Case 21: Hindsight is Always 202/20, or Attention Deficit Hyperactivity Disorder SAMPLE

Case 21: Hindsight is Always 202/20, or Attention Deficit Hyperactivity Disorder

In certain cases, mental health professionals find it difficult to manage some symptoms associated with mental disorders. In these situations, the primary symptoms such as those of generalized anxiety disorder may undergo remission yet other symptoms including inattention remain. Indeed, the remission of residual inattention does not occur easily. The present case study involves such as case wherein the GAD symptoms of a 31-year old man get eliminated whereas the inattention remains. This situation occurs in spite of the administration of a combination of relevant drugs by the psychiatrist. However, the standard procedure in the management of such conditions dictate that a mental health professional tries different combinations and therapies in order to manage the presenting symptomatology. Therefore, the present paper will attempt to reconstruct the situation via assessment and even prescription of drugs to the patient.Case 21: Hindsight is Always 202/20, or Attention Deficit Hyperactivity Disorder

Patient’s Clinical Interview Questions

            The patient clearly has suffered from these symptoms for a long time. The evidence for this assertion derives from the fact that he states that his anxiety has affected him since graduate school and college. Therefore, to accurately diagnose the underlying condition, the nurse will ask the patient the following questions as per American Psychological Association (2013):

• In the past six months, have you experienced too much anxiety or worry?
• If yes, have you found it challenging to manage the above symptoms?
• Out of the following restlessness, fatigue, inattention, irritability, muscle tension, and sleep problems, which ones have you experienced in the last six months?

These questions play an integral role in the evaluation of a patient for GAD. Clearly, the first two questions will reveal the presence of obvious symptoms of the conditions. However, the third question confirms the presence of the condition in an adult. Whereas in children only one of the symptoms in the third question need to occur, adults need to present with three of them to confirm the existence of GAD. Therefore, the answers provided to the above questions will help the mental health professional to diagnose generalized anxiety disorder in the patient.

Questions to Close Persons

The clinical evaluation of patients suspected to have GAD can extend to people in a close relationship with a patient. In the present circumstance, the wife and his physician will provide useful insights into the behaviors of the patient. In order to get the information, the wife will have to answer the following question: Does his anxiety strain your marriage? The question will seek to reveal the impact of the anxiety on the patient’s relationship and even confirm whether he gave a correct answer (In Cutler, 2014). On the other hand, the physician will answer the following question: Have you ever ordered a complete blood test that revealed the presence of hormonal conditions related to the thyroid hormone? This questions will illuminate for the physician whether the GAD and inattentiveness experienced by the patient result from a medical condition. Thus, we cannot overstate the importance of asking individuals close to the patient some questions.Case 21: Hindsight is Always 202/20, or Attention Deficit Hyperactivity Disorder

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