Case Study: Vee
Question Description
I’m working on a nursing project and need support to help me learn.
Vee is a 26-year-old African-American woman who presents with a history of non-suicidal self-injury, specifically cutting her arms and legs, since she was a teenager. She has made two suicide attempts by overdosing on prescribed medications, one as a teenager and one six months ago; she also reports chronic suicidal ideation, explaining that it gives her relief to think about suicide as a áy out./em>
When she is stressed, Vee says that she often ¯nes out,%ven in the middle of conversations or while at work. She states, `don know who Vee really is,!nd describes a longstanding pattern of changing her hobbies, style of clothing, and sometimes even her job based on who is in her social group. At times, she thinks that her partner is (e best thing thatàever happened to me!nd will impulsively buy him lavish gifts, send caring text messages, and the like; however, at other times she admits to thinking `can stand him,!nd will ignore or lash out at him, including yelling or throwing things. Immediately after doing so, she reports feeling regret and panic at the thought of him leaving her. Vee reports that, before she began dating her current partner, she sometimes engaged in sexual activity with multiple people per week, often with partners whom she did not know.
Questions:
Remember to answer these questions from your textbooks and NP guidelines. At all times, explain your answers.
Describe the presenting problems.
Generate a primary and differential diagnosis using the DSM5 and ICD 10 codes.
Discuss which cluster the primary diagnosis belongs to.
Formulate and prioritize a treatment plan.
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