Superior Essay Writers | Patient’s Problems and Prioritization

Clinical Case Summary
A 25-year-old male, working at a consulting firm, presents with difficulty in giving presentations due to fear of embarrassment and concerns about peers’ opinions. He avoids lead roles and promotions due to this fear while having no issues in other social settings.
Patient’s Problems and Prioritization
1. Social Anxiety Disorder affecting work performance.
2. Imposter Syndrome leading to self-doubt and avoidance of opportunities.
3. Fear of failure impacting career growth.
Social Anxiety Disorder should be considered as the primary diagnosis.
Rationale for Diagnosis
The patient’s fear of negative evaluation in social situations, avoidance behavior, and impairment in occupational functioning align with the criteria for Social Anxiety Disorder (American Psychiatric Association, 2013).
Differential Diagnosis
Differential diagnoses may include Generalized Anxiety Disorder, Avoidant Personality Disorder, or Performance Anxiety.
Test/Screening Tools
Consider using standardized tools like the Liebowitz Social Anxiety Scale (LSAS) or the Social Phobia Inventory (SPIN) to assess the severity of social anxiety symptoms.
Treatment Plan
1. Psychotherapy: Cognitive-Behavioral Therapy (CBT) to challenge negative thought patterns and improve coping strategies.
2. Pharmacotherapy: Selective Serotonin Reuptake Inhibitors (SSRIs) like sertraline may be prescribed for symptom management.
3. Referral: Refer to a psychologist or psychiatrist for ongoing therapy and medication management.
4. Psychoeducation: Educate the patient on social anxiety, its impact, and coping mechanisms.
Standard Guidelines
Adhere to guidelines from the American Psychiatric Association (APA) Practice Guidelines for the Treatment of Patients with Social Anxiety Disorder. Regularly assess treatment response, adjust interventions as needed, and monitor for side effects of medications (Bandelow et al., 2014).
In conclusion, addressing the patient’s Social Anxiety Disorder through a comprehensive treatment plan involving psychotherapy, pharmacotherapy, and psychoeducation, based on standard guidelines, can significantly improve his work performance and quality of life.
– American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.).
– Bandelow, B., et al. (2014). Efficacy of treatments for anxiety disorders: International guidelines. International Journal of Psychiatry in Clinical Practice.


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