Question

Instructions:

1. Specify three possible diagnoses that significantly differ in terms of diagnostic criteria.

For each diagnosis:

2. Identify THREE symptoms included in the case presentation that fit the diagnostic criteria for that diagnosis and WHY they fit (i.e., the symptom criteria you're referring to).

3. Identify AT LEAST TWO detail that does NOT fit with the disorder.

4. Specify THREE pieces of information you need to know to confirm the diagnosis based on diagnostic criteria or risk factors or epidemiological information that would make the disorder more or less likely.

Case Presentation:

                A 43 year-old adult male arrives for an initial consultation in a private practice 25 minutes late for his Friday afternoon appointment. He was enthusiastic and spoke with rapid and loud speech. He reported having recently ended a long-term relationship, characterized his ex-boyfriend as a “bad man," and described frequently losing his temper with his family. Patient reported having difficulty with sleep, often lying in bed with his eyes closed trying to go to sleep but unable to stop his thoughts from racing. He reported difficulty concentrating and feeling overwhelmed, once calling 911 believing that he was having a heart attack. Patient could not identify what triggered this episode. Patient reported an aborted suicide attempt three years prior, described wanting to go to sleep and never wake up, and stated that ultimately he was too cowardly to go through with his plan and ended up calling his best friend for help. At the end of the appointment, he asked to get a psychiatric prescription before he left because he didn’t think he could wait until a Monday appointment without getting some kind of relief.

Answer 1

3 possible diagnosis

Clinical Depression

Anxiety

Insomania

Clinical Depression

Possible causes include a combination of biological, psychological and social sources of distress. Increasingly, research suggests that these factors may cause changes in brain function, including altered activity of certain neural circuits in the brain.The persistent feeling of sadness or loss of interest that characterises major depression can lead to a range of behavioural and physical symptoms.

Symptoms of Clinical Depression

These may include changes in sleep, appetite, energy level, concentration, daily behaviour or self-esteem. Depression can also be associated with thoughts of suicide

Anxiety

Anxiety is your body's natural response to stress. It's a feeling of fear or apprehension about what's to come. Here in this scenario, he is stressed out of his left relationship may be could be the reason he felt like he is having heart attack.

Symptoms of Anxiety

Symptoms like irritability or restlessness,lack of concentration, racing thoughts, or unwanted thoughts anxiety, excessive worry, fear, feeling of impending doom, insomnia, nausea, palpitations, or trembling

Insomania

Insomnia is a sleep disorder in which you have trouble falling and/or staying asleep. The condition can be short-term (acute) or can last a long time (chronic). It may also come and go. Acute insomnia lasts from 1 night to a few weeks. Insomnia is chronic when it happens at least 3 nights a week for 3 months or more.

Symptoms of Insomania

Symptoms may include difficulty falling or staying asleep and not feeling well-rested,lack of concentration or slowness in activity and also sleeping difficulty, depression, headache and irritability