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Question
Matthew is a 23-year-old single white male who presented for the first time to his local mental health center. He was a recent college graduate who had just moved to the area to begin work in a small accounting firm. His chief complaint was insomnia of five years duration. He stated that the insomnia was due to fee lings of guilt, anxiety, and emptiness; the reasons for these feelings he could not identify. There was no history of any previous mental health treatment. He reports being in "several relationships and I guess I become too much to be with." He tells you he does "everything I can to keep them happy but they always abandon me." He reports multiple suicide attempts over the past 3-4 years, has been a "cutter" most recently 2 weeks ago. MSE is within normal limits.
1. Identify symptoms of concern in the case
2. Which screening tools would you use to establish a diagnosis
3. What diagnosis would you assign to the patient based on the symptoms? Some cases have diagnoses listed. State if you agree or disagree?
4. Construct a comprehensive treatment plan.
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