Assessing and Diagnosing Patients with Anxiety Disorders Example

ASSESSING AND DIAGNOSING PATIENTS WITH ANXIETY DISORDERS

Case Study

Name: Mr. Ralph Newsome
Gender: male
Age:19 years old

Background: Lives in Columbus, OH with his dog Chance, only child. Parents live locally.
Works part time in Construction. Not currently partnered. No previous psychiatric history.
Symptoms began in the last 2 months when he discovered he is being activated with the Navy
Reserves. His MOS is CM3 Construction Mechanic; no medical illnesses, no legal hx. Allergies:
NKDA; sleeps 8hrs; appetite good.

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Mr. Ralph is a 19-year-old who is been activated with the Navy and has decided to set up an appointment with a psychiatrist. Mr. Ralph with a sad , tearful, and anxious affect expressing his sadness and fear of coming back to active duty due to his sexual orientation. Mr. Ralph feel anxious about the situation in which the people in his unit arrive to know that he is gay.  Assessing and Diagnosing Patients with Anxiety Disorders Mr. Ralph have been hiding his sexual orientation, and now he feels terrified about their comments about gay people. Mr. Ralph fear the change that will happened when they know about his sexuality , like the man will no longer hug him, sleep close to him or been in the shower. Mr. Ralph fear been treated differently like people stand up and go away from him. He is confuse about close friend and sexual feelings.

During the interview Mr. Ralph have learn the he have alack of skill , the first one is been able to tell people that his gay and a second one is not able to face or deal with rejection due to his sexual orientation. Mr. Ralph worries a lot about rejection and that sometime make him feel that he want to die. Mr. Ralph currently is not suicidal but have the fear that he not part of them or feel that he is on the outside. Mr. Ralph want to stop to hide his real sexuality and does know how to do that as the fear of treated differently is challenging.

Complete and submit your Comprehensive Psychiatric Evaluation, including your differential diagnosis and critical-thinking process to formulate primary diagnosis.
Incorporate the following into your responses in the template:
• Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life?
• Objective: What observations did you make during the psychiatric assessment€¯
• Assessment: Discuss the patient mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest priority to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5-TR criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.

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Reflection notes: What would you do differently with this client if you could conduct the session over? Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).
Note : I chose those diagnostics, Please develop each :
Primary diagnostic : Social Anxiety Disorder ( F40.10 in the DSM-5 )
Secondary diagnostic : Separation Anxiety Disorder ( F93.0 in the DSM-5)
Tertiary diagnostic : General Anxiety Disorder ( F41.1 in DSM-5)

Note : i upload The DSM-5 as primary reference for this homework under the name Psychiatric Online _DSM Library.pdf and the Grading Rubric as well.
The reference can not be last than 5 years.

For any information missing, explain what information is needed and why it is important.
Please let me know if you have question. Thank you for your help.

Assessing and Diagnosing Patients with Anxiety Disorders Example