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Running head: DIFFERENTIAL DIAGNOSIS PAPER The Edgy Analyst The Edgy Analyst Case Study Jeremy Brown is a married 29-year-old, Caucasian male, who has worked as a financial analyst for Henry and Horne in Scottsdale, Arizona for the past six years. He was referred to a physician at the request of his supervisor due to his recent “bizarre” behavior. Jeremy complained of sweaty palms, restlessness, dizziness, heart palpitations, and muscle tension. He also reported feeling very anxious about his work performance, and constantly worried about what his work supervisor thinks of him. Jeremy stated that he had been feeling anxious for a long time however, over the past eight months his worry has been chronic and “out of control” while causing significant distress and impairment in his occupational functioning. After a detailed medical review, the examining doctor ruled out organic or physical disease. This included any neurological and/or endocrine diseases, which have similar symptoms to those presented. After a comprehensive investigation in conjunction with a urinalysis, the doctor concluded that Jeremy tested negative for psychoactive substance abuse. Furthermore, the physician determined that the client had not taken any prescription or over-the-counter medications for over a period of 12 months. At that point, the opinion of the medical examiner was to refer Jeremy to a psychotherapist as the doctor believed that something psychological was occurring. Jeremy described himself as having always been a worrier and could not recall a time when he had not experienced some degree of anxiety regarding his performance in school or work. He did, however, report feeling calm and peaceful in social situations. He stated that he tends to obsessively plan everything in order to prevent “catastrophes,” which usually results in fatigue and muscle tension. The client confessed that lately he has trouble making decisions for fear of making the "wrong one" or "making others upset,” and is constantly worried about losing his job. The client reported being dissatisfied with his performance as a husband and as an employee. In addition, he denied having any discrete periods in which there was a sudden onset of intense fear or impending doom. Jeremy described his sleep patterns as irregular as he experiences episodes of both insomnia and hypersomnia. He claimed that his appetite was normal and he did not appear to avoid any specific situations. Caffeine had been avoided for the past eight months as he noted that it increases his anxiety. Over the past several months Jeremy demonstrated aloof behavior as he withdrew from his wife and only child. Additionally, his personal relationships and social contacts had been tremendously affected as his irritability and anxiety increased. In his work assignments, Jeremy often finds himself highly discouraged with the results generated. Recently after unsuccessfully competing for a new client account, Jeremy immediately felt anxious, and recounted moments in the meeting that, in his mind, ruined the sales presentation. Not closing the new account clearly made Jeremy feel like a failure. Furthermore, there were several instances when Jeremy feared oversight from office managers and his immediate supervisor. In those instances when he felt challenged, Jeremy typically fled work and needed to situate himself in places where he felt safe.
Approximate Word count = 2060
Approximate Pages = 8.2
(250 words per page double spaced)
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