Case Study Coun 646 Essay

1644 Words Nov 2nd, 2015 7 Pages
Case Study 1
Tonia Meyers
Liberty University

Case Study 1 Donald is a fifty-four-year-old male with a wife, children, and several grandchildren. Donald’s symptoms started approximately thirty years ago and have been increasing in severity. Documenting the critical issues, diagnostic impressions, and treatment recommendations are imperative to successfully helping the client deal with the issues and possibly minimize the risk of future relapse in recovery. Addressing the biological, psychological, social, and spiritual aspects will help to guide the therapist through developing the most accurate treatment model for the patient.
Key Issues Listing the key issues through priority, rationale, and documenting possible treatment
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Difficulty concentrating d. Irritability e. Muscle tension f. Sleep disturbance D. Anxiety and worry cause severe distress or impairment socially, occupational, and other areas of functioning (American Psychological Association, 2013).
Diagnosing Daniel with GAD is the most fitting because his symptoms matched the criteria for diagnosis. The most prioritized and present symptoms under GAD are all morbid in Daniel’s behavior patterns. Diagnosing Daniel with GAD is the most rational and valid diagnosis when prioritizing the symptoms.
Differential Diagnosis
The differential diagnoses of generalized anxiety disorder are: * Social Anxiety Disorder * Anxiety disorder due to another medical condition * Substance/medication-induced disorder * Obsessive-Compulsive Disorder * PTSD * Adjustment Disorders * Depressive, Bipolar, and Psychotic Disorders
Depressive, Bipolar, and psychotic disorders would be the closest to Daniels symptoms. “Generalized anxiety/worry is a common associated feature of depressive, bipolar, and psychotic disorders and should not be diagnosed separately if the excessive worry only occurred during these conditions” (American Psychological Association, 2012).
Additional Disorders Two disorders that considered for Daniel are the Panic Disorder and Bipolar disorder. Panic disorder because of the two times Daniel had the heart attack like symptoms and had to get tests done at the hospital.

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