Case #21: Hindsight is always 20/20, or attention deficit hyperactivity disorder

Patient evaluation on intake•

31-year-old man with a chief complaint of anxiety of “different types” •Patient states that he “has been successful in graduate school, has financial worries, but states that he worries and is tense most of the time”

Psychiatric history

•Has been anxious for many years, mostly since college and now graduate school •Working part-time and going to school part-time and feels “torn in many directions” •Generally is tense, restless, irritable, and worries about things even outside school and work–When legitimate stressors diminish, the anxiety lowers, but is still present and discouraging •This causes him to be argumentative and temperamental most of the time •He says he is active and likes to stay busy all of the time, but he wonders if “he is doing too much, as he has no time for all of the things” he wants to do

Social and personal history

•Graduated high school, college, and is enrolled in a graduate-level training program for family counseling •Gainfully employed now in a clinical setting •Married and without children •Does not use drugs or alcohol.

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