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BHS 450 Topic 3 Presenting Symptoms & Severity

Presenting Symptoms & inflexibility

Christy’s reported complications at the academy include frequent complaints of not feeling well, a dramatic loss in weight, and not finishing reflections. Christy’s reported complications at home are perversity, moodiness, loss of interest in conditioning, and expressing that she’s going to commit self-murder after a harsh argument with her stock. Her mama didn’t take this statement seriously and feels that Christy is too youthful to be depressed and is looking for attention rather.

The onset of her actions passed around the age of 8, during her first registration in the third grade. The actions reportedly displayed by Christy relate to the internalized diseases of anxiety, depression, and physical. Internalizing diseases include depression, anxiety, compulsive obsession, physical trauma and stressor, and dissociative diseases (Wilmshurst, 2015).


Depressive diseases include disruptive mood dysregulation complaints, major depressive complaints, patient depressive complaints, premenstrual dysphoric complaints, substance/drug-convinced depressive complaints, depressive complaints due to another medical condition, other-specified depressive complaints, and unidentified depressive complaints. The common symptoms set up in these diseases include sadness, emptiness, perversity, and physical and cognitive changes that significantly impact performance (APA, 2013). While these diseases partake in a foundation of parallels, they do differ regarding duration, presumed etiology, and timing. Christy displays the symptoms of depressive diseases through perversity, physical complaints, and sadness.


Anxiety diseases include separation anxiety, picky mutism, specific phobia, social anxiety (social phobia), fear complaint, fear attack specifier, agoraphobia, generalized anxiety, substance/drug-convinced anxiety, anxiety complaint due to another medical condition, and other specified anxiety, unidentified anxiety complaint. These diseases partake in the symptoms of inordinate fear and anxiety. Fear is an emotional response to perceived or factual peril, while anxiety is an expectation of unborn trouble (APA, 2013).

BHS 450 Topic 3 Presenting Symptoms & Severity

While these diseases partake in the foundation of inordinate fear and anxiety, they differ in regard to fear and anxiety being in response to different types of objects or situations. The position of fear and anxiety can induce a fight or flight response and can also be reduced to avoidance actions in anxiety diseases (APA, 2013). Christy displays avoidance actions through physical complaints and absenteeism.


Physical diseases include physical symptoms, illness anxiety, conversion, cerebral factors affecting other medical conditions, factitious, other-specified physical symptoms and related, and unidentified physical symptoms and related complaints. These diseases partake in the elevation of physical symptoms associated with significant torture and impairment (APA). A distinctive characteristic in individuals presenting with a physical complaint is the way the individual presents and interprets their symptoms. Christy displays symptoms of a physical complaint through her physical symptoms causing her significant stress and impairment. Due to her symptoms, she’s noted to have lost significant weight, not finished her food, and avoided going to the academy.

Identify Internalizing diseases

Internalized actions are tone-directed in nature, which makes them and their opinion heterogeneous. These diseases are frequently set up to co-occur with each other and/ or materialize diseases. The geomorphology of internalizing symptoms in children can include unexplained physical symptoms, social pullout, and suicidal studies or actions (Tandon, Cardeli, & Luby, 2009). The way involved in relating and assessing a child with internalizing actions is to identify internalizing symptoms, communicate with a child to understand their passions and symptoms, and give assessments that measure internalizing symptoms. Christy displays characteristics from three orders of internalized diseases-anxious, depressive and physical.

BHS 450 Topic 3 Presenting Symptoms & Severity

Anxiety, depression, and physical diseases all partake in the internally acquainted symptoms of depressed moods, anxious and inhibited responses, and a tendency to express emotional torture as physical( Wilmshurst, 2015). The triplex model should be used to get a better understanding of which of these three, or what combination of the three, Christy displays.The triplex model breaks internalizing symptoms into three orders in order to understand which complaint an individual displays negative affectivity, and emotional torture, which relates to anxiety and depression.

Low positive affectivity, which is described as sadness, languor, torture, and unpleasurable engagement and is linked to only depression, and physiological thrill, which is measured thrill through physiological responses and is related only to anxiety (Wilmshurst, 2015). Christy displays characteristics of negative affectivity, emotional torture, and low situations of positive affectivity. Further testing and/ or information is demanded to rule out physiological thrill due to physiological thrill being measured as thrill reflected through physiological responses.

