Reference no: EM133604943

Question 

A 60 year old Caucasian male presents to the assessment office of your psychiatric facility. You are asked to evaluate him. He has a chief complaint of "I just can't take this anymore! I'm gonna END her and then ME!!! I'm Fred of this!" Patient reports over the past few several weeks feeling more irritable and frustrated with the pending divorce with his wife of 20 years. The patient admits to frequent crying spells, getting easily distracted, having poor sleep initiation with frequent awakening throughout the night, and having difficulty making work decisions. He says that in the past couple of days he just "flies off the handle" at work and got sent home yesterday. He does not report any history of auditory or visual hallucinations. He also tells you that since the separation from his wife he can drink only diet sodas or beer. So he says that he drinks a six pack of beer alone between Friday evening and Sunday evening. He denies any illicit drug use. He hasn't smoked cigarettes in over ten years. He is staying at a family cabin 30 miles from town due to the pending divorce. The couple's only son lives three states.