Be sure to take into account the individual’s strengths, weaknesses, external stressors, and cultural factors (e . g . , gender, age, disability, race, ethnicity, religion, sexual orientation, socioeconomic status, etc . ) in the evaluation . Provide an assessment of the efficacy of evidence-based intervention options . EthicsAnalyze and describe potential ethical dilemmas that may arise while implementing this treatment plan . Cite specific ethical principles and any applicable law(s) for resolving the ethical dilemma(s) . The Psychological Treatment PlanMust be 8 to 10 double-spaced pages in length (not including title and references pages) and formatted according to APA style as outlined in the Ashford Writing Center (Links to an external site . ) . Must include a separate title page with the following Title of paperStudent’s nameCourse name and numberInstructor’s nameDate submittedMust use at least five peer-reviewed sources in addition to the course text . Must document all sources in APA style as outlined in the Ashford Writing Center . Must include a separate references page that is formatted according to APA style as outlined in the Ashford Writing Center . “
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