A 14 year old female stammers and feels totally foolish when…

A 14 year old female stammers and feels totally foolish when one of her classmates or her teacher asks her a question during class. She hopes to remain unnoticed because she thinks others will judge her and she will feel humiliated. The most likely diagnosis is

During and initial interview, the patient reports that she h…

During and initial interview, the patient reports that she has a very hard time concentrating much of the time, she has problems initiating sleep, she feels tired much of the time and she worries a great deal about how well she is treating her children and what others might be thinking of the way she is disciplining her children. She tells the APN that several times a week she feels like her throat is closing up, her heart pounds and she feels like she is “going crazy”. She requests a prescription for Ritalin because of poor concentration. Your evaluation of her symptoms leads you to a diagnosis of

A 58 year old patient seen by the APRN complains a great dea…

A 58 year old patient seen by the APRN complains a great deal of trouble remaining asleep at night (has multiple awakenings), says she has lost interest in going out with friends, expresses feelings of worthlessness. She denies use of alcohol or drugs. She has been intentionally cutting back on food intake, had an 8 pound weight increase over the last month with a current BMI of 26.8. Vital signs are all WNL. She tells the APRN that methylphenidate may help with symptoms because she has taken it in the past to help with focus. Which of the following is essential to obtain in regard to differential diagnoses given the above