Interventions for Adjustment Disorder, Mixed Anxiety, and Depression

Psychiatry: Case Analysis
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1 Summarize the clinical case, including the significant subjective and objective data.
This is a case of Ms. Z, a 28-year-old female who works as an assistant store manager, who complains of feelings of despair secondary to a failed romantic relationship that ended a month ago. This is associated with sleep changes, fatigue, poor concentration, and anxiety with her current romantic relationship and not with suicidal ideations. The sadness is not constant throughout the day, as evidenced by a shift in mood when she mentions her nephew and talks about friendly visits. However, she usually experiences this after a break-up. The patient did not have a history of any medical condition, and family history was not asked. Similarly, the physical examination findings were not discussed.
2 Generate a primary and two differential diagnoses. Use the DSM5 to support the assessment. Include the DSM5 and ICD 10 codes.
Primary Diagnosis:
1 Adjustment Disorder with Mixed Anxiety and Depressed Mood, DSM 5 Code 309.28, ICD-10 Code F43.23
This disorder is characterized by changes in behavioral responses after a precipitating event that happened within three months. The individual must have at least one of the following symptoms: First, the individual must be experiencing significant distress that is disproportional with the gravity of the stimulus or the precipitating event. The health provider must also assess environmental and cultural factors in evaluating the patient to ensure that the symptom is secondary to the precipitating event and not the typical response in a specific norm. Second, the patient must exhibit a considerable amount of occupational, social, and other forms of dysfunction that negatively impact the routine activities. Furthermore, the patient’s symptoms do not fulfill the criteria for another mental disorder. Additionally, the patient had the predominant symptoms of persistently depressed mood and anxiety (Substance Abuse and Mental Health Disorder Services Administration, 2016).
In this case, the patient had exhibited both symptoms. First, the patient had undergone a break-up that resulted in the extreme level of sadness that she experiences at the moment. The patient also claims that this frequently happens after a similar situation. Considering the frequency of the patient’s response to the event, the patient shows that any cultural or environmental factors do not influence the condition. Second, the patient stated that this resulted in poor concentration, especially when she faces clients at work and sleep dysfunction, without a history of the same symptoms when the precipitating event is not present.
Also, the depressed mood was exhibited by sadness, while the anxiety can be seen as worrisome against the possible difficulty in finding another romantic relationship.
Differential Diagnoses:
1 Major Depressive Disorder, Mild. DSM-5 Code 296.21, ICD-10 Code F32.0
This is characterized by the following symptoms: 1) Depressed mood recognized by the patient or other people; 2) Loss of the sense of pleasure in previously pleasurable activities; 3) Sleep disturbances (i.e., increased duration of...