14 he has experienced highs and lows. The low periods usually lasts about a couple weeks, and he tends to sleeps 10 to 14 hours daily and lacks energy, confidence, and motivation - just "vegetating" as he puts it. Often he abruptly shifts to a four to five day stretch of overconfidence, heightened social awareness, sexually charged and sharpened thinking. At such times he indulges in alcohol to enhance the experience but also to help him sleep. Occasionally the highs culminate in irritable and hostile outbursts, which often herald the transition back to another period of bad days. He admits to frequent use of marijuana, which he claims helped him adjust to daily routines. As a car salesman, his performance has been inconsistent, with good days barely canceling out the bad days, yet even during his good days he is sometimes argumentative with customers and loses sales that appeared sure. Although considered a charming man in many social circles, he alienates friends when he is hostile and irritable. He typically accumulates social obligations during the bad days and takes care of them all at once on the first of a good period.

Jeffrey's upbringing started off rough, with him bouncing around foster homes until he was 8 when he eventually moved in with his maternal great aunt, where he stayed until adulthood. Jeffrey didn't know much about his parents, other than what his great aunt told him which is that his father passed away when he was a baby, and his mother struggled with undiagnosed mental health concerns. Jeffrey's main support network consists of his girlfriend and maternal great aunt, who have been by his side.

1. Please offer your own comprehensive diagnostic assessment for the client in the case study. Include anybehavioral, emotional, social and cognitive symptomatology and duration.
2. Provide a comprehensive diagnosis (including F Code) based on the information documented in your assessment.
3. Differential diagnosis is the process of weighing the probability of one disorder versus that of other disorders possibly accounting for a client's illness. For this case study, what other diagnoses did you consider and why? Why did you rule them out to provide the comprehensive diagnosis above?
4. Identify the risk factors and protective factors, and as well as 2 best practice approaches or evidence based treatments for this client. Briefly explain why you chose these approaches.
5. Discuss the sociocultural issues that affect your assessment and treatment of this case. (Hint: When applicable consider the influence of age, ethnicity, language, immigration, acculturation, gender roles, social class, stigma, spirituality/religion etc.)