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Case Study 1
Tonia Meyers
Liberty University

Case Study 1 Donald is a fifty-four-year-old male with a wife, children, and several grandchildren. Donald’s symptoms started approximately thirty years ago and have been increasing in severity. Documenting the critical issues, diagnostic impressions, and treatment recommendations are imperative to successfully helping the client deal with the issues and possibly minimize the risk of future relapse in recovery. Addressing the biological, psychological, social, and spiritual aspects will help to guide the therapist through developing the most accurate treatment model for the patient.
Key Issues Listing the key issues through priority, rationale, and documenting possible treatment options will help limit misdiagnosis. Prioritizing the issues will help a counselor to focus on the most accurate diagnosis while presenting the most probable treatment outcomes.
Prioritizing
Key Issues: * Uncontrollable and excessive worry that interferes with decisions and performance, * Tense, restless, muscle ache, always on guard, * Fatigued through most days, * Long term sleeping issues, * Dependent on sleeping pills, * Worry leads to depression for weeks after losing all pleasure in life and activities, * Twice in past anxiety led to feelings of a heart attack with symptoms of sweating palms, dizziness, heart palpitations, and shortness of breath, and * Family recognize Donald’s symptoms of always being on the go.
Rationale
The most consistent symptom in Donald’s case is his excessive worry. He worries about everything. His family, children, grandchildren, work, promotions, not excelling the right way at work, he even worries about circumstances that are out of his control. It is evident that his worry is the primary issue, so that is the first key issue. The sleeping issues, fatigue, and

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