Reference no: EM133468644

Directions

Select one of the case studies below. Read through the client's symptoms and presenting problems carefully. Using the information provided in the case study you've selected, answer the following questions:

Diagnosis: What DSM-5 diagnosis best applies to this client? (1 sentence)

Justification: What symptoms of this diagnosis does the client display? Provide examples. (3-5 sentences) Treatment: Based on the diagnosis you've given, what is your treatment recommendation for this client? (2-4 sentences) Use APA format, including citations. Case Studies Select one case study to analyze for this assignment: Phil Phil is a 67-year-old male who reports that his biggest problem is worrying. He worries all of the time and about "everything under the sun."

For example, he reports equal worry about his wife who is undergoing treatment for breast cancer and whether he returned his book to the library.

He recognizes that his wife is more important than a book, and is bothered that both cause him similar levels of worry. Phil is unable to control his worrying. Accompanying this excessive and uncontrollable worry are difficulty failing asleep, impatience with others, difficulty focusing at work, and significant back and muscle tension. Phil has had a lifelong problem with worry, recalling that his mother called him a "worry wart."

His worrying does wax and wane, and worsened when his wife was recently diagnosed with breast cancer. Gary Gary is a 19-year-old who withdrew from college after experiencing a manic episode during which he was brought to the attention of the Campus Police ("I took the responsibility to pull multiple fire alarms in my dorm to ensure that they worked, given the life or death nature of fires").

He had changed his major from engineering to philosophy and increasingly had reduced his sleep, spending long hours engaging his friends in conversations about the nature of reality. He had been convinced about the importance of his ideas, stating frequently that he was more learned and advanced than all his professors. He told others that he was on the verge of revolutionizing his new field, and he grew increasingly irritable and intolerant of any who disagreed with him.

He also increased a number of high-risk behaviors - drinking and engaging in sexual relations in a way that was unlike his previous history. Gary's parents report that Gary had early problems with anxiety during pre-adolescence, followed by some periods of withdrawal and depression during his adolescence. Jen Jen is a 29-year-old woman who presents to your clinic in distress. In the interview, she fidgets and has a hard time sitting still. She opens up by telling you she is about to be fired from her job.

In addition, she tearfully tells you that she is in a major fight with her husband of 1 year because he is ready to have children but she fears that she is "too disorganized to be a good mother." As you break down some of the processes that have led to her current crises, you learn that she has a hard time with time management and tends to be disorganized. She chronically misplaces everyday objects like her keys and runs late to appointments. Although she wants her work to be perfect, she is prone to making careless mistakes.

The struggle for perfection makes starting a new task feel very stressful, leading her to procrastinate starting in the first place. As a consequence, she has recently received a number of warnings from her boss related to missing deadlines for assignments and errors in her work, which has led to her acute fear of being fired. As her performance at work has plummeted and she has grown increasingly anxious and doubting of herself, she has grown more pessimistic about starting a family. You learn that she received extra time for test taking in school as a child but never had any formal neuropsychological testing.