Write what the 3 differential diagnoses are 150-to-200-word count. Taking into account the patient case study below.
1.Post Traumatic distress syndrome
2. Acute Stress Disorder
3.Panic attacks

Part 2
Write a reflection note responding to the information provide below (the patient is a patient primary diagnosis of PTSD post discovering her son being dead due to and over dose of drugs)
Reflection notes: What would you do differently in a similar patient evaluation? Reflect on one social determinant of health according to the HealthyPeople 2030 (you will need to research) as applied to this case in the realm of psychiatry and mental health. As a future advanced provider, what are one health promotion activity and one patient education consideration for this patient for improving health disparities and inequities in the realm of psychiatry and mental health? Demonstrate your critical thinking.

NB 50 y/o Caucasian F
Chief Complaint: “Panic attacks are getting worst.”
The patient is on a follow-up visit. Her psychiatric history is MDD, GAD, PTSD, and ADD. The patient reported I am having difficulty adjusting to the death of my 23 y/o son. If I had gotten up early and checked on him, he may have been alive”. The patient reported that she found her son died from an overdose of an unspecified street drug one year ago. The patient reported, “I had a nervous breakdown on my way to this appointment seems this is the town he was born and grew up. NB reported her anxiety has been very high currently. The PT rated her anxiety 10/10 on a scale of 0-10, with 10 being the worst anxiety, and her depression 8/10 on a scale of 0-10, with 10 being the worst depression. She denies any SI/HI but wishes to turn things around, stating ‘I blame myself for his death”. Currently, the patient reports difficulty initiating sleep, low mood, poor motivation, lack of pleasure in the things she once used to enjoy, and poor appetite.
Plan: Encourage and promote sleep hygiene, such as the use of cellphones or tablets 2 hours before going to bed, cutting down on caffeinated drinks, continuing supportive therapy, starting Desyrel 50 mg po at bedtime for insomnia, Vistaril 50mg po at bedtime PRN for anxiety and insomnia, continue bupropion 300 mg po daily, lorazepam 0.5 mg po BID PRN and Vyvanse 70 mg po Q am. F/U visit in 6 weeks.

Sample solution

Dante Alighieri played a critical role in the literature world through his poem Divine Comedy that was written in the 14th century. The poem contains Inferno, Purgatorio, and Paradiso. The Inferno is a description of the nine circles of torment that are found on the earth. It depicts the realms of the people that have gone against the spiritual values and who, instead, have chosen bestial appetite, violence, or fraud and malice. The nine circles of hell are limbo, lust, gluttony, greed and wrath. Others are heresy, violence, fraud, and treachery. The purpose of this paper is to examine the Dante’s Inferno in the perspective of its portrayal of God’s image and the justification of hell. 

In this epic poem, God is portrayed as a super being guilty of multiple weaknesses including being egotistic, unjust, and hypocritical. Dante, in this poem, depicts God as being more human than divine by challenging God’s omnipotence. Additionally, the manner in which Dante describes Hell is in full contradiction to the morals of God as written in the Bible. When god arranges Hell to flatter Himself, He commits egotism, a sin that is common among human beings (Cheney, 2016). The weakness is depicted in Limbo and on the Gate of Hell where, for instance, God sends those who do not worship Him to Hell. This implies that failure to worship Him is a sin.

God is also depicted as lacking justice in His actions thus removing the godly image. The injustice is portrayed by the manner in which the sodomites and opportunists are treated. The opportunists are subjected to banner chasing in their lives after death followed by being stung by insects and maggots. They are known to having done neither good nor bad during their lifetimes and, therefore, justice could have demanded that they be granted a neutral punishment having lived a neutral life. The sodomites are also punished unfairly by God when Brunetto Lattini is condemned to hell despite being a good leader (Babor, T. F., McGovern, T., & Robaina, K. (2017). While he commited sodomy, God chooses to ignore all the other good deeds that Brunetto did.

Finally, God is also portrayed as being hypocritical in His actions, a sin that further diminishes His godliness and makes Him more human. A case in point is when God condemns the sin of egotism and goes ahead to commit it repeatedly. Proverbs 29:23 states that “arrogance will bring your downfall, but if you are humble, you will be respected.” When Slattery condemns Dante’s human state as being weak, doubtful, and limited, he is proving God’s hypocrisy because He is also human (Verdicchio, 2015). The actions of God in Hell as portrayed by Dante are inconsistent with the Biblical literature. Both Dante and God are prone to making mistakes, something common among human beings thus making God more human.

To wrap it up, Dante portrays God is more human since He commits the same sins that humans commit: egotism, hypocrisy, and injustice. Hell is justified as being a destination for victims of the mistakes committed by God. The Hell is presented as being a totally different place as compared to what is written about it in the Bible. As a result, reading through the text gives an image of God who is prone to the very mistakes common to humans thus ripping Him off His lofty status of divine and, instead, making Him a mere human. Whether or not Dante did it intentionally is subject to debate but one thing is clear in the poem: the misconstrued notion of God is revealed to future generations.

 

References

Babor, T. F., McGovern, T., & Robaina, K. (2017). Dante’s inferno: Seven deadly sins in scientific publishing and how to avoid them. Addiction Science: A Guide for the Perplexed, 267.

Cheney, L. D. G. (2016). Illustrations for Dante’s Inferno: A Comparative Study of Sandro Botticelli, Giovanni Stradano, and Federico Zuccaro. Cultural and Religious Studies4(8), 487.

Verdicchio, M. (2015). Irony and Desire in Dante’s” Inferno” 27. Italica, 285-297.

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