Reference no: EM133642441

Problem

Jeff is a 28-year-old, Hispanic, married man. He has a very demanding, high stress job as a second-year medical resident in a large hospital. Jeff has always been a high achiever. He graduated with top honors in both college and medical school. He has extremely high standards for himself and can be very self-critical when he fails to meet them. Lately, he has struggled with significant feelings of worthlessness and shame due to his inability to perform as well as he always has in the past.

For the past seven to eight months Jeff has felt unusually fatigued and found it increasingly difficult to concentrate at work. His coworkers have noticed that he is often irritable and withdrawn, which is quite different from his typically upbeat and friendly disposition. He has called in sick on several occasions, which is completely unlike him. On those days he stays in bed all day, watching TV or sleeping.

At home, Jeff's wife has noticed changes as well. He has shown little interest in sex and has had difficulties falling asleep at night. His insomnia has been keeping her awake as he tosses and turns for an hour or two after they go to bed. She has overheard him having "tearful and upset" phone conversations with his mentor, which have her worried. When she tries to get him to open up about what's bothering him, he pushes her away with an abrupt "everything's fine".

Although Jeff has not ever considered suicide, he has found himself increasingly dissatisfied with his life. He has been having frequent thoughts of wishing he were dead. He gets frustrated with himself because he feels like he has every reason to be happy, yet can't seem to shake the sense of doom and gloom that has been clouding each day.

DSM 5 Diagnosis

Provide the correct DSM-5-TR diagnosis in the correct written format.

Rationale for Diagnosis

The rationale must include reasons why you believe the diagnostic criteria have been met. Include your conceptualization of the client.

Differential Diagnostic Considerations

Include a brief discussion of at least two other disorders that were considered, ruled out, and why (differential diagnosis).

Treatment Plan

Treatment plan must include a problem statement, two goals, each goal must include at least one objective and two appropriate, corresponding interventions.

Research Considerations

Briefly discuss at least two relevant research findings with regards to the latest information on the diagnosis and/or treatment of this disorder.

Cultural Considerations

Briefly discuss at least two cultural considerations relevant to the case including potential areas for bias, misinterpretation, and/or cultural impacts on the client's experience of diagnosis and/or treatment.