Reference no: EM1355478

What Axis I diagnoses would you consider for James? Support your choices to specific DSM-IV-TR criteria.

What other information needs to be gathered in order to make firm diagnoses on Axis I?

What factors to take into account when developing a treatment plan for working with James? (Describe three treatment goals and the approaches you would use in sessions to meet these goals).

Support your ideas with references

James case:

James R. is a 52-year-old African American man who feels anxious about a number of issues in his life. He worries frequently about his two adult children and some of the problems they are having; he is anxious about new responsibilities at work; he is dreading an upcoming performance review; and he worries all of the time about finances. James has been feeling worried almost every day for the past year and says he cannot control the worry. It keeps him awake at night, prevents him from concentrating, and adds to his overall feeling of irritability and restlessness. He is extremely distressed about this.

James also discloses that he drinks alcohol most nights. He has two or three glasses of wine with dinner and frequently has another drink or two later in the evening. His drinking has increased during the past year to the point that his wife and children have confronted him about it. James denies that his drinking is a problem, even though he admits that he argues much more often with his wife when he has been drinking. He also has had repeated absences at work and has submitted late or substandard work projects because of drinking heavily the night before.