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  #1  
Old 02-16-2012
tyagee's Avatar
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Default is this grief or NOT..give reason why

42. A 63-year-old woman presents to psychiatry
clinic for an initial visit. She states that her
husband has recently fallen ill, and that he
may die in the next month. She spends most of
her time at the local church, praying that her
husband will be cured. Even though her hus-
band is currently in a coma, she hears him talk
to her at the church. She also sees his image at
times when she walks along the street. The pa-
tientís preoccupation with her husbandís illness
has kept her from spending any time with her
other family or friends, and it has also kept her
from paying her bills. The patient denies any
psychiatric history previous to her husband fall-
ing ill. She further denies changes in energy,
sleep, or appetite. Which of the following is
the most appropriate diagnosis at this point?
(A) Adjustment disorder
(B) Major depressive disorder
(C) Major depressive episode
(D) Normal grief
(E) Psychotic disorder not otherwise specifi ed
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  #2  
Old 02-16-2012
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E) Psychotic disorder not otherwise specifi ed

becuz she has auditory hallucinations , plus impairment of daily functions
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Old 02-16-2012
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Quote:
Originally Posted by tyagee View Post
42. A 63-year-old woman presents to psychiatry
clinic for an initial visit. She states that her
husband has recently fallen ill, and that he
may die in the next month. She spends most of
her time at the local church, praying that her
husband will be cured. Even though her hus-
band is currently in a coma, she hears him talk
to her at the church. She also sees his image at
times when she walks along the street. The pa-
tientís preoccupation with her husbandís illness
has kept her from spending any time with her
other family or friends, and it has also kept her
from paying her bills. The patient denies any
psychiatric history previous to her husband fall-
ing ill. She further denies changes in energy,
sleep, or appetite. Which of the following is
the most appropriate diagnosis at this point?
(A) Adjustment disorder
(B) Major depressive disorder
(C) Major depressive episode
(D) Normal grief
(E) Psychotic disorder not otherwise specifi ed
i would say answer is normal grief
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  #4  
Old 02-16-2012
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is it D.
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  #5  
Old 02-16-2012
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(D) Normal grief
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Old 02-16-2012
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look man , this is either adjustment (becuz there's a stressor and she can't take it,so she had these symptoms , or it's psychotic disease .. but it's not grief !
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Old 02-16-2012
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i take it as adjustment disorder not a grief!!!!
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  #8  
Old 02-16-2012
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i agree with rooshy... looks like adjustment disorder
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  #9  
Old 02-16-2012
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yes, guys its adjustment disorder.
why not grief? because she is isolating herself from being social ... that is NOT a part of grief.In grief, people Remains in contact with social network and the friends.

rooshy , qurat21 and gargapbhi2 responses much appreciated.

Last edited by tyagee; 02-16-2012 at 03:02 PM. Reason: anc
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