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First diagnosis

For clinical experts to assess anxiety disorder, they look for excessive worry and anxiety regarding various activities, topics, and events. The experts examine their clients where worry appears to be very difficult to control; they also examine what the anxiety is accompanied by, either cognitive or physical symptoms (Grant & Chamberlain, 2016).

In the essay, Suzanne, as a child, pulled out her eyebrows whenever she felt tensed or nervous. Suzanne was suffering from trichotillomania. This diagnostic manual was chosen in this essay because it was addressing anxiety disorder; it is mostly challenging to diagnose. This diagnosis was also selected because it is not associated with a mental disorder. Trichotillomania is also not related to medical conditions like a skin condition. People with alopecia would not be diagnosed with trichotillomania, where alopecia individuals have skin inflammation where it results in hair pulling and hair loss (Isobe et al., 2018). Trichotillomania is chosen where there may be individuals pulling out their hair just by playing with it by curling it or other mere cosmetic reasons where the individuals might not have significant distress.

Just like Suzanne, individual with trichotillomania, before being diagnosed, there are various symptoms required to be present. The symptoms include plucking or recurrent pulling of an individual's hair, repeatedly failed attempts of an individual to stop or even decrease plucking or pulling hair. The other symptoms are clinically significant distress like anxiety, sadness, and shame, and impairment in crucial functioning areas such as social, academic, and even occupational areas (O'Connor et al., 2018). Like Suzanne, after being heartbroken by Jon, she started pulling out her hair, and her performance deteriorated. Therapy is helpful for the disorder,

 Alcohol use disorder represent a number of clinical manifestations defined by the DSM-5 (Dom & Francque, 2016). Excessive alcohol use can cause organs failure including liver. The alcoholic liver disease include different injuries such as cirrhosis and steatosis. There is need for assessing previous alcohol use and establishing the severity of liver damage. Using the DSM-5 guideline, one can identity alcohol-induced disorders as conditions in which signs occur simultaneously. The AUD (Heavy drinking) cause reduction in physical activities and makes the patient spend a lot of time drinking. This increase in fat in the liver, inflammation of the liver, and destruction of liver tissue. The diagnosis of Alcoholic liver disease (ALD) is defined by the evidence of alcohol in the body (Hendriks, 2020). Gynecomastia disease is often present if alcohol is main etiological factor of the liver disease. This information will help establish patterns of alcoholism as it relates to the patient’s health and time duration.