Reference no: EM133444475
Question: Kelly is a 18yo cisgender woman attending undergraduate studies in Psychology at the local university. She presents for an initial consultation with a chief complaint of "trouble focusing on class and getting my homework done" that has worsened over the past semester. She endorses restful sleep, averaging 6-8 hours a night. Denies any feelings of anhedonia or low energy.
"It's mostly trying to stay on task. Anything and everything catches my attention so I have taken to trying to study in the library, but then I find myself aimlessly wandering the shelves like I'm browsing a bookstore rather than studying." She admits that her major has "been a struggle since we got into the theoretical aspects" and "thought it would be more about talking to people than studying all these abstract ideas about how people think." Her grades remain intact, but she's worried about keeping her scholarship "because I'll admit, I kinda goofed off the past few years and didn't give myself much wiggle room with my GPA."
She denies a history of academic accommodation in elementary, middle, or high school. She recently applied for academic accommodations with the university's disability office, requesting the ability to receive extensions on large projects she finds "overwhelming" and time and a half on exams.
Her anxiety is "all about falling behind in school" and "ending up back home in a small town living a small town life." She feels comfortable in most social settings and has a supportive group of close friends among her classmates and roommates "that keep me going most days." Family relationships are "good" but strained since she's left home for school. "I used to talk to my mom the way I talk to my friends, but things seem more distant now. We're ok, nothing bad, just different."
No significant family history of mental health or medical issues. No significant patient history of acute or chronic illness. Recreational use of alcohol and cannabis with no suspected use disorders.
Write a treatment plan for the case study. Include medication, psychotherapy, and screening recommendations and support your recommendations with citations