Instructions:
Wendy is a 42-year-old female who comes to your office for an evaluation. She is concerned because “I worry about everything and can’t stop.” Wendy says she had to make this appointment because “my husband is tired of listening to me and my worries and wants me to do something about it.” In talking with her, she says she has been dealing with this “for as long as I can remember.” She feels it is getting worse because she can’t stop worrying at the end of the day, making sleep difficult. Wendy replies: “I seem to toss and turn all night.” She admits to difficulty concentrating and being easily fatigued. “I feel like I am on the edge, just ready to fall off.” These symptoms have been occurring for the past 8 months. She denies a depressed mood, symptoms of mania, psychosis, suicidal ideation or homicidal ideation.
Answer these questions:
| Identifying Data |
| Chief Complaint |
| History of Present Illness |
| Past Illnesses (psychiatric, medical, alcohol, and substance use history) |
| Mental Status Exam (include score) |
| Diagnosis (Principle, Provisional, and Differential) In this discussion, please discuss the diagnostic clues, how you arrived at your diagnoses, which hypotheses you ruled out, and your thoughts about possible differential diagnoses. Which criteria for the diagnosis are met and how are they met? Points are related to your discussion of how you arrived at the diagnosis |
- Cover page consists of your name, course number, date, and title of the paper indicating the selection of Vignette #1 or #2
- Use formal writing and grammar according to APA format including double spacing, citations, and boldface headings
- Headings or sections of the paper should correspond to the rubric
- Do not abbreviate as if you are charting
- Minimize use of abbreviations and follow APA rules for any abbreviations appearing in your paper
- References are to be listed according to APA and should include the DSM-5 in addition to other textbooks and journal articles