Case Study Format There may be 2-3 diagnoses in each case. No more than 2 pages maximum in addition to title page and references Diagnoses = 20 points Reasoning/evidence = 20 points; APA Format & Writing = 10 points You want your case to be well organized and well written to be sure that information you include is easily identified and followed by your reader. The following can be used as section headings to help you organize the paper: · Brief overview of relevant symptoms from case · Diagnosis 1 · Diagnosis 1 evidence and reasoning · Diagnosis 2 · Diagnosis 2 evidence and reasoning Brief overview of relevant symptoms from case · Dylan, 15-year-old high school student · Referred to psychiatrist for stress caused by car wreck · Doesn’t sleep well due to accident · Awakes in the middle of the night with heart racing, and visuals of oncoming headlights · Have trouble concentrating · Gets anxious when his parents proceed to drive out of the driveway or cross intersection · Refuses to practice driving · Short tempered with his family and friends · becomes irritated when being asked about his stress · poor performance in school Additional symptoms after seeing psychiatrist: · hated being jumpy around loud noises · can’t escape the image of his injured and unresponsive friend · angry at the other driver in the wreck · feels embarrassed and disappointed for being reluctant to practice driving · witnessed the near drowning of one his sisters · during this time, it’s the anniversary of his grandfather’s death List Diagnosis 1: (ICD & DSM diagnoses) F 43.0 Acute stress disorder (Acute reaction to stress) Diagnosis 1 Reasoning/Evidence · recurrent dreams about the car wreck (awakes in the middle of the night from dreams about oncoming car head lights) · irritable behavior; unable to concentrate (Short tempered with his family and friends; poor performance in school; doesn’t like to talk to his family about the wreck) · difficulty falling and staying asleep (wakes up in the middle of the night) · distressing memories about the wreck (walked out the movies because the sound was too loud; can’t escape vision of his injured and unresponsive friend List Diagnosis 2: (ICD & DSM diagnoses) F51.5 Nightmare disorder Diagnosis 2 Reasoning/Evidence · heart racing (often awakes in the middle of the night with his heart racing, visualizing oncoming traffic) A Car Wreck Dylan, a 15-year-old high school student, was referred to a psychiatrist to deal with the stress from being involved in a serious automobile accident, Dylan was riding in the front passenger seat when, as the car was pulling out of a driveway, it was struck by an oncoming SUV that was speeding through a yellow light. The car he was in was hit squarely on the driver’s side, which caused the car to roll over once and come to rest right side up. The collision of metal on metal made an extremely loud noise. The driver of the car, a high school classmate, was knocked unconscious for a short peri ...

1. Case Study Format
There may be 2-3 diagnoses in each case.
No more than 2 pages maximum in addition to title page and
references
Diagnoses = 20 points
Reasoning/evidence = 20 points; APA Format & Writing = 10
points
You want your case to be well organized and well written to be
sure that information you include is easily identified and
followed by your reader. The following can be used as section
headings to help you organize the paper:
· Brief overview of relevant symptoms from case
· Diagnosis 1
· Diagnosis 1 evidence and reasoning
· Diagnosis 2
· Diagnosis 2 evidence and reasoning
Brief overview of relevant symptoms from case
· Dylan, 15-year-old high school student
· Referred to psychiatrist for stress caused by car wreck
· Doesn’t sleep well due to accident
· Awakes in the middle of the night with heart racing, and
visuals of oncoming headlights
· Have trouble concentrating
· Gets anxious when his parents proceed to drive out of the
driveway or cross intersection
· Refuses to practice driving
· Short tempered with his family and friends
· becomes irritated when being asked about his stress
· poor performance in school
Additional symptoms after seeing psychiatrist:
· hated being jumpy around loud noises
· can’t escape the image of his injured and unresponsive friend
· angry at the other driver in the wreck
· feels embarrassed and disappointed for being reluctant to

2. practice driving
· witnessed the near drowning of one his sisters
· during this time, it’s the anniversary of his grandfather’s death
List Diagnosis 1: (ICD & DSM diagnoses)
F 43.0 Acute stress disorder (Acute reaction to stress)
Diagnosis 1 Reasoning/Evidence
· recurrent dreams about the car wreck (awakes in the middle
of the night from dreams about oncoming car head lights)
· irritable behavior; unable to concentrate (Short tempered with
his family and friends; poor performance in school; doesn’t like
to talk to his family about the wreck)
· difficulty falling and staying asleep (wakes up in the middle
of the night)
· distressing memories about the wreck (walked out the movies
because the sound was too loud; can’t escape vision of his
injured and unresponsive friend
List Diagnosis 2: (ICD & DSM diagnoses)
F51.5 Nightmare disorder
Diagnosis 2 Reasoning/Evidence
· heart racing (often awakes in the middle of the night with his
heart racing, visualizing oncoming traffic)
A Car Wreck
Dylan, a 15-year-old high school student, was referred to a
psychiatrist to deal with the stress from being involved in a
serious automobile accident, Dylan was riding in the front
passenger seat when, as the car was pulling out of a driveway, it
was struck by an oncoming SUV that was speeding through a
yellow light. The car he was in was hit squarely on the driver’s
side, which caused the car to roll over once and come to rest
right side up. The collision of metal on metal made an
extremely loud noise. The driver of the car, a high school
classmate, was knocked unconscious for a short period and was

3. bleeding from a gash in his forehead. Upon seeing his injured
friend, Dylan became afraid that his friend might be dead. His
friend in the back seat of the car was frantically trying to
unlatch her seat belt. Dylan’s door was jammed, and Dylan
feared that their car might catch fire while he was stuck in it.
After a few minutes, the driver, Dylan, and the other passenger
were able to exit through the passenger doors and move away
from the car. They realized that the driver of the SUV was
unharmed and had already called the police. An ambulance was
on its way. All three were transported to a local emergency
room, where they were attended to and released to their parents’
care after a few hours.
Dylan had not had a good night’s sleep since the accident.
He often awoke in the middle of the night with his heart raci ng,
visualizing oncoming headlights. He was having trouble
concentrating and was unable to effectively complete his
homework. His parents, who had begun to drive him to and from
school, noticed that he was anxious every time they pulled out
of a driveway or crossed an intersection. Although he had
recently received his driving permit, he refused to practice
driving with his father. He was also unusually short-tempered
with his parents, his younger sisters, and his friends. He had
recently gone to see a movie but had walked out of the theater
before the movie started; he complained that the sound system
was too loud. His concerned parents tried to talk to him about
his stress, but he would irritably cut them off. After doing
poorly on an important exam, however, he accepted the
encouragement of a favorite teacher to go to a psychiatrist.
When seen, Dylan described additional difficulties. He
hated that he was “jumpy” around loud noises, and he could not
shake the image of his injured and unresponsive friend. He had
waves of anger toward the driver of the SUV. He reported
feeling embarrassed and disappointed in himself for being
reluctant to practice driving. He stated that about 5 years
earlier, he had witnessed the near-drowning of one of his

4. younger sisters. Also, he mentioned that this past month was the
first anniversary of his grandfather’s death.