NRNP 6635 Assignment: Assessing And Diagnosing Patients With Anxiety Disorders, PTSD, And OCD

NRNP 6635 Assignment: Assessing And Diagnosing Patients With Anxiety Disorders, PTSD, And OCD

Subjective:

CC (chief complaint): “ I Can’t even begin to describe what I am feeling, sadness, fear, I guess.”

HPI: Mr. D.J. is a nineteen-year-old male patient who came to the facility for a psychiatric visit after developing symptoms of fear and sadness after he realized that he is being activated with the Navy Reserves through a stop-loss policy. These symptoms have been there for the last one and half months. He confesses to being discontent with having to listen to gay comments while serving as a soldier since he is gay. However, he fears sharing regarding his sexuality with people since he is not sure how they would react. He fears and is scared that some would be surprised and walk away from him and never come back to his side. The patient also indicates that he fears rejection and feels like he wants to die when he thinks about it. He confesses to having suicidal thoughts before but not in recent times. The patient has had delusions related to the men he works with and hopes that he can move away from such delusions.

Past Psychiatric History:

• General Statement: The patient is generally healthy but is of late sad and has fear after realizing he has been activated with the Navy Reserves
• Caregivers (if applicable): The patient lives with both parents as the only child
• Hospitalizations: no cases of hospitalizations recorded
• Medication trials: No cases of medical trials reported
• Psychotherapy or Previous Psychiatric Diagnosis: No previous psychiatric history.

Substance Current Use and History: The patient has not used or is not using any substances, alcohol, or cigarette

Family Psychiatric/Substance Use History: There is no substance use or family psychiatric history.

Psychosocial History: D.J is a nineteen-year-old patient who lives with both parents in Minneapolis. The patient has no partner currently and works at Starbucks as a part-timer. The patient’s MOS is an SK1 storekeeper

Medical History:

• Current Medications: The patient is currently not using any medications
• Allergies: No known allergies
• Reproductive Hx: The patient has no partner currently. He confirms that he is gay and has known his sexual identity since the age of eight.

ROS:

• GENERAL: The patient is calm and cooperative
• HEENT: The head is normal. No eye infection, double vision, double vision, or visual loss. No ear infections or hearing loss. No nose congestion or sneezing. No sore throat
• SKIN: no rashes, itchiness, or irritation
• CARDIOVASCULAR: No chest discomfort, pressure, or pain was reported
• RESPIRATORY: NO congestion, no breathing problems
• GASTROINTESTINAL: no eating disorders, no abdominal ailments
• GENITOURINARY: no pain passing urine, no urge for frequent urination
• NEUROLOGICAL: Reports being sad and having fear. He is also scared and anxious
• MUSCULOSKELETAL: No glutes, no muscle or back pain
• HEMATOLOGIC: No blood infections were reported
• LYMPHATICS: No swelling was noted
• ENDOCRINOLOGIC: has no abnormal sweating or excessive thirst

Objective:

Vitals: T- 98.8, P- 89, R 18 110/62 Ht 5’7 Wt 133lbs.

Physical exam: if applicable

Diagnostic results: none was conducted

Assessment:

Mental Status Examination:

D.J is a nineteen-year-old male patient who visited the clinic with the claims of fear and sadness. The patient is well-dressed and groomed. He is keen to participate in the psychiatric examination and assessment. He has normal speech with consistent volume and normal tone. The patient confirms delusional thoughts. He confirms to have had suicidal thoughts sometimes back to not anymore. The patient’s thought process is intact. His short-term and long-term memory are both intact. His mood is sad, and he feels scared to be rejected by people.

Differential Diagnoses:

1. Social Anxiety Disorder: This is a type of anxiety disorder known to make individuals have symptoms such as excessive self-consciousness and anxiety in a social situation. According to the DSM-5 criteria, the diagnosis of a social anxiety disorder includes fear of anxiety unexplainable through substance abuse, medication use or substance use, and distress or anxiety which imp
   Order A Similar Paper