Diagnosis and Treatment of Mental Health Issues
HPE1005 - Mental Health Issues
University of Cincinnat
Case Study #2
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
Mr B is a 30-year-old Caucasian heterosexual male. He has been married for five ears to an
older native American woman, with whom he shares a two-year-old daughter. Mr. B works as
a full-time engineer and his wife is a part time nurse. Mr. B complains of being constantly
exhausted, having trouble sleeping, being easily stressed, and having frequent headaches. He
also admits to having anxiety, although he uses homeopathic remedies to treat his anxiety.
He also treats his anxiety by drinking 3-4 beers on the weekends. However, he does not
experience intoxication when drinking. He has also previously attended therapy in college for
a few sessions due to anxiety around taking tests. He stopped going to therapy and it seemed
to have helped him. However, now his wife’s family (his in-laws) discourage him from seeking
professional help. He constantly worries about the status of his employment and what his co-
workers think of him, due to recent threats and demands at work.
Symptomology
Mr. B initially complains of being stressed, trouble sleeping, constant exhaustion, and frequent
headaches. He reports that in the last six months, his symptoms have worsened, and he also
acknowledged experiencing more symptoms. These other symptoms include inability to relax,
persistent worrying about future events, worrying about opinions of co-workers, low-mood,
anti-social behavior, weight gain, inability to concentrate, feelings of worthlessness, and
ruminating on mistakes. Lately, he has called out of work due to the significant distress of
exhaustion and anxiousness. He has called out of work increasingly more within the last
fourteen days. He also has been asking himself “is life worth living”. He has no history of
medications or psychiatric interventions. Mr. B again treats his anxiety with homeopathic
remedies.
DSM-5 Diagnoses
Mr. B has three comorbid diagnoses. His first diagnosis is Major Depressive Disorder with
sever anxious distress 296.23 (F32.2) (APA, 2013). He presents with low mood, diminished
interest and pleasure, insomnia, fatigue, feelings of worthlessness, recurrent thoughts of death,
and he has experienced the distress for at least fourteen days (APA, 2013). Mr. B was observed
as not engaging in activities he used to enjoy, he has not been in touch with his friends, and
presents as a loner. He has also expressed restlessness, difficulty concentrating due to consistent
worry, and fear that something bad will happen (APA, 2013).
Therefore, meeting the criteria of the anxious distress specifier.
His second diagnosis is Generalized Anxiety Disorder (GAD) 300.02 (F41.1) (APA, 2013). Mr.
B presents with excessive anxiety and worry, sleep disturbance, restlessness, easily fatigued,
and he has experienced anxiety disturbance for at least six months (APA, 2013). Mr. B was
constantly worrying about his employment, what his co-workers thought of him, and worried
that he will not have a job to go to. He was worried and fixated on future events for fear that
there will be no future for him. He is restless and cannot sleep, feeling exhausted almost all the
time.
His last diagnosis is Adjustment Disorder with mixed anxiety and depressed mood 309.28
(F43.23) (APA,2013). For at least three months, Mr. B has been experiencing significant
impairment and for less than six months (APA, 2013). He is showing clear signs of depressed
mood and signs of anxiety. He has shown clear excessive worry as well as low mood and loner
behaviors. In conclusion, Mr. B has Generalized Anxiety Disorder 300.02 (F41.1) comorbid
with Major Depressive Disorder with severe anxious distress 296.23 (F32.2) also comorbid
with Adjustment Disorder with mixed anxiety and depressed mood
309.28 (F43.23) (APA,2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. B’s case, I considered four differential diagnoses. The first was
Social Anxiety Disorder (enter code here).
I also considered Substance/ Medication Induced Anxiety Disorder (insert code here).
However, Mr. B is not currently on any medications and he does not rely on the alcohol
although he does use it as a coping mechanism to help him deal with his anxiety. He does not
exhibit any symptoms of withdrawal or dependence on alcohol, so I quickly ruled out this
diagnosis.
I then considered Persistent Depressive Disorder with anxious distress (enter code here). I
initially considered this diagnosis because Mr. B has experienced weight gain which could have
been caused by overeating, insomnia fatigue, hopelessness and difficulty concentrating which
are all symptoms of Persistent Depressive Disorder. He has also experienced symptoms of
anxiety which qualified for the anxious distress specifier.
Heading Level 1
Lorem ipsum dolor sit amet, consectetur adipiscing elit. In nec risus pretium, condimentum leo
imperdiet, iaculis lacus. Curabitur volutpat sagittis facilisis.
Heading Level 2
Aliquam eget magna pharetra, venenatis metus vel, volutpat nunc. In feugiat ligula quis tellus
consectetur malesuada vel et risus.
Heading Level 3
Etiam tempor nisl eu metus facilisis, eget venenatis elit varius. Maecenas nec justo lobortis
nulla convallis dapibus commodo ac velit.
Heading Level 4. Vestibulum fringilla eleifend ante, ut cursus eros condimentum. In urna odio,
tempus sit amet erat ullamcorper, iaculis condimentum lectus.
Heading Level 5. Phasellus efficitur mi ligula, ac pretium nulla maximus et. Duis imperdiet
varius eros eget lacinia. Sed laoreet commodo ex eget vestibulum.
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https://URL
Last name, Initial(s). [Channel]. (Year, Month Day of publication). Title of the video [Video].
Website. https://URL
Organization. (Year of publication). Word. In Dictionary. Publisher. https://URL
