Create a list of the patient’s problems and prioritize them.

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 Clinical Case: A 25-year-old male presents to the clinic with difficulties in his work as a consultant. He is having difficulty giving presentations, leading to frustration as he has passed up on lead roles and potential promotion. He experiences no difficulty interacting with peers in small groups or friends.

List of Patient’s Problems and Prioritization:

1. Difficulty giving presentations in work setting
2. Fear of embarrassment
3. Concerns of peers thinking less of him
4. Avoidance of lead roles and potential promotion

Diagnosis to Consider:

1. Social Anxiety Disorder (SAD)

Rationale for the Diagnosis: The patient’s symptoms align with the criteria for Social Anxiety Disorder as described in the DSM-5. The patient experiences intense fear or anxiety in social situations in which they may be scrutinized or judged by others, which interferes with normal functioning in occupational or academic settings. The patient’s avoidance of lead roles and potential promotion, along with the fear of embarrassment, is indicative of SAD.

Differential Diagnosis to Consider:

1. Generalized Anxiety Disorder (GAD)
2. Panic Disorder
3. Major Depressive Disorder (MDD)

Test or Screening Tools to Consider:

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

Treatment:

1. Psychotherapy: Cognitive-behavioral therapy (CBT) has been shown to be effective in treating SAD, as well as other anxiety disorders, by helping the patient challenge and change negative thoughts and behaviors.
2. Psychopharmacology: Selective serotonin reuptake inhibitors (SSRIs) have been found to be effective in reducing symptoms of anxiety, including SAD.
3. Psychoeducation: Providing education and resources about S…Order a customized and more comprehensive answer here