Reference no: EM133888829

Question

Assess a client and clarify diagnosis and differential diagnoses and write findings.

Identify your chosen diagnosis- Conceptualization of this client based on the case should be made evident and reflect in your choice of diagnosis.

Clarify Differential Diagnosis- Substantively explain each differential diagnosis (how it is supported and how it is not with the case details and DSM information). Why you ruled each differential diagnoses out should be clearly presented in the discussion.

Francis is 42 year old male and presents with extraordinary concern about the safety of his wife and young daughter. He rarely leaves them alone when away (e.g., at work) he telephones home every hour. He has lost one job because of this, and his wife has threatened to leave him if he does not seek psychiatric help. Six months ago, the symptoms, which have been present for years, became worse after his wife had a serious automobile accident. Francis describes recurrent, unbidden thoughts in which dangerous events befall his family and he is not there to save them. He knows the thoughts are "silly" and they come from his own mind rather than any real danger, but he cannot resist contacting his wife or daughter in some way to be certain they are safe. His wife has arranged to lift the telephone receiver briefly, then hang up, which is usually sufficient to allay his fears for an hour or so. There is no history of significant medical illness or Substance Abuse. The client completed 2 years of college and has a responsible job. He performs well, and is not particularly perfectionistic, overly conscientious (except with regard to his family's safety), rigid, or preoccupied with details.