Provide a tentative diagnosis and treatment plan for the patient and explain rea

Question

Provide a tentative diagnosis and treatment plan for the patient and explain reasons why you should chose that diagnosis. This is a task that psychologists complete on a daily basis.

Vignette: Tom is a 28-year old single male government employee referred by his family physician for evaluation. He reports 3 month history of worsening anxiety that is especially bad early in the morning. “I wake up at 3 in the morning and I can’t get back to sleep. My thoughts torment me.” He also reports decreased energy, inability to concentrate at his job, decreased appetite with a 10 pound weight loss, and suicidal ideation. “I feel so hope-less that suicide seems like an option.” He also states, “There is nothing in my life that I enjoy.”

Tom is tearful during evaluation. He lacks animation and his mood is quite depressed. He denies prior hypomanic or manic episodes. Mental status exam reveals slowed thinking and no evidence of psychosis. He does report two previous depressive periods, one in late adolescence and another during his senior year in college. During the latter episode, his symptoms were severe enough that he was unable to attend classes. “I almost failed that semester.” Both depressive episodes remitted in a few months without treatment; he “ felt like normal” during remission. He denies drug abuse or use and has no medical problems. The family history is positive for depression in a paternal grandfather, and in his father, and he reports that a depressed uncle committed suicide about 10 years ago.

Explanation / Answer

Introduction :- With, the above given description i can find this symptoms are seem closely to depression as that an individual have facing anxiety from last 3 months and also complaining about morning sickness and inactive health which is similar as Depression. Seems sucidal tendency and not proper psychosis, even loss in weight and appitite. Thats why tentative diagnosis symotoms on the bases of symptoms we can prefer it as a Depression which is developed due to situational change.

For treatment of depression we can suggest an individual steps. :-

?With, the help of diagnosis and proper calculation of disorder with manual is required for the proper treatment of any disorder for psychologist.

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