Diagnosis and Treatment of Mr. S's Mental Health Issues
HPE1005 - Mental Health Issues
University of Cincinnat
Case Study #3
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
Mr. S is a 39-year-old single African American Male who has never been married and has no
children. He has a degree in Computer Technology from a university and has a good job. He is
currently being charged with vehicular involuntary manslaughter and is incarcerated. He was
admitted for a competency exam for his upcoming trial.
Mr. S has a traumatic history, his parents were divorced when he was young, and his mother
got remarried. He had a great relationship with his mother and stepfather, up until they died in
2013 and 2014. He was also close to his brothers, who both committed suicide, one in March
of 2014 and the other in January of 2015. He found one of his brother’s bodies after he
committed suicide in March of 2014. He missed his brother’s funeral due to being incarcerated.
Symptomology
Mr. S attempted suicide while incarcerated, prior to the competency examination. He has had
several suicide attempts in the past, but never successfully committed suicide. His first suicide
attempt on record was in July of 2014, where he went to a bridge to jump off of. He also
attempted to swallow pills in another suicide attempt. On a suicide assessment, out of
10 Mr. S rated himself a 6 on the suicide scale.
Mr. S also suffers from nightmares, flashback, intrusive memories, and images surrounding the
discovery of his brother’s body after he committed suicide in 2014. He has suffered from a lot
of anxiety surrounding job stress, due to constantly worrying that he will get fired due to
missing work. Mr. S misses work due to his anxiety. He has also suffered from panic attacks
and noted that his thoughts tend to race and has experienced paralysis. He has been previously
hospitalized for anxiety and depression.
Mr. S also has auditory hallucinations ad difficulty sleeping. His auditory hallucinations consist
of telling himself that he should hurt himself, which adds to the suicidal ideations. Mr. S also
uses marijuana and has had a previous charge for possession of marijuana and PCP. He uses
PCP and cocaine three times monthly. He has a diagnosis of asthma and Hepatitis C.
DSM-5 Diagnoses
Mr. S has two comorbid diagnoses. His first diagnosis is Post Traumatic Stress Disorder
{PTSD} 309.81 (F43.10) (APA, 2013). He has experienced a traumatic event, has intrusive
memories, distressing dreams, flashbacks, avoidance of these memories and dreams, no
positive emotions, self-destructive behaviors, and sleep disturbance (APA, 2013). The suicidal
ideations and attempts fit the self-destructive behavior qualifications perfectly and he has
experienced a series of traumatic events, with both of his brothers committing suicide
successfully. Mr. S has been experiencing this disturbance for more than 1 month and the
distress causes severe dysfunction in his personal life, especially at work (APA, 2013).
His second diagnosis is Persistent Depressive Disorder, Dysthymia with anxious distress and
psychotic features 300.4 (F34.1) (APA, 2013). Mr. S presents with depressed mood, difficulty
sleeping, difficulty making decisions due to excessive worry (APA, 2013). He also presents
with difficulty concentrating due to the racing thoughts and fear of awful things happening
which qualifies him for the anxious distress specifier (APA, 2013). Mr. S also has auditory
hallucinations which qualifies him for the psychotic features’ specifier as well (APA, 2013).
Differential Diagnoses, Comorbidity, & Treatments for Differential Diagnoses
While reading Mr. S’s case, I considered four differential diagnoses. The first was
Generalized Anxiety Disorder 300.02 (F41.1). I considered GAD because Mr. S had sleep
disturbances and had excessive worrying about losing his job (APA, 2013). Treatments for
GAD would include {INSERT TREATMENTS HERE}
I also considered Acute Stress Disorder 300.01 (F43.0). Mr. S met all the requirements for
Acute Stress Disorder. Mr. S has experienced a traumatic event, has intrusive memories,
distressing dreams, flashbacks, sleep disturbance, problems concentrating, negative mood,
avoidance of memories, psychological distress, and avoiding people at work (APA, 2013).
However, Mr. S did not meet the full diagnostic criteria for Acute Stress Disorder because his
disturbance lasted longer than one month (APA, 2013).
Treatments for Acute Stress Disorder include {INSERT TREATMENTS HERE}.
I then considered Major Depressive Disorder with anxious distress INSERT CODE HERE ().
I initially considered this diagnosis because Mr. S has experienced depressed mood, thoughts
of death, and difficulty concentrating (APA, 2013). However, this did not include his traumatic
experience and the hallucinations that he was experiencing. Therefore, he doesn’t meet the full
diagnostic criteria for this diagnosis. Treatments for Major Depressive Disorder include:
{INSERT TREATMENTS HERE}.
Lastly, I considered Schizophrenia 295.90 (F20.9) (APA, 2013). Mr. S suffered from
hallucinations, negative symptoms, disturbances at work, the disturbance was greater than six
months, but I could not rule out the depressive episode. Schizophrenia also did not cover his
suicidal ideations and attempts. Thus, unfulfilling the criteria for schizophrenia. Treatments
for Schizophrenia include: {INSERT TREATMENTS HERE}.
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https://URL
Author’s last name, Initial(s). (Year of publication). Title of the article. Newspaper.
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
