FNU Psychopathology of Mental Health Patients Case Study Discussion

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Florida National University


Purpose:Analyze and apply critical thinking skills in the psychopathology of mental health patients and provide treatment and health promotion while applying evidence-based research.Scenario:

J.T.  is a 20 year-old who reports to you that he feels depressed and is experiencing a significant amount of stress about school, noting that he’ll “probably flunk out.” He spends much of his day in his dorm room playing video games and has a hard time identifying what, if anything, is enjoyable in a typical day. He rarely attends class and has avoided reaching out to his professors to try to salvage his grades this semester. J.T. has always been a self-described shy person and has had a very small and cohesive group of friends from elementary through high school. Notably, his level of stress significantly amplified when he began college.

You learn that when meeting new people, he has a hard time concentrating on the interaction because he is busy worrying about what they will think of him – he assumes they will find him “dumb,” “boring,” or a “loser.” When he loses his concentration, he stutters, is at a loss for words, and starts to sweat, which only serves to make him feel more uneasy. After the interaction, he replays the conversation over and over again, focusing on the “stupid” things he said. Similarly, he has a long-standing history of being uncomfortable with authority figures and has had a hard time raising his hand in class and approaching teachers. Since starting college, he has been isolating more, turning down invitations from his roommate to go eat or hang out, ignoring his cell phone when it rings, and habitually skipping class. His concerns about how others view him are what drive him to engage in these avoidance behaviors.

After conducting your assessment, you give the patient feedback that you believe he has social anxiety disorder, which should be the primary treatment target. You explain that you see his fear of negative evaluation, and his thoughts and behaviors surrounding social situations, as driving his increasing sense of hopelessness, isolation, and worthlessness.


Remember to answer these questions from your textbooks and NP guidelines. At all times, explain your answers. 

  1. Generate a primary and differential diagnosis using the DSM-5 criteria.
  2. Develop a biopsychosocial plan of care for this client.
  3. Compare and contrast fear, worry, anxiety, and panic.

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Explanation & Answer

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Running head: Case Study


J.T Case Study

Case Study


J.T Case Study
DSM V Criteria
Based on the given case study, the patient suffers from a psychiatric condition known as
GAD (an acronym for Generalized anxiety disorder). Based on DSM V, the following represents
criteria of diagnosis which can apply to the patient in the given scenario:
- Excessive worry, which lasts for at least six months and tends to be related to various activities
such as school performance. As the scenario depicts, the patient's level of stress increased once
he got admitted to college.
-Difficulty controlling these feelings of worry.
The anxiety causes impairment in the social and education area as the patient feels reluctant to
get involved in all these activities.
- Other symptoms related to anxiety are present such as difficulty concentrating, restlessness,
easily fatigued, or feeling that the mind goes blank.
- The patient does not consume any substances and does not suffer from another condition, so the
circumstances can not be correlated with another psychological effect.
Before diagnosing a patient with this condition, it is vital to consider all possible
differential diagnoses a...

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