Write a 3 to 4-page paper in APA format based on a case study.

  A. After reading the case provided, use the DSM 5/ICD 10 criteria and other readings to develop impressions about the diagnosis or diagnoses that might be relevant here. Be sure to provide the rationale for how you arrived at these diagnostic impressions. B. Include a discussion about how a recovery-oriented approach to diagnosis differs from a medical model/DSM-5/ICD-10 diagnosis for this case. C. Consider the risk/protective factors and relative balance of these and resiliency of the individual. Also consider racial, ethnic, gender, sexual orientation, SES class variations of the mental health disorder. What role might discrimination play in how diagnoses are assigned in this case? Case Study Mirlande, a 17yo female of African and Creole descent, is currently hospitalized because of unstable mental health. Her teachers and school guidance counselor raised concerns several months prior and had recommended outpatient mental health services to her family. Their concerns stemmed from a marked change in Mirlande’s behavior and performance at school. In 10th grade, she was very high functioning, mature, insightful, well-behaved, articulate, and emotionally expressive. She excelled in the gifted program, had several close friends and a boyfriend. At the beginning of junior year, Mirlande started to struggle in her classes, failing several tests within the first month. Her teachers reported concerns about her lack of participation and change in affect. In a meeting with her guidance counselor, Mirlande admitted that she was not sleeping well, sometimes not for days saying that it was due to the stress of school and studying for the SAT’s. She described feeling as if she was “going crazy.” Based on her guidance counselor’s recommendation, Mirlande agreed to start outpatient therapy at a local community mental health agency where she could also be seen by the on-site psychiatrist. She joined an outpatient group for teens who were experiencing anxiety and depression that met for one hour per week after school. Within the first two weeks, she also met with the psychiatrist for a 30-minute appointment during which he prescribed Zoloft, an SSRI to treat her symptoms. After starting Zoloft, things got worse. Mirlande reported to her therapist that she was having a hard time leaving the house in the morning for school; she needed to check and recheck that she had brushed her teeth; she brushed her hair with the same number of strokes each morning; she put on her clothes in the exact same order, and checked that she had turned out all of the lights in her room and in the house repeatedly. Her parents both worked several jobs and were typically not home in the morning when she had to leave for school. Mirlande reported feeling that it would be easier on her family if she just would “disappear” saying, “They wouldn’t have to worry about me any longer.” After conducting a suicide assessment, Mirlande’s therapist called her parents and recommended inpatient treatment for suicidal ideation. While in the hospital, Mirlande experienced dissociative symptoms. She was unsure whether the things she saw and heard were real or just “in her head.” During a family meeting with the psychiatrist at the hospital, her mother explained that Mirlande was “receiving visits from spirits of dead relatives some of whom are causing great distress.” Mirlande did not disagree with her mother’s assessment. Her father shared that he believed Mirlande was struggling with her recent breakup with a boy who had written “mean music” about her and posted it on YouTube. He stated that he would like to contact the boy’s parents and ask them to make him remove the videos, believing that this would alleviate Mirlande’s suffering. Mirlande pleaded with him not to do this. Following the family meeting, the psychiatrist asks you (the hospital social worker) for your impressions and suggestions for next steps.