Obsessive Compulsive Disorder (OCD).
Marcus is an 18 year old male who presents for care by his parents. He has previously been home-schooled since the eighth grade because of mental issues which made it difficult to be in school. His parents now want him to go to college, but he refuses to discuss college or the future at all. When considering differential diagnosis, which of the following issues are problematic? Obsessive Compulsive Disorder (OCD).
Marcus has Obsessive Compulsive Disorder (OCD). Marcus is 18 years old and is presently being home-schooled. He was previously in a public school but became isolated from his peers and embarrassed by his behavior, resulting in the parents pulling him out of school. His parents have encouraged him to go to college, but he has refused because he does not feel comfortable in the school environment. His parents are desperate for him to go to college but are concerned that he has no desire to visit colleges and discuss possible majors or careers. Obsessive Compulsive Disorder (OCD).
The patient, Marcus Fisher, is an 18-year-old male who has been home-schooled since the eighth grade. He has no friends outside of the family and dislikes social interaction with all of his peers. Obsessive Compulsive Disorder (OCD).
Differential diagnoses for Marcus include schizophrenia, schizotypal personality disorder, obsessive-compulsive personality disorder, and delusional disorder.
A. learning disabilities
Marcus is an 18-year-old male presented for care by his parents. It is time for Marcus to begin exploring colleges and he flat out refuses to do so. Both Marcus and his parents admit that he has had a rather solitary lifestyle. He has been home-schooled since the eighth grade. According to his parents, he is extremely intelligent and in junior high it became very difficult for him to be in school. He was very uncomfortable in the school setting and it was counterproductive to learning, so the parents were amenable to home schooling. However, now they want him to go to college, but he will not discuss it. When considering differential diagnosis, the PMHNP considers all of the following except: