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Posted: August 24th, 2022
J.T. is a 20 year-old who reports
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Situation:
J.T. is a 20 year-old who reports to you that he feels depressed and is experiencing a vital quantity of stress about college, noting that he’ll “most likely flunk out.” He spends a lot of his day in his dorm room enjoying video video games and has a laborious time figuring out what, if something, is fulfilling in a typical day. He hardly ever attends class and has prevented reaching out to his professors to attempt to salvage his grades this semester. J.T. has all the time been a self-described shy particular person and has had a very small and cohesive group of buddies from elementary by way of highschool. Notably, his degree of stress considerably amplified when he started school. He would not go to class fairly often and hasn’t talked to his lecturers to attempt to enhance his grades this semester. J.T. has all the time stated that he is shy. From elementary college by way of highschool, he had a small group of shut buddies. Notably, his stress degree went up a lot when he went to varsity.
You be taught that when assembly new individuals, he has a laborious time concentrating on the interplay as a result of he is busy worrying about what they are going to consider him – he assumes they are going to discover him “dumb,” “boring,” or a “loser.” When he loses his focus, he stutters, is at a loss for phrases, and begins to sweat, which solely serves to make him really feel extra uneasy. After the interplay, he replays the dialog over and over, specializing in the “silly” issues he stated. Equally, he has a long-standing historical past of being uncomfortable with authority figures and has had a laborious time elevating his hand at school and approaching lecturers. Since beginning school, he has been isolating extra, turning down invites from his roommate to go eat or hang around, ignoring his cellphone when it rings, and habitually skipping class. His considerations about how others view him are what drive him to interact in these avoidance behaviors.
Bear in mind to reply these questions out of your textbooks and NP pointers. Always, clarify your solutions.
Generate a main and differential prognosis utilizing the DSM-5 standards.
Develop a biopsychosocial plan of look after this shopper.
Evaluate and distinction worry, fear, anxiousness, and panic.
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