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Running Head: ASSESSING AND DIAGNOSING PATIENTS WITH ANIETY AND OCD DISORDERS 1
Week4: Assessing and Diagnosing Patients with Anxiety Disorders, PTSD, and OCD
(Training Title 21)
Walden University
NRNP 6635: Psychopathology and Diagnostic Reasoning
June 26, 2022

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NRNP/PRAC 6635 Comprehensive Psychiatric Evaluation Template
© 2021 Walden University Page 2 of 8
Assessing and Diagnosing Patients with Anxiety Disorders, PTSD, and OCD
Anxiety disorders are mental health conditions characterized by symptoms such as fear,
panic, intense worry, which have an adverse effect on an individual’s daily functioning. The
worry or fear that an individual suffering from anxiety disorder experience usually have
unwarranted cause with no reason to back its presence, and some of these situations can even be
classified as daily occurrences. Some examples of common anxiety disorders include Obsessive-
Compulsive Disorder (OCD) and Post-Traumatic Stress Disorder (PTSD), both of which
commonly occur in individuals that have gone through traumatic events in their lives. Post-
Traumatic Stress Disorder (PTSD) is a mental health disorder in which a patient experiences a
traumatic event, which affects them emotionally, physically, and psychologically (Catrin et al.,
2020). Patients with PTSD have flashbacks or nightmares which are persistent and unwarranted
thoughts of the trauma they experienced. The relationship that exists between PTSD and OCD is
that there is approximately a 35% chance, of an individual diagnosed with PTSD, to developing
OCD.
The purpose of this paper is the development of a comprehensive and detailed psychiatric
evaluation which will include the diagnosis of the patient as well out the ruling out of subsequent
disorders through application of critical thinking. In addition, the paper will also include
objective and subjective data, assessment, and noted on reflection.
Subjective:
CC (chief complaint): My fiancé suggested, well demanded that I make an
appointment…Then these fireworks go off…No warning. Just big, full sky explosionsI took
off running. Fast as I could. Tried to find coverYeah, scared the... you know, out of me.

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NRNP/PRAC 6635 Comprehensive Psychiatric Evaluation Template
© 2021 Walden University Page 3 of 8
HPI: B.S., is a 27-year old Caucasian male who decided to visit the clinic after being requested
so by his fiancé. The event that led this to happen was because three nights before his initial visit,
while at a county fair with his fiancé’s sister and husband, the patient was took off running after
fireworks went off in order to find cover. The patient explained that the fireworks going off
reminded him of combat fire considering he was a war veteran. Various events remind the
patient of his time back in war, for example, diesel fuel or burning hair. Also, traffic because
during his time in war, IEDs were thrown under cars, as this happened to some of his friends
who were killed. The patient also stated that negative events or interactions, for example, his
fiancé arguing with her mother make his feel as if he wants to crawl into a hole and hide. He has
no prior history of substance abuse, and this is the first time that he is opening up to a
psychiatrist about his experience and time in war.
Past Psychiatric History:
General Statement: This is the first time that he is opening up to a psychiatrist about his
experience and time in war.
Caregivers (if applicable): His fiancé.
Hospitalizations: No record.
Medication trials: None
Psychotherapy or Previous Psychiatric Diagnosis: This is the first time that he is opening
up to a psychiatrist about his experience and time in war.
Substance Current Use and History: Denied ever using drugs and intentionally avoids alcohol.
Family Psychiatric/Substance Use History: The patient’s mother is alive and well, but the
father is an avid alcohol drinker suffering from DM, cirrhosis, and HTN. The patient’s paternal
grandfather suffered from depression.

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Running Head: ASSESSING AND DIAGNOSING PATIENTS WITH ANIETY AND OCD DISORDERS Week4: Assessing and Diagnosing Patients with Anxiety Disorders, PTSD, and OCD (Training Title 21) Walden University NRNP 6635: Psychopathology and Diagnostic Reasoning June 26, 2022 1 NRNP/PRAC 6635 Comprehensive Psychiatric Evaluation Template Assessing and Diagnosing Patients with Anxiety Disorders, PTSD, and OCD Anxiety disorders are mental health conditions characterized by symptoms such as fear, panic, intense worry, which have an adverse effect on an individual’s daily functioning. The worry or fear that an individual suffering from anxiety disorder experience usually have unwarranted cause with no reason to back its presence, and some of these situations can even be classified as daily occurrences. Some examples of common anxiety disorders include ObsessiveCompulsive Disorder (OCD) and Post-Traumatic Stress Disorder (PTSD), both of which commonly occur in individuals that have gone through traumatic events in their lives. PostTraumatic Stress Disorder (PTSD) is a mental health disorder in which a patient experiences a traumatic event, which affects them emotionally, physically, and psychologically (Catrin et al., 2020). Patients with PTSD have flashbacks or nightmares which are persistent and unwarranted thoughts of the trauma they experienced. The relationship that exists between PTSD and OCD is that there is approximately a 35% chance, of an individual diagnosed with PTSD, to develo ...
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