Differential Diagnosis II Case Study
Assignment 5e: Differential Diagnosis II Case Study
Objective: Apply the criteria to arrive at the differential diagnosis and the most accurate diagnosis.
Instructions
Developing a differential diagnosis based on the symptoms exhibited by a client is an essential part of the process for developing an accurate diagnosis.
Watch video: Overview of How to Diagnose Substance Use Disorders Using DSM-5 (Links to an external site.) https://www.youtube.com/watch?v=dIBbqUQ6KLk&feature=youtube
Review Reuven’s Case Study
Reuven is a 41-year-old male who was referred by his primary care physician after presenting to the ER with difficulty breathing. Reuven’s physician was unable to find a medical explanation for his symptoms, which left Reuven feeling confused, stressed, and angry. Reuven had regularly used cocaine during his 20’s and early 30’s, but had not been using it for approximately 10 years. Over the last 6 months, Reuven has had several instances where he felt an intense fear that would reach a peak within a few minutes. During these instances, he would also experience sweating, heart palpitations, chest pain and discomfort, and shortness of breath. At times, Reuven worried that might die. As a result, Reuven has persistent worry about having another attack. In addition, he has begun to avoid unfamiliar places and people where it may be difficult to get help in the event of another panic attack. The panic and associated avoidance are significantly impacting Reuven’s life as he has been turning down social invitations, making excuses to stay at home whenever possible, and relying on his wife to drive their children to their various activities. Although she was understanding at first, Reuven’s wife has grown frustrated with what she perceives as his irrational fear of panic attacks. Reuven’s physician had prescribed him both Paxil to take daily as directed and Klonopin, but only during a panic attack. The prescription for Klonopin was enough for 5 episodes of panic attack and the prescription after which Reuven would be required to make an appointment to be assessed for further use of Klonopin.
Write 1 to 2-page paper in argument form responding to the following points:
Provide a summary of all the client’s reported symptoms—physical, mental, and emotional.
Using the relevant DSM-5 diagnostic criteria, develop a differential diagnosis based on the client’s symptoms.
Indicate the most probable diagnosis(es) among the differential diagnoses.
Apply APA formatting for citations, as needed.
Rubric
Case Study Rubric
Case Study Rubric
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeCovered Required Points
The case study addressed the points required for the assignment
20 pts
Full Marks
Address fully, completely, and accurately the assigned points to be covered
15 pts
Partial Marks-1
Incompletely or inadequately covered all the required points
10 pts
Partial Marks-II
Failed to address one of the required points
0 pts
No Marks
20 pts
This criterion is linked to a Learning OutcomeWriting
Proper academic voice, formal language, adequate editing, argument style, and proper spelling and grammar. Avoids wordiness and redundancy.
5 pts
Full Marks
3 pts
Partial Marks
0 pts
No Marks
5 pts
This criterion is linked to a Learning OutcomeAPA Format
Proper APA format with abstract, reference page, in-text citations, and headings/subheadings
5 pts
Full Marks
3 pts
Partial Marks
0 pts
No Marks
5 pts
Total Points: 30
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