WU Sociology Case of Alvaro & Social Environment Paper

This paper will be on the case of Alvaro I have included all info about the case under the references

The diagnosis should appear on one line in the following order.

Code + Name + Specifier (appears on its own first line)
Z code (appears on its own line next with its name written next to the code)

Then, respond to the following:

Explain how you support the diagnosis by specifically identifying the criteria from the case study.

Describe in detail how the client’s symptoms match up with the specific diagnostic criteria for the disorder (or all the disorders) that you finally selected for the client. You do not need to repeat the diagnostic code in the explanation.

Identify the differential diagnosis you considered.

Explain why you excluded this diagnosis/diagnoses. 

Explain the specific factors of culture that are or may be relevant to the case and the diagnosis, which may include the cultural concepts of distress.

Explain why you chose the Z codes you have for this client.

• Remember: When using Z codes, stay focused on the psychosocial and environmental impact on the client within the last 12 months.

If some of the symptoms in the case study cause you to suspect an additional disorder, then research any of the previous disorders covered so far in the course. 

• Assignment: Diagnosis of      Anxiety Disorders and Obsessive-Compulsive and Related Disorders – use Week 5 – Case of ALVARO– 2 F codes and 1 Z code
• Please review the example in the Diagnosis Assignment Handouts regarding how to write the F and Z codes.  Explain how you support the diagnosis by specifically identifying the criteria from the case study.
• Describe in detail how the      client’s symptoms match up with the specific diagnostic criteria for all      the disorder that you finally selected for the client. Note: You      do not need to repeat the diagnostic code in the discussion.
• References
• American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (DSM-5-TR) (5th ed., text rev.). https://doi.org/10.1176/appi.books.9780890425787

Week 5 – Case of ALVARO– 2 F codes and 1 Z code

• oAnxiety Disorders
  Read the introduction to this classification on pages 215–216, and then focus on:

§“Separation Anxiety Disorder” (pp. 217–221)

§“Specific Phobia” (pp. 224–229)

§“Social Anxiety Disorder” (pp. 229–235)

§“Panic Disorder” (pp. 235–242)

§“Panic Attack Specifier” (pp. 242–245)

1. §“Agoraphobia” (pp. 246–250)

§“Generalized Anxiety Disorder” (pp. 250–254)

oObsessive-Compulsive and Related Disorders
Read the introduction to this classification on pages 263–265, and then focus on:

§“Obsessive-Compulsive Disorder” (pp. 265–271)

§“Body Dysmorphic Disorder” (pp. 271–277)

§“Hoarding Disorder” (pp. 277–281)

§“Trichotillomania Disorder” (pp. 281–284)

• §“Excoriation (Skin-Picking) Disorder” (pp. 284–287)

INTAKE DATE: April xxxx

IDENTIFYING/DEMOGRAPHIC DATA:  Alvaro is a 43-year-old married, Cuban man.  He has two teenage children.  He lives with his wife and two children in Austin, Texas.  Alvaro is employed as a computer programmer.

CHIEF COMPLAINT/PRESENTING PROBLEM:  Alvaro states he is troubled by headaches and fatigue. He says that he always feels tired and can’t sleep well, often waking up early. He describes his headaches as dull, aching, and generalized.  He does not find pleasure in life and “just exists.”  He wants to enjoy his children’s teenage years more. 

HISTORY OF PRESENT ILLNESS:  The headaches began about three weeks ago. Alvaro states his interest in usual activities has been declining for several years now.  He also reports that he is missing work due to fatigue and inability to make decisions. Although his two children are both in school, he is concerned that he is not spending quality time with them through their teenage years. He is worried that he might have “something bad.” He reports not sleeping well.  He is concerned about his weight gain over the past several years.   

PAST MEDICAL AND PSYCHIATRIC HISTORY:  Alvaro has no significant past medical or psychiatric history and takes no regular medications. However, he takes ibuprofen for headaches.  He does note that his sleeplessness and malaise has persisted for about 5 years.

SUBSTANCE USE HISTORY:  He denies using alcohol abusively.  He denies any drug use at all.  He does drink on occasion but does not ever become inebriated. 

• CURRENT FAMILY ISSUES AND DYNAMICS:  Alvaro reports that his wife spent two tours in the Middle East. She is in the Marine Corp.  He states that his thoughts were always full of worries for her. There are no major issues within the family dynamics.  His marriage appears stable.   

Alvaro believes his wife loves him, he just wishes he could be a better husband and father.  Alvaro’s wife wants to go on vacation to the Caribbean but Alvaro does not want to fly there especially now with the issues with COVID-19 still around.  Just thinking about flying increases fear and anxiety in Alvaro.  Alvaro remembers flying with his parents from Cuba to the United States and never wanted to experience that again.

• MENTAL STATUS EXAM:  Alvaro is cooperative, alert, and oriented to time, place, and person.  He denies delusions or hallucinations and his thoughts are goal-directed and logical. Alvaro appears to have some psychomotor slowing.  He denies current suicidal ideation or homicidal ideation.  Alvaro states he has feelings of hopelessness and has no future direction set for him.