Question

Differential Diagnosis

Read through the case presentation.

1. Specify three diagnoses that best fit the case presentation. Limit these to disorders covered in Chapters 5 through 15. You must refer to the disorders by the diagnoses referenced in the DSM-5. Additionally, the diagnoses must significantly differ between each other. For example, you will not receive full credit if you choose PTSD and Acute Stress Disorder.  

For each diagnosis:

2. Identify THREE symptoms included in the case presentation that fit the diagnostic criteria for that diagnosis and WHY they fit (i.e., the symptom criteria you're referring to).
3. Identify AT LEAST ONE detail that does NOT fit with the disorder.
4. Specify THREE pieces of information you need to know to confirm the diagnosis based on diagnostic criteria or risk factors or epidemiological information that would make the disorder more or less likely.

Mr. X is a 36 year-old male. During his intake interview, he appeared disheveled, poorly groomed, and was malodorous. He made poor eye contact with the clinician, appearing guarded and mistrustful during the interview. He stated that things had been “off” for the past six months. Mr. X stated that he “heard and saw strange things” for an extended period of time several months ago, and that this had resulted in losing his job and being kicked out of his apartment for not paying his rent. Additionally, he reported that his most recent job had involved “working for the government as an undercover agent” and stated that he now believed the government was attempting to brainwash him in order to control his behavior so that he could not divulge “top secret” information. Mr. X appeared increasingly distressed and disoriented as the interview progressed. He displayed mild psychomotor agitation and low, rapid, impoverished speech. He reported feeling extremely “tired” because he didn't sleep well, except on nights when he managed to get a hold of a fifth of whiskey, and explained that he often stays up feeling “worried about his safety”. When asked how much he drinks on an average day, Mr. X laughed and said, “as much as I can get!” but quickly added, “I mean, I’m kidding, I only drink so I can sleep.” He denied both suicidal and homicidal ideation.

Answer 1

answer - The case is about a 36 year old male named mr. X.

Now, after studying the case, the possible diagnosis for his condition -

1. Mental health condition like hallucination - because Mr. X does not seem to be like in normal condition.

The reason for this diagnosis is because he said that he see things as well as hear things and there is a chance that those things does not exist.

He also said thst he worked as some top government agent & they want to control him.

he also said that he does not feel safe. All these symptoms can also be a sign of psychotic disorder like hallucination un which people see, hear and feel those things are not there.

But at the same time he is not hyperactive or behaving weird at that particular time otherwise patients of hallucination posesses a very abnormal social behavior.

2. Alcoholism and drug abuse - this can be reason that mr. X is showing abnormal behaviour.

THE reasonfor this diagnosis is that he mentioned that he could not sleep without drinking. well, the people with drinking problem use these kinds of excuses to drink.

Alcohol any other drug abuse could be the reason for lossing his job and apartment.

Healso said that he feels tired and had a low, rapid and impoverished speech.

He appeared very porrly groomed and talked about things that did not match any of his behaviour.

But at the same time he seems to have a good humor and worried about safety.

3. post traumatic stress disorder -

the reason for this diagnosis because Mr. X seems to be disoriented & like a person who is suffered from a lot in past few months .

he lost his job & his apartment .

he also said that he was working for the government in secret project which can be very consuming .

he said he knew alot of secret stuff of the government work which can be stressfull & exhausting .

he is also worried about his safety.

So these are the possible three diagnosis for this case.