BHS 450 Topic 3 Presenting Symptoms & Severity

Considering that Christy is displaying symptoms of low negative affectivity (depression and anxiety) and low positive affectivity (depression), she’s displaying symptoms of both anxious and depressive diseases. Comorbidity rates as high as 70 have been reported between anxiety and depression, with the onset of anxiety being a precursor to the development of depression (Wilmshurst, 2015). Not only are the chances of Christy passing both depression and anxiety possible, but so is the chance of her passing a physical complaint as well.

Inflexibility & Threat Factors

To estimate the inflexibility of the symptoms Christy displays, a dimensional approach similar to the Achenbach System of Empirically Grounded Assessment (ASEBA) is recommended. Through dimensional brackets, maladaptive actions are conceptualized as symptom clusters, patterns, or runs( Wilmshurst, 2015). The ASEBA utilizes standing scales amongst anxious/ depressed, withdrawn/ depressed, and physical complaints and is given to parents, preceptors, and children between the periods of eleven and eighteen (Wilmshurst, 2015).

Exercising the ASEBA will help to understand the inflexibility of Christy’s symptoms in each order, the relation to these symptoms amongst colorful surroundings (home/ academy and parent/ schoolteacher), and in delivering and explaining the inflexibility of Christy’s actions to her mama and other chief grown-ups in Christy’s life. When assessing the inflexibility of Christy’s symptoms, consideration must also be taken in regard to her expression of wanting to commit self-murder.

Children and adolescents frequently experience helplessness and passions of ineffectiveness in changing circumstances that beget inviting cerebral pain (Wilmshurst, 2015). Christy endured a physically traumatic event that has led to cerebral trauma as well. These gests can lead to suicidal creativity in children and adolescents, which brings violent negative passions of wrathfulness, depression, anxiety, and forlornness. The co-occurring threat factor that needs to be conceded for Christy is mood diseases, similar to anxiety and depression.

According to Wilmshurst (2015), 66 of completed self-murders have at least one of three main threat factors previous self-murder attempt, substance/ alcohol use, and substantiation of a mood complaint. Christy isn’t observed to have a substance or alcohol problem, but she has displayed the possibility of having a mood complaint and has displayed suicidal creativity. Defensive measures must be enforced to further estimate the threat, and stylish defensive measures, of Christy trying self-murder.

School-grounded treatments screen for self-murder threat and offer precautionary measures but have been set up to infrequently have positive issues and occasionally have also been set up to increase the threat of self-murder (Wilmshurst, 2015). The position of intervention that has shown to be effective is one that emphasizes the inflexibility of self-murder and teaches children how to identify the possibility of suicidal creativity and the way to take when they witness or witness it.

A program that has been set up effectively is the Signs of Self-murder (SOS) Prevention Program.SOS noted a 40 reduction in self-murder attempts among scholars sharing and treated suicidal creativity as a medical exigency in which scholars are trained to fete the warning signs and respond meetly (Wilmshurst, 2015).

Intervention Recommendations

Christy displays internalizing symptoms of depression, anxiety, and physical diseases. The first step, in my opinion, is to take a dimensional approach by combining the triplex model and ASEBA. After evaluation with the triplex model, Christy’s symptoms were linked to stemming from both anxiety and depression. The coming step is to apply ASEBA by having parents, the schoolteacher, and Christy fill out standing scales. The results from ASEBA will help to determine the inflexibility of symptoms across the orders of anxious/ depressed, withdrawn/ depressed, and physical complaints.

The ASEBA will also help in agitating symptoms and inflexibility with the grown-ups involved with Christy, similar to her mama. Christy’s threat of suicidal creativity also needs to be further estimated. The position of intervention recommended is one that emphasizes the inflexibility of self-murder and teaches children how to identify the possibility of suicidal creativity and the way to take when they witness it. A program similar to SOS would be effective for Christy because it’ll help her to understand suicidal creativity as a medical exigency and give her the knowledge and tools how to seek help when demanded. After further evaluation of Christy’s threat of suicidal creativity, further ways may need to be taken in regard to services offered to give her effective managing chops.


American Psychiatric Association. ( 2013). individual and statistical primer of internal diseases 5th ed.). Arlington, VA Author

Tandon,M., Cardeli,E., & Luby,J.( 2009). Internalizing diseases in early nonage a review of depressive and anxiety diseases. Child and adolescent psychiatric conventions of North America, 18( 3), 593 – 610.


Wilmshurst, L. (2015). rudiments of nonage and adolescent psychopathology. Recaptured from


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