Steve is a 21-year-old Caucasian male who presented for treatment, due to what he has termed as some recent disorientation. He indicated that he has had a lot of difficulty focusing on tasks and attending his university classes. He stated that he realizes something is different about him. His friends and family keep asking if he is okay. Steve reported that what prompted him to come to counseling was when he thought he heard someone telling him that his brother was working with the CIA to have him put away for good. He reported feeling scared and confused most of the time.
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Steve’s case is difficult to diagnose, because there is no specific indication that he is suffering from any major disorder as classified on the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR, [APA], 2004). The DSM-IV-TR provide standards for evaluation, assessment and diagnoses of specific disorder based on five axes, with the first three Axes used for assessment of disorders. Axis I disorders are clinical disorders that may need clinical …
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