Differential Diagnosis
H.G. is definitely suffering from an anxiety disorder. The anxiety syndrome narrows the diagnosis down to the many anxiety disorders. A differential diagnosis narrows the situation down to either post-traumatic stress disorder or social anxiety disorder. The fact that H.G. insists on working with one provider means that she has attachment and detachment issues and hence makes this a possible social anxiety disorder case (Hofmann & Otto, 2017) . However, the fact that she had a tumultuous relationship means that there is a possibility of her suffering from a trauma that she may have experienced in that relationship.
Most Likely Diagnosis
The most likely diagnosis is that H.G suffers from a post-traumatic stress disorder. This is because the symptoms exhibited by H.G incline more towards post-traumatic stress disorder than they do towards social anxiety disorder. This diagnosis is backed by the fact that H.G. has had a traumatizing relationship in the past which may be the main cause of the vague anxiety syndrome interspersed with her complaining about her tumultuous relationship (Taylor, 2017) . A person with social anxiety disorder would not have sighted relationship trauma as part of the symptoms. It is due to this trauma that H.G. insists on clinging to one provider. This is a mechanism that naturally develops within patients that have experienced alienation in previous relationships that they have had (WebMD, 2019). The patients, therefore, tend to try and keep a small circle of people around them, choosing to trust only a few individuals.
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Diagnostic Workup
The PTSD level that H.G. is facing can be solved by regular therapy sessions (Steenkamp, Litz, Hoge & Marmar, 2015) . It is recommended that H.G. is given a personal psychotherapist who will see her through her journey until the end. Regular counselling sessions will help to solve such a condition. The therapist is also expected to keep track of H.G.’s progress even after the therapy is over.
References
Hofmann, S. G., & Otto, M. W. (2017). Cognitive Behavioral Therapy for Social Anxiety Disorder: Evidence-Based and Disorder Specific Treatment Techniques . Routledge.
Steenkamp, M. M., Litz, B. T., Hoge, C. W., & Marmar, C. R. (2015). Psychotherapy for military-related PTSD: a review of randomized clinical trials. Jama , 314 (5), 489-500.
Taylor, S. (2017). Clinician's guide to PTSD: A cognitive-behavioral approach . Guilford Publications.
WebMD. (2019). All About Anxiety Disorders: From Causes to Treatment and Prevention . [online] Available at: https://www.webmd.com/anxiety-panic/guide/anxiety-disorders#1 [Accessed 18 Jan. 2019].
