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Kiesha Case Study Assignment Kiesha, a 27-year-old woman presents to your office stating that she is troubled by headachesand fatigue. She says that she always feels tired and can’t sleep well, often waking up early.
She describes her headaches as dull, aching and generalized. These symptoms began about
three weeks ago and have been getting worse. She reports a lack of interest in her usual
activities. She also reports that she is missing work due to fatigue and inability to concentrate.
Although her two children are both in school, she is concerned that she is not spending quality
time with them. She is worried that she might have “something bad” because she has
difficulty concentrating and is having frequent crying spells. She reports not sleeping well and a
loss of appetite, with a weight loss of 10 pounds in the last month. During the interview, the
client suddenly bursts into tears. She endorses feelings of hopelessness and worthlessness.
She denies current suicidal ideation. The client is cooperative, alert, oriented; no delusions or
hallucinations, and her thoughts are goal-directed and logical. Kiesha Case Study Assignment
Social History:
The client has no significant past medical or psychiatric history and takes no regular
medications. However, she takes ibuprofen for headaches. She denies using alcohol or drugs.
The client is married, with two
elementary school-age children.
Physical Examination:
The physical examination is unremarkable..
Questions
1. What is this patient’s most likely diagnosis?
a. Bipolar I Disorder
b. Generalized Anxiety Disorder (GAD)
c. Major Depressive Disorder
d. Obsessive-Compulsive Disorder
e. Personality disorder not otherwise specified
*Explain the rationale for your selection*
2. Write a brief psychotherapy note outlining your first appointment with Kiesha Case Study Assignment
What is this patient’s most likely diagnosis?
a. Bipolar I Disorder
b. Generalized Anxiety Disorder (GAD)
c. Major Depressive Disorder
d. Obsessive-Compulsive Disorder
e. Personality disorder not otherwise specified
*Explain the rationale for your selection*
2. Write a brief psychotherapy note outlining your first appointment with Kiesha Case Study Assignment