Hank, age 25, is a new client who reports feeling depressed due to recent job loss. He also presents with sweating, a disheveled appearance, restlessness, chest tightness, irritabi... Hank, age 25, is a new client who reports feeling depressed due to recent job loss. He also presents with sweating, a disheveled appearance, restlessness, chest tightness, irritability, agitation, and tangential thinking. What is the most likely cause?
Understand the Problem
The question describes a scenario with a new client, Hank, who presents with symptoms of depression, irritability, agitation, tangential thinking, and physical discomfort. We need to determine the most likely cause of these symptoms based on the information provided.
Answer
The most likely cause is a substance-related disorder/withdrawal, a severe anxiety disorder, or a medical condition such as hyperthyroidism.
Given the symptoms, a likely cause is a substance-related disorder or withdrawal, or a severe anxiety disorder like panic disorder or generalized anxiety disorder. A medical condition such as hyperthyroidism should also be considered.
Answer for screen readers
Given the symptoms, a likely cause is a substance-related disorder or withdrawal, or a severe anxiety disorder like panic disorder or generalized anxiety disorder. A medical condition such as hyperthyroidism should also be considered.
More Information
It's important to consider both psychological and physiological factors when assessing a patient with these symptoms, and further evaluation, including a thorough history, physical exam, and possibly lab tests, would be needed to determine the exact cause and appropriate treatment.
Tips
It is important to rule out medical conditions before psychological ones because some medical conditions can mimic psychological disorders.
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