Case Study 1.edited.docx

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Running head: CASE STUDY 1 Case Study 1 Michele Ruhmann Liberty University 1
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CASE STUDY 1 Key Issues In case study one, our client Donald is a 54-year-old male who presents with physical symptoms of muscle tension in his back and neck and long term difficulty falling asleep without the aid of over the counter medication. He also complains twice of having feelings of having a heart attack after an intense period of worry. Donald’s quality of life and overall happiness are being affected by his constant worrying, which has led to feelings of depression with no pleasure or interest in his usual activities. The key issue and top priority to be focused on initially would be the physical manifestations of anxiety that Donald presents with. By eliminating the overall body tension, Donald would physically feel better, and this will reduce his anxiety, help him with sleep and also reduce his risk of a heart attack due to stress. The second area to focus on would be solutions for coping with his generalized anxiety and reducing the episodes of intense worry. This should be easier to do once the physical tension and fatigue have been addressed, giving him more energy. The issue of depression would be the third priority as it is most likely related to his physical exhaustion and anxiety. Once the physical symptoms and anxiety have been addressed, it is suspected that the depression will have lifted and there will be little if no need to treat the depression complaint. Diagnostic Impression Based on the case study information the diagnosis for Donald would be Generalized Anxiety Disorder (300.02) with panic attack specifier. The criteria for Generalized Anxiety Disorder that Donald meets are: A. Excessive anxiety and worry (American Psychiatric Association, 2013). 2
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CASE STUDY 1 a. Donald admits to worrying excessively for more than 30 years. B. Difficulty controlling the worry (American Psychiatric Association, 2013). a. He worries uncontrollably about finances, his job security, retirement, car, house, and his families’ future and their health. C. Symptoms of restlessness, muscle tension, sleep disturbance and easily fatigued (American Psychiatric Association, 2013). a. He suffers from neck and backache tension, his friends and family complain that he can never sit still and is always restless; he has trouble falling asleep and is easily fatigued almost daily.
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