Treatment Plan Case-Bill Mr. Bill presented for treatment stating he was experiencing “depression, co-dependency, and a history of chemical abuse.” He disclosed information on continual failure to maintain healthy relationships, he also stated that he has had sexual relationships with several different partners. During further discussion, he divulged information of a chaotic childhood that consisted of physical and emotional abuse. DSM-V Diagnosis (DX) The provisional diagnosis of 302.79 Other Specified Sexual Dysfunction (Sexual Addiction) is given, due to the client fulfilling three criteria from a list of behavioral patterns in Clinical Management of Sex Addiction for a diagnosis of Sexual Addiction. The three criteria consist of “excessive amounts of time spent obtaining sex, or being sexual, preoccupation with sexual behavior, continuing to take part in the sexual behavior despite knowledge of having recurrent social problems, and psychological problems” (Carnes, P & Adams, K. 2002, p. 9). Furthermore, as a child, Mr. Bill’s mother was a prostitute, which may qualify as another member of his family being sexually addicted, he has a history of crisis because of sexual addiction, and he comes from a disengaged family. Mr. Bill is also given the following V codes; V15.41 Personal past physical abuse during childhood, due to abuse suffered as a child. V15.42 (z62.811) personal past history of psychological abuse in childhood, due to psychological abuse suffered as a child. V62.29 (Z56.9) problems related to employment, because of the fact that his employment is influencing his sexual addiction. V65.49 (Z70.9) sex counseling, intended for sexual addiction. Differential diagnosis includes the following, listed in order of importance. These are illnesses that are suspected, but a diagnosis cannot be given at this time due to lack of evidence:
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TREATMENT PLAN 3 350.90 Unknown Substance Use Disorder; 292.84 Substance/ Medication-Induced Depressive Disorder and; 296.21 Major Depressive Disorder; 309.81 Posttraumatic Stress Disorder. The Unknown substance use disorder will be investigated due to Mr. Bill’s acknowledging he has a history of substance abuse. He also assumes he has d
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