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Not yet answered Points out of 3.00 Remove flag Read the following case study carefully. Provide a comprehensive diagnosis including the ICD-10 code number,

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Not yet answered Points out of 3.00 Remove flag Read the following case study carefully. Provide a comprehensive diagnosis including the ICD-10 code number, name, and any specifiers. If no specifier exist for the diagnosis, type "none" in the space provided. Do not leave any of the spaces blank and do not use comma's in between specifiers. A 46-year-old housewife was referred by her husband's psychiatrist for consultation. In the course of discussing certain marital conflicts that he was having with his wife, the husband had described "attacks" of dizziness that his wife experienced that left her quite incapacitated. In consultation, the wife described being overcome with feelings of extreme dizziness, accompanied by slight nausea, without inducement, four or five nights for the past 2 months. During these episodes, she would have the feeling that she was "weak" and unable to keep her balance, and her hearing would become impaired, as if she were underwater Inexplicably, the attacks almost always occurred at about 4:00P. She usually had to lie down on a couch and often did not feel better until 7:00P or 8:00P. After recovering, she generally spent the rest of the evening watching TV; more often than not, she would fall asleep in the living room, not going to bed in the bedroom until 2:00A or 3:00A. The patient had been pronounced physically fit by her interist, a neurologist, and an ear-nose-throat specialist on more than one occasion. No organic cause of her symptoms could be found. When asked about her marriage, the patient described her husband as a tyrant, frequently demanding and verbally abusive of her and their four children. She admitted that she dreaded his arrival home from work each day at 4:30P, knowing that he would comment that the house was a mess and the dinner, if prepared, not to his liking. Recently, since the onset of her episodes, when she was unable to make dinner he and the kids would go to McDonald's or the local pizza parlor. After that, he would settle in at around 7:00P to watch a ball game on TV in the bedroom, and their conversation was minimal. In spite of their troubles, the patient claimed that she loved and needed her husband very much Code Primary Diagnosis Specifier

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