Mark is a twenty-nine year old, Caucasian male. He is a single medical student who has just entered his first year in a surgical residency program. Mark has made this appointment of his own free will because he believes his medical residency is causing some difficulty in his life and wants to speak with a therapist.
DSM-5 Diagnosis
Social Anxiety Disorder F40.10 - with Specifier of Performance Anxiety (here after referred to as performance anxiety). The client presents with what appears to be performance anxiety brought on by the observation portions of his job. As indicated by the client Mark, “it makes me extremely nervous” having the observation booths full during his surgeries. Mark exhibits many of the symptoms performance …show more content…
While Other Specified Anxiety Disorder is more lax in its requirements being that the client meets just the majority of any one anxiety disorder, and certainly fits due to its encompassing requirements, it is a bit too lax for what the client presents with. It is clear that the client meets the full requirements for Performance Anxiety, however, if he didn’t there is a question of the amount of time he has experienced the social anxiety he describes currently. Therefore, it was necessary to think about Other Specified Anxiety Disorder, and consequentially rule it out. Similarly, Situational phobia fits well here as it shares a lot of symptoms with Social Anxiety; marked fear or anxiety over specific objects or situations, the feared object/situation always provokes the fear or anxiety and it is actively avoided unless there is no other option. However, as much as this fits our client, since social/ performance anxiety was the better fit, situational anxiety cannot be an active