I need help finding four primary diagnosis for the below case study… I need help finding four primary diagnosis for the below case studyUsing the DSM V diagnostic criteria and hallmark symptoms, what are the four diagnoses that are most appropriate for this case study? What would substantiate the diagnoses? (Please refer to the diagnostic criteria and exclusionary criteria in the DSM V to answer this question).Case StudyThe Case of a 19-Year-Old PatientErik is a 19-year-old culinary school student who presented with his mother, complaining about anergia and having difficulty concentrating. He refused to have his mother present during the intake assessment. He does not want to sign the medical release form, stating that it can work against him. He reports that he was fired from a restaurant three months ago after being caught drinking wine left on a table. He claims that he was tricked into drink wine by his coworkers. Not long after the incident, he stopped going to school and slept during the day and stayed out all night to hang out with friends until last month. He broke up with his girlfriend a few weeks ago after he claimed that she had been cheating. He stopped hanging out with friends because they are bad-mouthing him. He also reports that he is afraid to sleep at night because he can hear them talking about him.Erik started drinking at the age of 12, and his drinking gradually increased over the years. After the incident at the restaurant, he stopped drinking alcohol but continues snorting cocaine powder. He started using cocaine powder only with friends about 2 years ago, but for the past 3 months, he does it alone at home almost every day. He leaves home only to buy cocaine. He used up most of his money saved for tuition. He denies using any other illegal drugs or prescribed medications for non-medical use.Erik does not have any prior psychiatric history and denies family history except that his father drinks alcohol almost every day, and one of his cousins was diagnosed with ADHD. He is asking whether he might have the same problem and if he can have the same medication (Adderall) that his cousin takes. He has no acute medical concerns, no chronic conditions and is not on any medications, herbal, or dietary supplements. Erik is in your office today and is mildly agitated after you explained the lack of support for him having an ADHD diagnosis.He is alert and oriented to place, but not to the date and day of the week.He looks restless and nervous.He does not have feelings of guilt or remorse.He lost about 10 pounds over the past 3 months.Speech is somewhat halted or delayed in response. Normal tone, low volume.The content of his speech is absent of any overt evidence of psychosis but questionably suspicious about friends saying that they are all against him.His blood pressure and pulse rate are slightly elevated and urine toxicology shows positive for cocaine and nicotine.With this presentation and assurance that there is no medical cause for the patient’s complaints, as the primary care provider, please address the following questions:Questions:Using the DSM V diagnostic criteria and hallmark symptoms, what are the four diagnoses that are most appropriate for this case study? What would substantiate the diagnoses? (Please refer to the diagnostic criteria and exclusionary criteria in the DSM V to answer this question).2) What are the differentials to consider and what allows you to rule out these conditions?This is an important section as it justifies your clinical impression by walking me through your diagnostic decision making.3) What are psychosocial and environmental problems important to consider in this case regarding the treatment and prognosis of the identified mental disorders (assess the problems on your own, you don’t need to cite references for this section)? Is this patient at risk in anyway? If so, in what areas is he at risk, and why? How would you assess this patient’s potential for self-harm or suicide?For this section, you don’t need to cite references, it is just based on the case presented.4) What medications are appropriate considerations? Are there short term and long term considerations? Research what current medications or psychotherapeutic treatments are gaining an advantage in managing this disorder. Please provide your psychopharmacologic plan with a specific drug or drugs, dosages and any monitoring needs or patient educational needs relative to this plan. In addition, provide some case-specific or individualized interventions/approach considerations for the APN.InstructionsYou only have to respond to each question. I am looking for accuracy in your assessment, diagnosis, planning, and implementation of the nursing actions to manage this individual. The paper should not exceed 15 pages, excluding title page and references. You have untilNovember 15, 11:59 PM EST(Sunday midnight) to complete. Read the grading rubric of Case Study 2 below.Grading Rubric for Case Study #2Question 1(Total 30 Points)Offered the most appropriate diagnosis (or diagnoses) with correct diagnostic and exclusion criteria in the DSM V (30 Points).Offered the most appropriate diagnosis (or diagnoses) but did not substantiate why/how the diagnosis was made or used incorrect diagnostic and exclusion criteria (-3 Points).Offered a possible diagnosis but it was not the most appropriate one (-5 points).Offered an inappropriate diagnosis that was not relevant to the case study (-5 points for each wrong diagnosis).Question 2 (Total 20 Points)Provided at least two appropriately chosen differential diagnoses (for total) and discussed accordingly why/how each of the diagnoses needed to be ruled out (20 points).Failed to provide a differential diagnosis that should have been considered (-3 points for each missing diagnosis).Provided several differential diagnoses but failed to substantiate why they needed to be ruled out (-3 points for each diagnosis).Provided several differential diagnoses but they were least likely to be relevant to the case study (-10 points).Question 3 (Total 10 Points)Described thoroughly psychosocial and environmental problems that are important to consider for the treatment of the case study (10 points).Described psychosocial and environmental problems that are important but missed to address at least two important aspects of the problems (-3 points).Failed to assess the patient’s potential for self-harm or suicide (-5 points).Question 4 (Total 30 Points)Prescribed an appropriate psychopharmacologic plan with a specific drug(s), dosage(s), and frequency (or frequencies) as if you are a prescriber;described monitoring needs or patient educational needs relative to the plan; and described rationales for the selection of those medications (20 points).Prescribed appropriate medications but failed to prescribe the right dosages and/or failed to describe why the medications were selected over other similar medications (-3 points).Prescribed appropriate medications but failed to describe monitoring plans and/or patient educational needs (-3 points).Prescribed a medication that is not the first-line treatment (-5 points).Failed to prescribe a certain drug with rationales (-5 points).Failed to have specific short-term and long-term treatment goals (-3 points)Failed to have specific follow-up plans. (-3 points)Described other psychosocial treatments that should be considered and also provided case-specific or individualized interventions for the APN (10 points).Failed to describe at least one important aspect of psychosocial treatment (-3 points).Failed to provide some case-specific or individualized interventions/considerations for the APN (-5 points).Social SciencePsychology NURSING NUR637
