Reference no: EM133486960

Case Study:Bill Wacera

Bill Wacera is a 48-year-old male. He owns his own auto parts business. He says he thinks he has insomnia because he has trouble sleeping and is tired all day. He recently went to a sleep clinic but they did not think he had sleep apnea or other breathing problems. When asked more about his sleep patterns he said that for the last month he awakens at night gasping for breath, sweating, and shaking. He said it feels like "I could be dying." He also shared that he had felt this way before when awake. Bill remembers having "episodes" like this around the time he started college at age 18. He dropped out of college at the end of his freshman year, in part because he was afraid to go class because someone might see him sweating and shaking. He hated getting up in front of people feeling like somehow they could sense something was awry. He found that if he had an established a comfortable routine, the episodes decreased, but estimates they still occur every few months.Bill's heart raced so fast on one occasion that he wondered if there was something wrong with his heart. He wondering

Upon reviewing the case study below and the criteria for diagnosing in the DSM-5:

1. Sum up the case study

2. share signs, symptoms, and considerations that are important when it comes to determining a diagnosis

3. Share wonderments, and questions that might be asked to this client or explain what additional information might be needed and why

4. Share 3-4 possible diagnoses and why they are being considered

5. Explain which diagnoses were ruled out and why

6. Why diagnosis makes the most sense with the information provided.