Mental Health Northern Kentucky University Proctored Exam 7
A 28-year-old woman presents to the PMHNP for an evaluation of "crying spells" associated with her recent move to the area. She moved across the country approximately 2 months ago to accept a new job. She states that she cries every day after getting home from work. She is confused by this reaction, because this was a "happy" move for her. She misses her family and friends, but she does not regret the move in any way. What is the most likely diagnosis?
Explanation & Rationale
Choice A reason: Acute stress disorder occurs within the first month after a traumatic event, and this scenario involves emotional response to a life transition rather than trauma. Choice B reason: Adjustment disorder is characterized by emotional or behavioral symptoms in response to identifiable stressors, such as relocation or life changes, occurring within three months of the stressor. The timing and context of her symptoms fit this diagnosis. Choice C reason: Conversion disorder involves neurological symptoms without a medical cause and is unrelated to crying spells in response to stressors. Choice D reason: PTSD requires exposure to a traumatic event involving threat to life or safety, which is not present in this scenario.
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