List a differential diagnosis for the patient. Identify the one that you think is most likely and explain why.  According to Psych Scene (2020), the following is the list of differential diagnosis

 

  1. Depression- is a type of mood disorder that lingers in one’s mind for a prolonged period of time. It can manifest in feelings of hopelessness, sadness, and loss of interest.

This condition is referred to as organic. It can be caused by various factors such as diabetes, hypothyroidism, and other mental health conditions. For patients, it is more likely that the condition is caused by these factors. It can also be caused by various factors that affect a person’s mood. For instance, a person can experience depression following a major event in their life, such as the death of their husband. The signs and symptoms of depression include a hopeless outlook, which can be accompanied by various other symptoms such as irritability, fatigue, and anxiety. Although the patient denies having active suicidal thoughts, she should still be evaluated for the presence of these thoughts. For instance, if the patient wishes to die in bed or in an accident, then these thoughts should be considered.

  1. Anxiety – Continuing worrying about things during the day often carries over into night. That can cause mental hyperarousal leading to insomnia.
  2. Organic- There are various types of insomnia diagnoses that are organic. For instance, it could be that the patient has a mental disorder or that their condition is caused by a substance.

 

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