NR 547 Differential Diagnosis in Psychiatric-Mental
Health across the Lifespan Practicum - Chamberlain
, NR 547 Week
1. Rico is a 30-year-old who is referred to the clinic by his wife, Tracy. Rico
and
Tracy have been married for eight years. She states that in the past year,
his behaviors have become disquieting. He constantly accuses her of
cheating on him. He often takes her phone and scrolls through her calls,
texts, and social media accounts. He is suspicious about texts she
receives from coworkers and other acquaintances. He starts frequent
arguments with her about where she has been and who she was with,
and often replies to her responses
with sarcastic, "mean" comments. Tracy is concerned about Rico's
paranoid behavior.
Based on DSM-5-TR (APA, 2022) criteria, does Rico meet diagnostic
criteria for paranoid personality disorder?
yes
no
unable to determine: No
Rationale: Although Rico meets diagnostic criteria of preoccupation about
his wife's loyalty, reads into benign events, and has suspicions of his wife's
, fidelity, these symptoms have developed within the past year. A diagnosis of
paranoid personality disorder requires the presence of symptoms by early
adulthood and in a variety
of contexts. Alternate diagnostic considerations include substance use
disorder, schizophrenia, or bipolar or depressive disorder with psychotic
features.
2. Crispin is a 33-year-old who presents after experiencing auditory
hallucina- tions. He states he has heard voices "grumbling at him"
about three or four times in the past week, for about 15 minutes each
time. He is employed as
a data analyst and works from home. He does not have hobbies or
activities outside of work. He does not use alcohol, marijuana, or illicit
drugs; he smokes cigarettes. He lives with his sister, who is getting
married in a month; he will be moving into an apartment with a
roommate whom he found on Craigslist. He is stressed about the move.
He states he has no friends and prefers it that way, and he has felt this
way since adolescence. He is not looking forward
to his sister's wedding as he prefers to be alone. When asked if he
would be bringing a date to the wedding, he noted that he has never
considered dating, as he doesn't have use for it; he endorses a lack of
Health across the Lifespan Practicum - Chamberlain
, NR 547 Week
1. Rico is a 30-year-old who is referred to the clinic by his wife, Tracy. Rico
and
Tracy have been married for eight years. She states that in the past year,
his behaviors have become disquieting. He constantly accuses her of
cheating on him. He often takes her phone and scrolls through her calls,
texts, and social media accounts. He is suspicious about texts she
receives from coworkers and other acquaintances. He starts frequent
arguments with her about where she has been and who she was with,
and often replies to her responses
with sarcastic, "mean" comments. Tracy is concerned about Rico's
paranoid behavior.
Based on DSM-5-TR (APA, 2022) criteria, does Rico meet diagnostic
criteria for paranoid personality disorder?
yes
no
unable to determine: No
Rationale: Although Rico meets diagnostic criteria of preoccupation about
his wife's loyalty, reads into benign events, and has suspicions of his wife's
, fidelity, these symptoms have developed within the past year. A diagnosis of
paranoid personality disorder requires the presence of symptoms by early
adulthood and in a variety
of contexts. Alternate diagnostic considerations include substance use
disorder, schizophrenia, or bipolar or depressive disorder with psychotic
features.
2. Crispin is a 33-year-old who presents after experiencing auditory
hallucina- tions. He states he has heard voices "grumbling at him"
about three or four times in the past week, for about 15 minutes each
time. He is employed as
a data analyst and works from home. He does not have hobbies or
activities outside of work. He does not use alcohol, marijuana, or illicit
drugs; he smokes cigarettes. He lives with his sister, who is getting
married in a month; he will be moving into an apartment with a
roommate whom he found on Craigslist. He is stressed about the move.
He states he has no friends and prefers it that way, and he has felt this
way since adolescence. He is not looking forward
to his sister's wedding as he prefers to be alone. When asked if he
would be bringing a date to the wedding, he noted that he has never
considered dating, as he doesn't have use for it; he endorses a lack of
