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The information stated below is to help answers the questions below. History of patient: 7-year-old male brought in for assessment, patient is accommodated by his mom in which she wants him evaluated for his behavior at school and home. Mom states that the patient often worries that she will die, or she won’t pick him up from school. Patient also feel mom loves his brother more than him. Still wets the bed even with medication that treats this issue. He is easily distracted at school, often bullied by his peers and throws things when he is mad/upset at home/school. Unable to focus at school. Feels that his mom and brother will not come home, patient has been dealing with this since his father never came back home. The mother further stated that dad died while being deployed for the military when he was 5 and she didn’t know how traumatic that conversation would be for him, so he told him that dad went on vacation and just never returned. The patient still looks for his dad, mom feels that this is all her fault and she is unsure how to move forward as he continues to ask questions about his dad and is fearful of her and his sibling leaving him. Diagnostic Impression: (these are the 3 diagnosis that I came up with for this patient with Separation anxiety being my number 1 diagnosis. Separation anxiety (accurate diagnosis) Generalized Anxiety disorder Munchausen’s syndrome Please answer these questions below based on the information and diagnosis stated above. What were your differential diagnoses? They are listed above. Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest priority to lowest priority. Compare the DSM-5 diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case. What is your plan for psychotherapy? What is your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan. Also incorporate one health promotion activity and one patient education strategy. Reflection notes: What would you do differently with this patient if you could conduct the session again? Discuss what your next intervention would be if you could follow up with this patient.?Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion, and disease prevention, taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (., socioeconomic, cultural background, etc.). Provide at least three evidence-based, peer-reviewed journal articles or evidenced-based guidelines that relate to this case to support your diagnostics and differential diagnoses. Be sure they are current (no more than 5 years old).
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