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AdmiralBravery8930
Read the case study and answer the following questions using the…
Read the case study and answer the following questions using the template below. Include symptoms the client is experiencing, the diagnosis and treatment you chose, and why you chose the treatment you did.
What is this patient’s most likely diagnosis?
a. Bipolar I Disorder
b. Generalized Anxiety Disorder (GAD)
c. Major Depressive Disorder
d. Obsessive-Compulsive Disorder
e. Personality disorder not otherwise specified
Which of the following would be the most appropriate initial treatment for this patient?
a. Referral to Narcotics Anonymous b. Antidepressant Medication
c. Olanzepine (Zyprexa)
d. Electroconvulsive Therapy
Case Study:
A Tired Mom
Chief Complaint
Mary, a 27-year-old, married, woman presents to your office stating that she is troubled by headaches and fatigue. She says that she always feels tired and can’t sleep well,
weeks ago and have been getting worse. She reports a lack of interest in her usual activities. She also reports that she is missing work due to fatigue and inability to concentrate. Although her two children are both in school, she is concerned that she is not spending quality time with them. She is worried that she might have “something bad” because she has difficulty concentrating and is having frequent crying spells. She reports not sleeping well and a loss of appetite, with a weight loss of 10 pounds in the last month.
Social History:
The patient has no significant past medical or psychiatric history and takes no regular medications. She denies using alcohol or drugs. The patient has two elementary school- age children.
Physical Examination:
The patient is cooperative, alert, oriented; no delusions or hallucinations, and her thoughts are goal-directed and logical. You note the patient has some psychomotor slowing. During the interview, the patient suddenly bursts into tears. She tells you that she has been feeling sad almost all the time. She states that her thoughts are full of worries, with feelings of hopelessness and worthlessness. She denies current suicidal ideation. All her lab values are within the normal range.
Reference
American Association of Colleges of Osteopathic Medicine. (2012). Case study: A tired mom.
Requirements:
Use the template below this
Incorporate all ideas into your point of view
Be sure to read the criteria by which your work will be evaluated before you write
and again after you write.
Template for your response to this assignment –
[Patient name, age, gender, status (married, single, divorced)] complains of [symptoms of chief complaint (why patient came to the doctor)]. [Patient name] endorses [list symptoms that match criteria (e.g. can’t sleep well = insomnia)] over the last [reported duration]. [List impairment (occupational, interpersonal, or social) or distress reported by patient]. [Identify aspects that are key to rule out other diagnoses] (e.g. denies hallucinations/delusions, denies alcohol and drug use, normal labs, etc).
