What is the current principal diagnosis

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Reference no: EM132860295

Read the case description. Then, write a case report that addresses the following four points. An example case report has been provided that shows you how to address these points to an "Advanced" degree.

1. What is the current principal diagnosis? You should diagnose according to the DSM-5. Your assessment may or may not correspond to the GP's assessment. If you think the client has more than one diagnosis, report them all, but only focus on supporting the principal diagnosis by relating each DSM-5 criterion of the disorder to a symptom reported by the case. A principal diagnosis is what gets treated first because it is the most problematic and/or seems to be the cause of other diagnoses. There can only be one principal diagnosis. If you discover that the information provided by the case description is not sufficient to support all criteria required for a principal or secondary diagnosis, but think a particular diagnosis is highly likely given what has been reported in the case description (e.g., 5 of 6 required criteria are met), label the diagnosis(es) as Provisional. If your principal diagnosis is provisional, clearly indicate what information you need to obtain to rule in/out the principal disorder.

2. Describe a science-based theoretical model for the principal diagnosis and use it to support the case's principal diagnosis. The model should describe why the principal disorder is maintained rather than one that only explains one symptom of the principal disorder and/or only describes why the disorder may have been triggered rather than maintained (e.g., do not solely rely on the stress-diathesis model to explain a case's disorder; however, it may be a part of a more comprehensive theoretical model). As you need to describe how the theoretical model helps to explain the case's diagnosis, you need to describe the theory in such a way that allows you to fulfil this objective. As this part of the assessment requires you to pick a science-based theory, you will need to support the theoretical tenets of the model with scientific evidence. I have cut out a lot of the work for you--I have picked science-based models and put them on Leganto. Once you've identified the disorder, go onto Leganto and pick the corresponding theory. After you have read and understood the theory, you should then use PubMed and/or PsycINFO to find articles that discuss basic experimental research that supports the theory. Use this basic research to support each tenet of the science-based model/theory. Do not engage in secondary referencing. In other words, read all primary sources

3. Propose a science-based treatment for the case. The treatment must correspond with the science-based model used to describe the disorder. You must show that the treatment works better than doing nothing. Ideally, you will cite evidence that it works better than doing something else, as almost everything works better than doing nothing. Moreover, you need to cite evidence that the treatment works for the reasons it is expected to work (e.g., cognitive therapy for depression needs to decrease maladaptive thoughts).

4. Write clearly and succinctly and comply with APA style guidelines. Rather than including a cover page, simply write your name and student number within the header of the document. For the body of the case report, you may employ any structure that you find useful in communicating your answers; however, your text must follow the standards of written English and it must follow APA guidelines in regard to citations and referencing.

Word Limit: Your case report must contain less than 1500 words.

Case Description

Gary Anderson is a 65-year-old, retired married man, who was referred for assessment and treatment by his GP. Gary had visited the emergency department complaining of acute chest pain, a racing heart, shortness of breath, feeling light-headed, and having numb extremities that came out of nowhere. When the symptoms were occurring, Gary thought that he was going to die from a heart attack. The doctors within the emergency department did not find anything physically wrong with him and referred him to see his GP the next day.

Gary saw his GP the next day to have more tests completed. He returned a week later to receive his test results. The GP told him that his physical exam findings, vital signs, lab results, toxicology screens, and electrocardiogram results were all negative. The GP advised that Gary may have had a panic attack and should see a psychologist for assessment and treatment if his symptoms happen again.

Over the next three months, Gary has between 8-10 attacks of a similar nature. Symptoms arise when Gary is golfing, out with friends, or when walking with his wife. Gary is worried about having more attacks so has now stopped engaging in strenuous activities, spending time with friends, and consuming caffeine. His sleep quality has decreased as well as his mood. He is angry with his GP. Gary feels his GP must be incompetent because he is sure something is wrong with his heart and that he is going to die. He also is starting to feel a bit hopeless given that neither the emergency department nor his GP were able to identify what is wrong with his heart. He is worried no one will be able to prevent him from dying from a heart attack. His relationship with his wife is starting to deteriorate because she is a social butterfly and refuses to stay home with him. This leads to him becoming angry with her because he feels she does not love him enough to stay home to care for him. As a result of a recent argument with her, Gary has finally decided to use his GP's referral to see a psychologist.

During the intake assessment that was conducted over the phone, Gary was asked to describe what happens when he experiences his symptoms. Gary stated that as soon as he feels an increase in his heart rate or a slight pain in his chest, he begins to worry that he will have another attack. He immediately stops what he is doing to rest. Sometimes this works, other times he has an attack. Although the attacks are over quickly, he stays in bed for the remainder of the day. Gary admitted to always being an anxious guy, but that these attacks are something new for him, which is why he is convinced he has a heart problem that is going undetected.

Attachment:- Case Study Information.rar

Reference no: EM132860295

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