Principle Diagnosis
The Principle diagnosis for Kenda Starnes is Post Traumatic Stress Disorder with a Co-Morbidity of Severe Persistent Depressive Disorder with Persistent Major Depressive Episode. Medical contributors include a history of hospitalization in excess of 10 times for depression during her high school years, and her prescription for anti- depressants, which she does not take. V-codes and environmental factors attributing to her diagnosis include a history of incestual child abuse, emotional neglect and abuse from mother and father, unstable income, insomnia, and anger.
Differentials
I considered Severe Major Depressive disorder as a possible diagnosis. Kenda meets full requirements for the Diagnosis. The reason I determined it to be a differential instead of a principle diagnosis is due to the duration of her Depression. The duration of her symptoms has been in excess of over two years, which makes Severe Persistent Major Depressive Disorder the most appropriate choice for diagnosis.
I considered Conduct disorder for possible diagnosis due to Kenda’s history of initiating physical fights for excitement. Also for her pride in boasting about her fights, but not being as concerned with actually notable accomplishments. She has seemed to have no true emotional attachment to anyone and showed a lack of compassion for others. Kenda …show more content…
During these episodes, Kenda describes feeling empty, scared, lonely and sad. She is often on irritable and almost always tired. She has chronic insomnia causes her increased levels of irritability. She misses work regularly due to being unable to concentrate on external events. Kenda takes part in many activities, but experiences no pleasure or joy in them, she participates as a way to pass the time. Kenda’s anxiety worsens when she is not actively doing something, so she attempts to self - manage her symptoms by staying
The Principle diagnosis for Kenda Starnes is Post Traumatic Stress Disorder with a Co-Morbidity of Severe Persistent Depressive Disorder with Persistent Major Depressive Episode. Medical contributors include a history of hospitalization in excess of 10 times for depression during her high school years, and her prescription for anti- depressants, which she does not take. V-codes and environmental factors attributing to her diagnosis include a history of incestual child abuse, emotional neglect and abuse from mother and father, unstable income, insomnia, and anger.
Differentials
I considered Severe Major Depressive disorder as a possible diagnosis. Kenda meets full requirements for the Diagnosis. The reason I determined it to be a differential instead of a principle diagnosis is due to the duration of her Depression. The duration of her symptoms has been in excess of over two years, which makes Severe Persistent Major Depressive Disorder the most appropriate choice for diagnosis.
I considered Conduct disorder for possible diagnosis due to Kenda’s history of initiating physical fights for excitement. Also for her pride in boasting about her fights, but not being as concerned with actually notable accomplishments. She has seemed to have no true emotional attachment to anyone and showed a lack of compassion for others. Kenda …show more content…
During these episodes, Kenda describes feeling empty, scared, lonely and sad. She is often on irritable and almost always tired. She has chronic insomnia causes her increased levels of irritability. She misses work regularly due to being unable to concentrate on external events. Kenda takes part in many activities, but experiences no pleasure or joy in them, she participates as a way to pass the time. Kenda’s anxiety worsens when she is not actively doing something, so she attempts to self - manage her symptoms by staying