Treatment and Diagnosis of PTSD Problems.

Patient Logs

A 41-year-old Japanese woman reported difficulty sleeping, frustration, exhaustion, and isolation. The patient has a past of several broken marriages and is paranoid that she will never start a family and have a child of her own. The patient had a history of hospital admission related to attempted suicide. She claims she takes antidepressants every day. Diagnosis: Anxiety disorder. Treatment plan: Continue drug therapy and psychotherapy. Treatment and Diagnosis of PTSD Problems.

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A 31-year-old Latin male presented with low self-esteem, avoiding the complete spectrum of feelings and intense responsiveness. The patient and his sister had a car crash history four months ago, culminating in his mother’s death. Ever since he has taken the blame and expressed undue guilt. The patient is underweight, and his distress has impaired his eating pattern. Ever since, the patient has been anxious, too vigilant, and also coordinated and tidy. Diagnosis: Guilt Depression, Obsessive-Compulsive Disorder (OCD). Treatment plan: antidepressants and psychotherapy twice a week. Treatment and Diagnosis of PTSD Problems.

A 29-year-old Russian woman presented sleeping difficulty, anxiety, and mood swings that began two days after giving birth to her third-born baby. The patient mentioned that she was also easily irritated and that her attention had diminished. She also stated that she often cries for no cause at all. Diagnostic: Postpartum depression. : continue psychotherapy and antidepressants.

A 17-year-old African American boy was diagnosed with major depression. He has a history of suicide attempts, which is also visible in his wounds and fractures in his hands. He had a background of failing at the National Mathematics Tournament, culminating in his intense sadness and remorse. The patient has generally wanted to be isolated. His loneliness has influenced his food schedule. Diagnosis: depression. Treatment: 1) Behavioral therapy two times a week and raise medication and anti-anxiety medicines. 2) Refer him to a dietitian so that the expert may track his eating schedule.Treatment and Diagnosis of PTSD Problems.

A 16-year-old Mexican male was hospitalized last month due to sleep deprivation. He had drowsiness, trouble breathing, and poor memory. He stated that he’s been watching movies and video games for about 18 hours a day for several days. He mentions feeling empty when not playing. He dropped out, of school noticing that his peers were still not accepting of his gaming profession and that his grades were also declining. The patient has signs of exhaustion, malaise, and low self-esteem. He also noticed that no one, including his friends, could understand him. He has noted that he understands and recognizes that he might have a psychiatric illness and is ready to be fixed or treated—diagnosis: video game addiction and depression. Treatment plan: 1) three weeks of psychotherapy and counseling 2) antidepressants and anti-anxiety drugs 3) Join a support network for other members with this disorder 4) If problems escalate or the patient does not improve, I will refer him to a rehabilitation facility.Treatment and Diagnosis of PTSD Problems.

A 23-year-old woman was assessed to be grumpy with a low concentration of thoughts. She experiences sleeping problems and constant flashbacks regarding the attack she encountered a month earlier. She has had recurring intrusive dreams of her killer. Patients attend cognitive psychotherapy for 12 weeks of average appointments lasting 60-90 minutes.

A 36-year-old male has complained over the past ten months of auditory hallucinations and lack of appetite. Her accompanying brother reported that often her mother and sister were physically assaulted by the patient. The patient even claimed that he often had the impression that people around him tried to harm him. He was seen wandering around the city once, and he didn’t go home for three days. No history of some psychiatric disorder in the family. He was diagnosed with Schizophrenia and began taking drugs after he had been found to be aggressive, including IV diazepam, IM haloperidol, IV ketamine, and olanzapine tablets.Treatment and Diagnosis of PTSD Problems.

A 21-year-old male patient presented to be exceptionally enthusiastic and talkative. He recorded that he only sleeps 2 hours a day without feeling tired throughout the day. He appeared to have had depression following a break up three years earlier. He has had several intimate relationships as an alcoholic drinker for two years. Diagnosis: Mania He was issued drugs to control his manic spells and was enrolled in cognitive therapy sessions.

A 27-year-old woman complained of exhaustion, frustration, and distress. The patient stated finding it hard to cope with a new relationship owing to traumatic flashbacks. He has a past of abuse. She also demonstrates paranoia symptoms. The session centered on identifying and discussing the concepts, principles, and aims of stable partnerships through psychoeducation. Tx Plan: weekly psychotherapy and drug therapy.Treatment and Diagnosis of PTSD Problems.

