• Identify the correct DSM-5- TR diagnosis(es)I believe the correct DSM-5- TR

I believe the Identified correct diagnosis for this case study is Persistent Depressive Disorder. Am I wrong? and are there others I'm missing?

Client Name: DAVID CRUZ Date of Interview: __8/17/2023_______________

Clinician Completing Interview: ____MSW STUDENT______________

Date of Review: __8/17/2024_______________

Referral Source: PCP Psychiatrist Case Manager XX Self Other __________________________________

Demographic Information: Biological Sex: XX Male Female ______________

Current Gender Identity: XX Male Female Trans____________ ______________

DOB: __2/22/99_______ Age: __24 yrs old_________ Birthplace: _Phoenix, AZ______________________________

Housing: Homeless X Lives alone Lives with other(s) _________________________________

Presenting Problem(s): Ct self-referred for psychotherapy due to multiple stressors and mood issues. Ct reported a recent breakup with his boyfriend Mike on 8/1/23. Ct stated his boyfriend broke up with him and moved back to Florida to be with his exboyfriend. Ct stated he attempted to propose to his boyfriend Mike on 7/31/23 because they had been dating for 2 years but he said no. Ct stated Mike ended the relationship the next day on that day on 8/1/23 and moved of their apartment on 8/5/23. Ct recalled Mike telling him, "You smother me and you are too needy". Due to his Ex-boyfriend Mike moving out of the apartment they have shared since 2/1/22, Ct is worried he will not be able to afford the rent. Ct stated "This entire experience has been devastating and I am crushed by the break up and I have to move out of the apartment I love". Ct reported no previous mental health issues but he is currently feeling daily anxiety, agitation and worry which affects his ability to sleep. Ct stated he is not able to fall asleep or stay asleep several times a week since the relationship ended on 8/1/23. Prior to 8/1/23 he was able to sleep 7-8 hours per night and felt rested. Ct stated he has daily racing thoughts about is ex-boyfriend Mike and is having difficulty concentrating on his work or daily activities including not showering every day and not cleaning his apartment. Ct stated, "I don't want to do anything but play video games all day so I am not doing my dishes or laundry which is different for me because I like a clean apartment". Ct did state even though he is needing to move at the end of October 2023 he is keeping up with his budget and financial responsibilities. Ct stated he will get up and complete his work remotely since he works from home but is not finishing his work on time or thoroughly which is also different for him since he always did "great work and completed work on time and efficiently". Ct stated due to missing a crucial deadline on a project that was due on 8/8/23 he was put on a Performance Improvement Plan (PIP) on 8/10/23. Ct recalled no history of work difficulties until recently. Ct stated, "I was looking forward to the future but I feels confused as to what the future will look like without Mike. Ct denies current and history of DTS, DTO and substance use.

History of Presenting Problem(s): Stressors or precipitating factors leading to need for services: Ct recalled 2 other relationships ending "badly". Ct stated he dated 2 other men who also broke up with him. He dated Brian in 2020 and Lou in 2019. Ct dated Brian while he was in college, "I thought everything was fine but then it ended". Ct stated he dated Lou in high school, "I knew that relationship was going to end, I was not surprised". Ct stated his parents, Jeff & Linda divorced when client was 10 years old which "was awful but my parents were not good together they fought all the time". Ct denied any abuse or neglect but felt the fighting was difficult to witness as a child. Ct expressed, "Growing up I looked forward to having a healthy relationship because I grew up watching my parents fight all the time". Mother remarried Step-father Guy when client was 15 years old and client lived fulltime with mom and step-father until he went to college. Father has not remarried but has had several girlfriends. Ct did not provide any further information given at this time. Ct declined to include any further details regarding his childhood.

Frequency/Intensity/Duration/Cycling of Symptoms: Ct stated he experiences moderate daily anxiety, agitation, worry, racing thoughts, and lack of concentration since August 1, 2023.

Onset of Presenting Problem: Month August Year 2023

Was there a clear time when symptoms worsened and/or Event(s)/Situation(s) that lead to symptom(s) worsening? Ct stated, "Everything went to hell when Mike broke up with me on August 1, 2023". Ct feels the need to move out of his apartment was another event that contributes to his symptoms and issues.