Depressive Disorder Case Study

Despite the fact that a PTSD diagnosis is given to Brian, further assessment is required to clarify the diagnosis. It is important for Brian to have a health evaluation to rule out organic cause that leads to his nosebleeds. As PTSD is likely to comorbid with other disorder (Easton & Kong, 2017; Spinazzola, Blaustein, & van der Kolk, 2005), given Brian’s presentation, it is important to rule out the presence of depressive episodes, such as Major Depressive Disorder or Persistent Depressive Disorder. A diagnosis of depressive disorder is indicated if Brian exhibited depressive symptoms prior to the incident. Additionally, it is important to assess and understand how Brian interact with his peers. It is important to understand if Brian is shy because he was bullied at school or he is an introvert.

Further assessment is indicative to rule out Avoidant Personality Disorder. Does Brian have any interested to interact with other people? Is he simply afraid of interacting with others due to social anxiety? Additionally, Brian appears to engage in some obsessive behaviors. For instance, he decorated his room with aliens, recorded his dreams, and counted date. Hence, it is important to access if he meets the full criteria for Obsessive Compulsive Disorder. Also, it is important to understand if Brian is currently engaging in any repetitive behaviors that could lead to a diagnosis of Autism Spectrum Disorder. It is recommended personality assessment measures such as Personality Assessment Inventory (PAI) or Minnesota Multiphasic Personality Inventory (MMPI-II) is administered to help in clarifying the diagnoses. Additionally, trauma specific measure such as Trauma Symptom Inventory-2 (TSI-2) or Structured Interview for Disorders of Extreme Stress (SIDES) can be used to assess the impact of trauma. The Posttraumatic Diagnostic Scale (PDS) can be used to monitor treatment