A 60-year-old man, a severe alcoholic, and a smoker are present at the hospital. The woman had an end-stage renal condition nine months earlier and bronchitis and emphysema four months ago. Three days a week on scheduled dialysis. The patient has a history of several broken relationships and bankrupt companies. The patient has no immediate family and is all alone in the house. The patient mentioned that he smokes and drinks in order to cope with loneliness. Tx plan: psychotherapy and drug therapy.Treatment and Diagnosis of PTSD Problems.

The 8-year-old male reported symptoms of schizophrenia. The patient has a history of being humiliated at school. Before the delusions and hallucinations, the patient displayed fear and depression. During the evaluation, the patient displayed echopraxia, echolalia, and rocking of the neck. The patient is unmotivated, however, and has misleading references. Bruises and cuts in her arms and legs. The patient became agitated and aggressive throughout the session. Clozapine and risperidone antipsychotic medications have been administered. The session has been interrupted. Next session will be held next week. Tx plan: psychotherapy and drug therapy.Treatment and Diagnosis of PTSD Problems.

A 23-year-old woman reported insomnia, exhaustion, and arrhythmia. Patients became anorexic. Anorexia began after her husband abandoned her. The patient said that “not eating makes me look good better…and so I won’t get jealous of his new girlfriend, I’m insecure” She has a history of hospital admission owing to severe dehydration and hypoglycemia. A blood test was conducted, which turned out to be abnormal. Treatment plan: drug therapy and sessions to discuss depression and self-worth.Treatment and Diagnosis of PTSD Problems.

A 42-year-old male had severe weight loss, loneliness, apathy, and trouble sleeping. His symptoms began after his wife was diagnosed with stage 2 breast cancer last year and became worse when she died two months ago. The session was focused on learning about what he loved about his wife and his memories of her. Treatment plan: The next session will concentrate on discovering and establishing his new life. A support network has been recommended.Treatment and Diagnosis of PTSD Problems.

A 32-year-old man is described as sleepless and obese. It is seen with a principal diagnosis of compulsive gambling disorder. Patients have a history of obesity and substance addiction but started smoking two years earlier. It is also noticed that the patient is emotionally injuring his wife and children if he loses the game. Session-based on diversions and mechanisms to overcome and handle his uncontrollable appetite for gambling and his rage.Treatment and Diagnosis of PTSD Problems.

A 22-year-old girl medically diagnosed with nymphomania last year by her former psychiatrist. Has history of childhood trauma and abuse. The patient did not progress on her maintenance medication, and based on her, “sexual desires are more intense now” The patient stays alone in the bedroom. Has past opioid addiction and was hospitalized. The session’s purpose was to describe the patient’s sexual preferences and develop diversion activities to redirect her mind while sexual desires were targeted. Tx plan: psychotherapy and increased prescription of antidepressants and antipsychotic medicines.Treatment and Diagnosis of PTSD Problems.

A nine-year-old girl came to the facility, sticking to her mother’s shoulder. She also gets nightmares and panic attacks. She flips out and also wants to go to school. She complains of fatigue and stomach aches. Diagnosis: separation disorder. Treatment Plan: behavioral therapy.

A 14-year-old male shows signs of a short temper to the clinic as he is quickly irritated. He doesn’t value her mother or any other individual. He sits avoiding any questions posed, sometimes turning away or embracing the directions issued. He’s quickly annoyed and harms people on purpose. Diagnosis: opposition deviant disorder. Treatment plan: client and family counseling.Treatment and Diagnosis of PTSD Problems.

A 15-year-old boy presents to the facility accompanied by the mother. He complains about his mates never blending in. He thinks her peers have marginalized her. The patient had threatened to attempt suicide and had tried to injure himself on a variety of occasions. The patient is very sad and displays symptoms of mood changes. He really doesn’t like going out with friends, and he likes to sit at home alone. Diagnosis: borderline disorder. Treatment plan: schema therapy and psychotherapy.Treatment and Diagnosis of PTSD Problems.

An 18-year-old student, supported by her mother, came to the clinic. The patient is also no longer interested lost interest in a number of daily activities. She has avoided hanging out with friends or engaging with them on social networking sites. She feels hopeless in her life and sees little sense in any of her tasks. She often complains of over-tiredness due to over-sleep and lack of appetite. Diagnosis: dysthymic disorder. Care plan: tricyclic antidepressants and cognitive behavioral therapy.

A 16-year-old girl came to the doctor to check up on her seasonal affective disorder. During the winters, the patient shows moderate symptoms of depression, anger, and solitude. The patient claims that while being in the winter season, she feels more robust than other seasons. She notes that she has not been disturbed in the way of sleep or operation this season. Diagnosis: seasonal effectiveness condition. Treatment plan: proceed with drug therapy and selective serotonin reuptake inhibitors.Treatment and Diagnosis of PTSD Problems.

