Summarize the clinical case.

A 25-year-old male presents to your clinic because he is having difficulty his new job. He works at a consulting firm. He states it is hard for him to give presentations due to concerns that he will embarrass himself and his peers will think less of him. To avoid being put on the spot, he has passed up multiple lead roles and potential promotion as a result. He says this is frustrating because he doesn’t have an issue interacting with peers in small groups or friends and in no work settings.

• Summarize the clinical case.
• Create a list of the patient’s problems and prioritize them.
• Which diagnosis should be considered
• What is your rationale for the diagnosis
• What differential diagnosis should be considered
• What test or screening tools should be considered to help identify the correct diagnosis
• What treatment would you prescribe and what is the rationale (consider psychopharmacology, diagnostics tests, referrals, psychotherapy, psychoeducation)
• What standard guidelines would you use to assess or treat this patient

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

Submission Instructions

• Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 evidence-based sources.

Sample Solution

Summary of the Clinical Case: The 25-year-old male patient is experiencing difficulty in his new job as a consultant. He is having difficulty giving presentations, which has resulted in him avoiding lead roles and potential promotions. He has no trouble interacting with small groups or friends, but finds it difficult to perform in a work setting.

Problems:

1. Social anxiety disorder
2. Performance anxiety
3. Difficulty giving presentations

Prioritized problems:

1. Social anxiety disorder
2. Performance anxiety
3. Difficulty giving presentations

Diagnosis: The most likely diagnosis is social anxiety disorder (SAD).

Rationale: The patient’s symptoms, such as avoiding giving presentations and concerns about embarrassing himself in front of others, suggest a pattern of anxious behavior that is consistent with the diagnostic criteria for social anxiety disorder (SAD). The onset of symptoms in the work setting, as well as the fact that the patient has no difficulty interacting with small groups or friends, further support a diagnosis of SAD.

Differential diagnosis:

1. Generalized anxiety disorder
2. Panic disorder
3. Specific phobia

Test or screening tools:

1. The Social Phobia Inventory (SPIN)
2. The Mini International Neuropsychiatric Interview (MINI)
3. The Patient Health Questionnaire (PHQ-9)

Treatment: Treatment for social anxiety disorder often includes a combination of psychotherapy and medication.

1. Psychotherapy: Cognitive Behavioral Therapy (CBT) has been…Order a customized and more comprehensive answer here