Reference no: EM132850625

Ms. Ross is a 31-year-old woman who was refereed to the psychiatrist by her gynecologist after undergoing multiple exploratory surgeries for abdominal pain and gynecologic concerns with no findings. The patient reports that she has extensive medical problems dating back to adolescence. She reports periods of extreme abdominal pain, vomiting, diarrhea, and possible food intolerances. The obstetrician is her fourth provider because " other doctors where not able to help me." Ms. Ross reports fear that that her current physician will also fail to relieve her distress. She was reluctant ton see a psychiatrist and did so only after her obstetrician agreed to follow her after her psychiatric appointment.

Ms. Ross states that her problems worsened in college, which was the first time she underwent surgery. She reports that due to her health problems and several lack of energy, it took her 5 ½ years to graduate from college. She did better for a year or two after college but then had to return of symptoms. She reports recently feeling very lonely and isolated because she has not been able to find a boyfriend who can tolerate her frequent illness. She also reports that physiological intimacy is difficult to her because she finds sex painful. Additionally, she is concerned that she might lose her job due to the large number of days she has missed. On review of systems, she endorses period where she is short of breath , has double vision , regular heart palpitations, irregular menses, bloating , frequent urinary tract infections and burning on urination, diffusion muscle and joint pain, frequent headaches and periods of ringing in her ears.

Discussion 1. What is Ms. Ross diagnosis?

Discussion 2. What are the four criteria of Ms. Ross Disorder?

Discussion 3. What is one pharmacological treatment for Ms. Ross disorder?