A 13-year-old child, followed by her parent, came to the clinic. Patients undergo various episodes of depression. The patient’s mother insists that she has varying moods throughout the day. Often she shuts herself in her room for hours, saying she doesn’t want to be bothered. In most instances, she found her hallucinating, believing she was taking narcotics. Diagnosis: schizo-affective disorder. Treatment plan: selective serotonin reuptake inhibitors, cognitive behavioral therapy, and family therapy. Treatment and Diagnosis of PTSD Problems.`

A 19-year-old male and his guardian came into the facility. The patient reports sleeplessness and lack of appetite. The patient mentions being no longer interested in his everyday routines. He no longer considers her hobby swimming, as a fun activity. The patient agrees that he occasionally has suicidal thoughts. He enjoys being alone, and everything has lost its value. Diagnosis: major depressive disorder. Treatment plan: norepinephrine reuptake inhibitors and electroconvulsive therapy, cognitive behavioral therapy.

A 14-year-old boy came to the clinic with his guardian accompanying him. The patient admits to fighting with others in the community. He attempts to leave home when confronted about his actions. Diagnosis: conduct disorder. Treatment plan: lithium, methylphenidate, and cognitive behavioral therapy.Treatment and Diagnosis of PTSD Problems.

A 20-year-old woman visited the facility for panic follow-up. The patient reports that she has no dizziness and shortness of breath since her last appointment. Diagnosis: panic disorder. Continue treatment plan: 500mg paroxetine a day.Treatment and Diagnosis of PTSD Problems.

A 16-year-old male, accompanied by his parent, came to the clinic. The patient has problems recalling incidents. The patient’s feelings are often different from the physical world in many instances. Diagnosis: acute stress disorder. Treatment plan: 50 mg Zoloft plus cognitive-behavioral therapy every day.Treatment and Diagnosis of PTSD Problems.

A 16-year-old male has signs of restlessness and slow motion at the facility. The patient was not able to speak, which revealed symptoms of intense depression. He is nervous and constantly fidgets in his position. Sometimes he does not want to talk for some hours. Diagnosis: Catatonia. Treatment plan: electroconvulsive therapy and Lorazepam 30 mg daily.

A 7-year-old boy presents to the facility accompanied by his mother, who says that he’s becoming upset quickly and most times restless. She continues that the children’s behavior has changed strangely, getting quickly fatigued and unnecessarily concerned. She claims the boy was never afflicted with depression and never had abuse in the past. Diagnosis: generalized anxiety disorder. Treatment plan: behavioral counseling and training on anxiety control.Treatment and Diagnosis of PTSD Problems.

A 14-year-old girl, accompanied by her guardian, came to the facility. She worried about frequent stomach aches and headaches. Her guardian claimed that the woman had lost confidence in various social events during the past few days and was quickly annoyed. The patient is unwilling or reluctant to do his work. She does not want to leave her room, as she feels nervous. Diagnosis: bipolar disorder. Care plan: cognitive behavioral therapy.Treatment and Diagnosis of PTSD Problems.

A 15-year-old female presents a diagnosis of depression to the clinic and states that she lost confidence in the stuff she enjoyed. She acknowledges becoming a swimming enthusiast but hasn’t been attending any training sessions for the last two weeks, while she is the school team leader. Patient statements often sound furious and weep for no particular cause. She claims she doesn’t want to hang out as she used to hang out with her parents. She notes that she is upset and sometimes fights with her mom. Diagnosis: depression. Treatment plan: two-week Zoloft 50mg PO PID and six-week cognitive therapy.Treatment and Diagnosis of PTSD Problems.

A 12-year-old boy enters the clinic with persistent eye blinks and uncontrolled motions of his shoulders. He echoed his phrases twice. When he arrived at the clinic, the patient complained, “I was forced by my mother,” and then he repeated in a lower voice the same statement. Diagnosis: Tourette syndrome. Treatment plan: Deep brain stimulation, Risperidone, and Pimozide.Treatment and Diagnosis of PTSD Problems.

A 28-year-old woman presents her schizophrenia at the facility. The patient claims that after her first appointment, she saw a vast improvement in it. She says that she was lately on the verge of her fear, but she found that she functions best with a whole Klonopin tablet. She admits she feels better, but at night she continues to see random things. She even notes that she always gets A/V hallucinations, although not as intrusive as in the past. Diagnosis: schizophrenia Multiple episodes with an anxiety disorder. Plan: Start Klonopin 1 mg one-tab PO BID, Raise 10mg 1/2 tab PO Qhs, and continue weekly psychotherapy. She was advised to contact the clinic if drugs bring about any harmful side effects.Treatment and Diagnosis of PTSD Problems.

