lOMoAR cPSD| 67756003
1
Assessing and Diagnosing Patients with Anxiety Disorders, PTSD, and OCD Week
(4): (Training Title 21)
Tiffany Gray
College of Nursing-PMHNP, Walden University
NRNP 6635: Psychopathology and Diagnostic Reasoning
Billy Leonardo, DNP, FNP-C, PMHNP-BC
June 25, 2023
Introduction
Collecting the necessary information from patients is crucial for accurately
evaluating and diagnosing mental diseases. Mental health conditions characterized by
excessive, unwarranted worry and fear that interfere with daily functioning are
collectively referred to as anxiety disorders (Thibaut, 2017). Anxiety-inducing, repetitive
thoughts are characteristic of OCD, while PTSD is an illness that causes an
exaggerated response to stress. This article aims to perform an examination of the
patient, formulate a main diagnosis and list of differential diagnoses, and provide some
personal reflection on the case.
, lOMoAR cPSD| 67756003
NRNP/PRAC 6635 Comprehensive Psychiatric Evaluation Template
Subjective:
CC (chief complaint): “My fiancé suggested, well demanded that I make an
appointment.”
HPI: Male patient Sergeant B.S., 27, sought mental help after being pressured by his
fiancée. The patient is a veteran whose fiancée urged him to seek counseling after he
became frightened by pyrotechnics. Three nights earlier at the county fair, he said he
was startled by fireworks. His initial reaction was to flee. He stated that the unexpected
fireworks had frightened him. The patient stated that he began trembling following the
fireworks explosion because he was experiencing flashbacks of combat fire. Diesel fuel
smell reminds him of the smell of helicopters, which can trigger an attack, and the smell
of charred hair triggers memories of his buddies being killed in a Humvee explosion.
The patient said he avoids sleep because he is haunted by recollections and
nightmares at night. He added that he feels imprisoned and anxious when he is out in
traffic. The patient claims he feels frightened in traffic after seeing his pals killed by an
IED that had been thrown under their car. According to him, being in a negative scenario
or a large group of people makes his anxiousness worse. The patient states he is
terrified to sleep and would rather stay in his room all day rather leave the house. The
patient also reported experiencing other symptoms, such as tightness of his abdominal
muscles, nausea, a feeling of going mad, a mental sinking that leaves him unable to see
or move, and a loss of track of time.
Past Psychiatric History:
1
Assessing and Diagnosing Patients with Anxiety Disorders, PTSD, and OCD Week
(4): (Training Title 21)
Tiffany Gray
College of Nursing-PMHNP, Walden University
NRNP 6635: Psychopathology and Diagnostic Reasoning
Billy Leonardo, DNP, FNP-C, PMHNP-BC
June 25, 2023
Introduction
Collecting the necessary information from patients is crucial for accurately
evaluating and diagnosing mental diseases. Mental health conditions characterized by
excessive, unwarranted worry and fear that interfere with daily functioning are
collectively referred to as anxiety disorders (Thibaut, 2017). Anxiety-inducing, repetitive
thoughts are characteristic of OCD, while PTSD is an illness that causes an
exaggerated response to stress. This article aims to perform an examination of the
patient, formulate a main diagnosis and list of differential diagnoses, and provide some
personal reflection on the case.
, lOMoAR cPSD| 67756003
NRNP/PRAC 6635 Comprehensive Psychiatric Evaluation Template
Subjective:
CC (chief complaint): “My fiancé suggested, well demanded that I make an
appointment.”
HPI: Male patient Sergeant B.S., 27, sought mental help after being pressured by his
fiancée. The patient is a veteran whose fiancée urged him to seek counseling after he
became frightened by pyrotechnics. Three nights earlier at the county fair, he said he
was startled by fireworks. His initial reaction was to flee. He stated that the unexpected
fireworks had frightened him. The patient stated that he began trembling following the
fireworks explosion because he was experiencing flashbacks of combat fire. Diesel fuel
smell reminds him of the smell of helicopters, which can trigger an attack, and the smell
of charred hair triggers memories of his buddies being killed in a Humvee explosion.
The patient said he avoids sleep because he is haunted by recollections and
nightmares at night. He added that he feels imprisoned and anxious when he is out in
traffic. The patient claims he feels frightened in traffic after seeing his pals killed by an
IED that had been thrown under their car. According to him, being in a negative scenario
or a large group of people makes his anxiousness worse. The patient states he is
terrified to sleep and would rather stay in his room all day rather leave the house. The
patient also reported experiencing other symptoms, such as tightness of his abdominal
muscles, nausea, a feeling of going mad, a mental sinking that leaves him unable to see
or move, and a loss of track of time.
Past Psychiatric History:
