Diagnosis and differential diagnoses to rule out

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Reference no: EM133350461

Clinical Case Study: Nina

Nina is a 19-year-old woman. One year ago, Nina graduated from high school and commenced a degree in journalism. She reported feeling overwhelmed by the amount of work that she must and has trouble keeping up with assignments. For the last month, Nina has found it difficult to muster the motivation to study. As a result, she has fallen behind in her uni work. She reported feeling like a failure and worthless and worries about how she will cope with her degree.

Nina mentioned that she knew before she commenced the degree that she would not be able to complete it. Whilst she was academically successful in high school, she has always felt like "it wasn't good enough" for herself and her parents. Both of Nina's parents are lawyers and have had high expectations of her throughout her childhood.

Nina lives with her parents and reports being irritable with them daily. They often tell her to "stop being so lazy" and Nina is "worried about disappointing them".

Since Nina commenced uni, she has found it difficult to make new friends and has lost contact with her high school friends. She reported feeling lonely frequently. She has had trouble getting out of bed and reports "not enjoying anything anymore". She no longer engages in her usual hobbies (yoga, running), reporting that she "feels tired all the time" and has no energy. For the last month, Nina reports "not really feeling like eating much" and has lost some weight. Nina stated that she feels empty and hopeless most days.

From the case study:

(i) specify the most likely diagnosis and differential diagnoses to rule out and

(ii) list factors relevant to a biopsychosocial approach to understanding Nina's
a) experience/symptoms,
b) aetiology/vulnerability and
c) treatment/intervention.

Reference no: EM133350461

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