Danny Boy

 

Daniel, age 38, is referred by his minister. Daniel has been married sixteen years and has two children. Recently, he found out that his wife has been having an affair for the past four months. He complains that he has difficulty sleeping at night and concentrating at work. He also complains that he has been getting into arguments with everyone. He states, "She told me she doesn't love me anymore and plans to take my children and move in with that guy. I will never allow this. The children belong to me and no other man is going to raise them. How do you think I can stop her from taking my kids away?"

1. What diagnoses should be considered in this case?

A. V code Occupational problem
V code Partner relational problem
V code Religious or spiritual problem
Adjustment disorder w/mixed anxiety and depressed mood

B. Major depression
Depressive disorder NOS
V Code Partner relational problem
Adjustment disorder w/mixed anxiety and depressed mood

C. Primary insomnia
Depressive disorder NOS
V code Religious or spiritual problem
Adjustment disorder w/mixed anxiety and depressed mood

D. Anxiety disorder
Major depression Depressive disorder NOS
Adjustment disorder w/mixed anxiety and depressed mood

2. What are the initial goals of treatment in the case?

A. Referral for couples counseling
Referral for psychiatric medication Reduction of depressive symptoms
Monitor for potential danger to self and others

B. Reduce marital conflict
Reduction of symptoms
Referral for religious counseling
Monitor for potential need for Tarasoff warning

C. Reduce marital conflict
Reduction of symptoms
Referral for psychiatric medication
Monitor for potential danger to self and others

D. Referral for legal consultation
Referral for psychiatric medication Normalize dissolution of relationship
Monitor for potential danger to self and others