Objective: Apply the diagnostic criteria for SUD and associated disorders to develop a differential diagnosis.
Grasping the complicated relationships among SUD, trauma, depression,
and anxiety is essential to understanding the reasons that these
conditions are often co-occurring and why they must be considered to
develop an accurate diagnosis and treatment plan.
Read the section on substance-related and addictive disorders in your DSM-5 textbook, p. 481-589. Here is the link for the book. https://cloudflare-ipfs.com/ipfs/bafykbzacedt5ai6vpk2qdlcxlyyzf4ioemxas2dmbqut274nofmrkzyb4cxhm?filename=American%20Psychiatric%20Association%20-%20Diagnostic%20and%20Statistical%20Manual%20of%20Mental%20Disorders_%20Dsm-5-Amer%20Psychiatric%20Pub%20Inc%20%282013%29.pdf
Review Victors Case Study.
Victor is a 27-year-old man who comes to you for help at the urging of
his fiance. He was an infantryman with a local Marine Reserve unit who
was honorably discharged in 2014 after serving two tours of duty in
Iraq. His fianc has told him he has not been the same since his
second tour of duty and it is impacting their relationship. She is also
concerned that he is drinking very heavily, especially on weekends.
Frequently, when he drinks, he becomes very angry and yells at her and
says that he wishes he had never met her because she doesnt care about
all he has gone through. Several times daily he smokes marijuana and
occasionally uses heroin, but is afraid that he might overdose on it, so
he relies more on marijuana to calm himself. Although he offers few
details, upon questioning he reports that he has significant difficulty
sleeping, that he sleeps with one eye open and, on the occasions when
he falls into a deeper sleep, he has nightmares. He endorses experiencing
several traumatic events during his second tour, but is unwilling to
provide specific details he tells you he has never spoken with anyone
about them and he is not sure he ever will. He spends much of his time
alone because he feels irritable and doesnt want to snap at people. He
reports to you that he finds it difficult to perform his duties as a
security guard because it is boring and gives him too much time to
think. At the same time, he is easily startled by noise and motion and
spends excessive time searching for threats that are never confirmed
both when on duty and at home. He describes having intrusive memories
about his traumatic experiences on a daily basis, but he declines to
share any details. He also avoids seeing friends from his Reserve unit
because seeing them reminds him of experiences that he does not want to
Write 1 to 2-page paper in argument format responding to the following points:
Describe all Victors symptoms.
Complete a comprehensive differential diagnosis.
Discuss the ways in which the SUDs are related to Victors other symptoms, i.e., why such symptoms make sense.
- Write a review with updates based on the paper’s rubrics and comments.
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