A Caucasian 73-year-old man is brought by his son with symptoms of memory and heightened uncertainty that began five days earlier. He has experienced elevated blood pressure and diabetes, all of which are under medical treatment. The son states that the patient has lost his attention significantly and has marked improvements in behavior. After the symptoms begin, the son says that the patient feels deprived and is no longer talking to anyone like him. He states that the condition has lost the capacity to conduct basic things, including a shower and eating independently after symptoms. Diagnosis: dementia. Treatment plan: cholinesterase inhibitors and behavioral stimulation.Treatment and Diagnosis of PTSD Problems.

A 70-year-old Caucasian woman came to the clinic with cycles of dissatisfaction. Four years ago, she resigned from teaching to spend more time with her grandchildren. The patient acknowledges that he is always inclined to be a little overlooked, yet always willing to support. In the last two months, the patient claims she has had trouble with names and missed meetings, even if they are on her appointment list. The patient often admits she relies more on her lists than she used to, and finishing her crossword puzzle is more stringent than before. Diagnosis: Dementia. Treatment plan: Cognitive Behavioral Therapy.Treatment and Diagnosis of PTSD Problems.

A 6-year-old boy, accompanied by his mother, claims that his son has encountered sleep difficulties over the last four weeks. She also acknowledges that the son nods well, but he has trouble remaining asleep. She claims it occurs every 4-5 nights week after week. The mother admits that she’s attempted Melatonin over-the-counter to improve his relaxation, but it didn’t make any difference. Besides, she notes that the son can’t relax naturally or consistently. Diagnosis: Sleeplessness. Treatment Plan: cognitive behavioral therapy and sleep training by the mother of the patient.

A 14-year-old Caucasian male comes with his guardian to the clinic. He diagnoses depression, panic/anxiety, and ADHD. Due to peer pressure, the patient newly went to a new school. This morning, the student had a panic attack experience at the hospital. He also suffers chest pressure, chest palpitations, and nausea throughout the episode. Treatment Plan: Adderall XR 10mg capsule by mouth every day, Fluoxetine 20mg capsule by mouth daily.Treatment and Diagnosis of PTSD Problems.

A 27-year-old woman came to the hospital claiming that she is dealing with depressive symptoms and persistent feelings of killing someone while driving. It began with an incident but then became the norm. Whenever he travels between home and work, he takes too long to map his route and make sure he doesn’t hit someone along the way. He mentioned anxiety and guilt feelings. Diagnosis: Obsessive-Compulsive Disorder. Treatment plan: 6-week cognitive therapy.Treatment and Diagnosis of PTSD Problems.

A 46-year-old woman presents to the hospital with symptoms of loss of interest in life and the pain of the entire body that began in the past six years. In her early 40s, she first suffered from a depressive mood, and nearly every year was recurring. She claims she has acquired hypersensitivity and experiences agony as though her skin is alive with spiders. Whenever she sinks into utter desperation for initiation of sudden suicidal feelings, her illness worsens. Diagnosis: Bipolar disorder. Treatment Plan: Administer sodium valproate 1,000 mg/day for 5 days.

A 72-year-old white American male was admitted to the hospital under the Baker Act for suicide attempts and failure to care for himself. He stays with his mother, who claims he hasn’t eaten well in a week or so. Diagnosis: Depression. Treatment plan: Tylenol 650 mg PO Q6 PRN, Zofran 4 mg PO Q6 PRN, Melatonin 9 mg PO QHS, Lipitor 80 mg PO QHS, and cognitive behavioral therapy.Treatment and Diagnosis of PTSD Problems.

13-year-old child accompanied by her mother presented to the clinic complaining of excessive frustration and impulsive behavior. Her mother argued that her everyday tasks, such as washing her room or doing homework, were not carried out by the patient. She would storm out of the house in frustration when confronted about her behavior. Diagnosis: ADHD. Treatment plan: peer counseling and cognitive behavioral therapy.Treatment and Diagnosis of PTSD Problems.

A 12-year-old woman, supported by her mother, arrived at the clinic. The patient also feels distressed and scared. She has disturbing dreams about a car crash that occurred a year ago and triggered the death of her parent. Diagnosis: PTSD. Treatment plan: 30mg a day of Lorazepam, 30mg a day of Zoloft, and cognitive behavioral therapy.Treatment and Diagnosis of PTSD Problems.