Posted: December 8th, 2013
Extra Credit Case studies – Stump the Diagnostician
R
ead the information on the following cases, and state the most appropriate diagnosis for each person. Explain the rationale for each of your diagnoses and suggest treatment(s).Some of these cases may not have disorders. In that case, indicate that the person does not have a disorder, and indicate why this is your opinion.1.You see Susan (age 24) in the emergency room of a hospital where her parents have brought her for evaluation. They are worried because she is giving away all of her possessions and says she is planning to move to New York so she can “save the world.” Her parents say that she has hardly been sleeping at all, but she seems very energetic. They say she has appeared to be “in a frenzy” lately but this is an improvement: months earlier she had been very unhappy and lethargic. When you interview Jill you notice that she speaks very rapidly. It is hard to get her to be quiet long enough for you to ask questions. She seems agitated, and has difficulty sitting still.
Diagnosis: ___________________________________________________________
Why: _______________________________________________________________
Suggested Tx: ________________________________________________________
2.Sulaiman has been referred to you for psychotherapy following a suicide attempt. When you interview him he is very teary. He speaks slowly and looks down at the ground as he speaks. He reports difficulty in falling asleep and staying asleep for the past month. Sulaiman states that he hasn’t had much of an appetite and has lost 15 pounds. He reports that things he used to like just don’t seem enjoyable anymore, and he thinks that life is not worth living. Sulaiman doesn’t expect things to improve in the future, which is why he tried to kill himself.
Diagnosis: ___________________________________________________________
Why: _______________________________________________________________
Suggested Tx: ________________________________________________________
3.Shahida has been feeling very sad since her husband died 12 days ago. She has eaten very little, and has difficulty sleeping. She is weepy most of the time. Shahida is preoccupied with thoughts of her dead husband and does not want to do much other than thinking about him. She has declined all invitations by friends and spends most of her time alone.
Diagnosis: ___________________________________________________________
Why: _______________________________________________________________
Suggested Tx: ________________________________________________________
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