Read The Following HPI Write 1-2 Sentences For The Diagnosis

Question

Read The Following Hpiwrite 1 2 Sentences For The Diagnosis And Each D Read the following HPI Write 1-2 sentences for the diagnosis and each differential diagnoses as to why the following diagnoses were chosen based on the presentation? History of presenting illness (HPI): P.N, a 46-year-old male, presented to the clinic for help with his depressive mood. P.N. was referred by his primary care physician (PCP), who did a depression screening and realized that he needed a psychiatric evaluation; the PCP stated in the referral form that the patient presented to the clinic with a Solemn mood. The patient verbalized that he has been feeling sad nearly all day for the past month; he doesn't feel any pleasure working in his food store anymore. He lacked sleep for almost six weeks. He stated that this started after the pandemic and now the price inflation. He made losses due to high prices. Last month, his store had low sales because his suppliers hiked the buying price, forcing him to increase his selling price to make a profit. During this period, all his customers avoided him since they found another food store offering lower prices for farm products. As a result, he ended up making losses instead of profits, causing him to stress, frequent headaches, and weight loss due to a lack of appetite. He stated that the food store had been his dream; therefore, he had never imagined losing it. During this period, he has no drive or motivation, forcing his wife to refer him to their primary care physician. The patient denies taking any psychiatric medications; however, he takes Tylenol periodically when he has a headache. Actual diagnosis: Major depressive disorder Differential Diagnoses F43.0 - Acute stress reaction F41.1 Generalized anxiety disorder

Dr. Jack HW Helper · Accepted Answer

The primary diagnosis for P.N., a 46-year-old male presenting with a persistent depressed mood, loss of pleasure, insomnia, weight loss, and feelings of hopelessness, is Major Depressive Disorder (MDD). This diagnosis is supported by his duration of symptoms exceeding two weeks, his pervasive sadness, anhedonia, sleep disturbance, and significant impairment in personal and professional life, especially linked to recent stressors like economic difficulties and the loss of his business. The differential diagnosis of F43.0 – Acute Stress Reaction is considered due to the recent onset of stress related to financial loss and business failure, which might manifest with similar symptoms of transient anxiety and mood disturbances but typically resolve with the alleviation of stressors. In P.N.'s case, his symptoms have persisted for a month and involve core features of depression rather than transient stress responses, making this diagnosis less fitting but still relevant to explore. Another differential diagnosis, F41.1 – Generalized Anxiety Disorder, is relevant because of the patient's reported stress, headaches, and potential somatic manifestations of anxiety, such as sleep disturbance and decreased appetite. However, his primary symptoms and clinical presentation align more closely with a depressive episode, and his worries are primarily centered around his financial loss rather than pervasive, uncontrollable worry typical of GAD. Thus, the diagnosis of Major Depressive Disorder best fits P.N.'s presentation, with his symptoms significantly impairing his functioning and lasting over a month, while the differential diagnoses of acute stress reaction and generalized anxiety disorder are considered but less likely given the clinical picture. References American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Pickering, R., & Kirby, M. (2020). Depression and mood disorders. In M. H. Suls (Ed.), Handbook of Clinical Psyc

Read The Following Hpiwrite 1 2 Sentences For The Diagnosis And Each D

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