What is the priority/best diagnosis for thomas per dsm-5-tr

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Case Study: Thomas is a 39-year-old male referred by his PCP The patient stated that he made a mistake in his relationship by talking to another woman, and the affair has caused him to go into a "tailspin and his PCP recommends seeking professional counseling. The patient reported he constantly feels like he is having another heart attack from stress, chest tightness, difficulties breathing, and loss of appetite. He reported he has gone for days without eating and has lost ten pounds in the past two weeks. He falls asleep easily due to fatigue but wakes up every three hours and ends up getting only 5 to 6 hours of sleep per night. The patient reported he feels sad and guilty but not hopeless, feels overwhelmed, "sick to his stomach", difficulties managing life tasks and racing thoughts. Denies mental health issues but endorses taking antidepressants in the past did not like the way the medication made him feel so he stopped for about a month.

QUESTION: What is the priority/BEST DIAGNOSIS FOR THOMAS per DSM-5-TR with rationale and formulate a treatment plan for thomas

 

Reference no: EM133562243

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