Question

Instructions:

1. Specify three possible diagnoses.

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 ONE 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:

Ms. R is an 18-year-old female who appears guarded uponintake. You notice that she has several bruises on her arms. Her affect is constricted, she does not express much emotion,and her mood is “depressed.” She reports that she has come to the clinic because hermedical doctor referred her and indicates that she has been experiencing stomachpains. When asked about food intake she avoids eye contact and mumbles that she hasnot had much of an appetite due to “stress.” When you ask for more information, sheadmits to having nightmaresand repetitive thoughts that keep coming back to her despite her attempts not to havethem. Her sleep is irregular, and Ms. R finds it difficult to get up in the morning and go about her day. Ms. R also that states “I just haven’t been feeling like myself lately” and added, "everything feels really far away and not real."

Answer 1

1. Three possible diagnoses-

1. Obsessive-compulsive disorder
2. Depression
3. Anxiety

2.

Three symptoms of Obsessive-compulsive disorder-

• Nightmares
• No control on thinking/thoughts  
• The same thought is repeating again and again

Three symptoms of Depression-

• Self-harm
• Low self-esteem as she does not make eye contact
• Mood is depressed

Three symptoms of Anxiety-

• Disturbed sleep
• Loss of appetite
• Somatic complaints such as stomach pain.

3.

The symptom that does not fit with Obsessive-compulsive disorder- Loss of appetite

The symptom that does not fit with Depression- Overthinking

The symptom that does not fit with Anxiety- No control over thoughts

4.

Three more symptoms to determine Obsessive-compulsive disorder in this case-

• Fear of contaminated by germs
• Repetitive behaviour  
• Obsessed with cleanliness

Three more symptoms to determine Depression in this case-

• Sleep changes
• Negative thoughts
• Loss of energy

Three more symptoms to determine Anxiety in this case-

• Hypervigilance
• Increased blood pressure
• Irritability