8/17/2019 Case Vignette Assignment 3
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Case Vignette Assignment 3 (10 points)
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Brandon
“I’m not good with or around eole,! Brandon reorts. "ver since
high school he has exerienced challenges when meeting new
eole or being around large grous o# eole, esecially i# he
does not know them. $his seems to be the case in most all social
situations nomatter where he is%at school, out and about in town,
or at work. &arely i# ever can he be in one o# these situations
and not #eel anxious. When he
gets around these settings he is con#ident that eole are looking
at him and thinking about him critically, 'udging his aearance and
making #un
o# how he comes across. (#ten when it gets close to the time #or
these events he will #eel tense, hot, have trouble breathing, and
trembles.
Sometimes he can grit his teeth and get through these
situations, but other times he decides to avoid them
altogether.
While avoiding these situations has an immediate e##ect o#
reducing his anxiety, it has come at a signi#icant cost. Brandon
has #ew #riends, and the
ones he has he has had #or a long time. )e would like to meet
new eole, but he can’t seem to get himsel# to interact with others.
)is has created
a signi#icant strain on his ability to date and have a romantic
relationshi, and he #eels deressed and hoeless when he thinks about
that. )e was
not very active in high school with social and extracurricular
activities, and he has avoided alying #or and acceting a #ew 'obs
because o# the
amount o# social interaction they re*uire. Sometimes he is
better able to tolerate social situations i# he has some alcohol,
which has raised some
issues in times when he has been out with #riends and he has
drank to excess.
+. Based uon this vignette identi#y the likely
diagnosisdiagnoses, including any alicable rule out -&(
diagnoses -i# any. /ist I01 code
number, diagnosis, and any alicable seci#iers
1iagnosis2 345.+5 Social 6nxiety 1isorder
7. )ow would you suort or 'usti#y your diagnosis8 What details
suort what criteria8 "xlain
these in narrative #orm, meaning that each answer needs to be at
least a paragraph or more -one
to two sentences will not su##ice with attention to writing
using complete sentences, aroriate
grammar -selling, unctuation and clear organization and
expression of content.
$he details I #eel suort the diagnosis are his anxiety relating
to being around eole at
school, out with #riends or at work. )e also stated that he #eel
eole “'udge, think about him
critically, make #un o# how he comes across!. )e also reorted
that he can sometimes “grit his
teeth and get through the situations but other times decides to
avoid them!. )e stated this has
gone on since high school -longer than 9 months since he is able
to buy alcohol. )e reortssigni#icant strain on his ability to have
relationshis or meet new eole. )e has avoided 'obs or
activities that re*uire being around lots o# eole.
:. What conditions would you look to rule out8
;a'or 1eressive 1isorder, Substance 6buse 1isorder -6lcohol
4. What are three ieces o# in#ormation you would like to know
that would hel you to either
better suort the diagnosis or to better understand this
individual8
+. I would ask a *uestion #or more in#ormation about deressive
symtoms8
7. I would ask a *uestion related to how much and o#ten he
consumes 6lcohol or other
substances8
:. I would ask how o#ten he is able to maintain being in these
situations vs. comletely
avoiding them8
