The differential diagnosis using the presented

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the differential diagnosis using the presented symptoms and eradicate articulating premature decisions ( American Psychiatric Association, & American Psychiatric Association. DSM-5 Task Force, 2013) . Provisional diagnosis for Nathan
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CASE ANALYSIS 4 Nathan, a single man in his late forties who had long-term difficulties staying employed, was referred by a vocational psychologist for a clinical assessment. When Nathan attended his first session, his facial expression was flat and he spoke in a steady yet monotone voice. His sitting posture was rigid and tense. He often avoided eye contact, and yet at times he stared at the psychologist. He appeared to have difficulties expressing emotions, except for fear and frustration. When describing his circumstances, a common word that he used was that he had feelings of ‘trepidation’. During the session his leg was shaking. When this was probed by the psychologist, Nathan said the shakiness was uncontrollable; it occurred when he felt nervous or uncomfortable. Nathan described ‘living in fear’ since his teenage years, and constantly feeling low and frustrated. He reported persistent struggles in various group and social settings, as well at work. He attributed his history of highly unstable and short-term employment to these experiences. He was currently unemployed and on social benefits and had been for the past 4 years. Other than employment, Nathan reported difficulties engaging in romantic relationships. The relationships he had were typically short and ended abruptly. The last relationship was before he graduated from university. Similarly, Nathan had difficulties maintaining and forming friendships and he had lost contact with the friends that he had made at university. When describing the feeling of fear he had, and in particular, if he had a sense of its origin/when it
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