The Case of Jenny

Full Answer Section

Marisol:

• Possible Concerns: Social anxiety or introversion mistaken for lack of interest in relationships or travel.
• Cultural Considerations: Family values and collectivism within her Puerto Rican background might shape her social preferences.
• Systemic Considerations: Transitioning to a larger work environment might have caused discomfort for someone who thrives in independent work settings.

Differential Diagnoses and Assessment Tools

Jenny:

• Differential Diagnoses: Adjustment disorder, depression (further information needed).
• Assessment Tool: Beck Depression Inventory (BDI-II) - This tool can help assess the severity of depressive symptoms Jenny might be experiencing.

Marisol:

• Differential Diagnoses: Social anxiety disorder, avoidant personality disorder (further information needed).
• Assessment Tool: Liebowitz Social Anxiety Scale (LSAS) - This tool can measure Marisol's fear and anxiety in social situations.

DSM and ICD-10 Codes (Z codes not applicable in this case)

Note: A definitive diagnosis cannot be made without a full clinical assessment.

Jenny (Possible):

• DSM-5: 309.0 (Adjustment Disorder with Depressed Mood)
• ICD-10: F43.11 (Adjustment disorder with depressed mood)

Marisol (Possible):

• DSM-5: 300.23 (Social Anxiety Disorder)
• ICD-10: F40.10 (Social Anxiety Disorder)

Rationale for DSM Diagnosis (Jenny)

Based on the limited information, Jenny's situation suggests an Adjustment Disorder with Depressed Mood. She recently experienced a breakup, a significant life change that could lead to feelings of sadness, hopelessness, and difficulty adjusting. The BDI-II could provide further evidence of the severity of her depressive symptoms.

Rationale:

• The symptoms (lack of motivation, hopelessness) align with criteria for Adjustment Disorder (American Psychiatric Association, 2022: [invalid URL removed]).
• The timing of these symptoms coincides with a major life stressor (breakup).

Medication Consultation

Determining the need for medication consultation requires a more comprehensive evaluation. However, if Jenny's BDI-II score suggests moderate to severe depression, a consultation with a psychiatrist might be appropriate to explore medication options alongside potential psychotherapy.

Sample Solution

Presenting Concerns and Cultural/Systemic Considerations

Jenny:

• Possible Concerns: Lack of motivation, feelings of hopelessness, or difficulty adjusting to the breakup.
• Cultural Considerations: Stigma surrounding mental health in some cultures might prevent Jenny from seeking help.
• Systemic Considerations: Financial strain and living situation with her mother could contribute to her current state.