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As Will approaches the witness stand, he stops and clutches his throat. He has to leave the courtroom because he is unable to speak. If he has no other symptoms, his condition might be diagnosed as ___

a. functional neurological symptom disorder (conversion disorder)
b. factitious disorder
c. panic disorder
d. agoraphobia

1 Answer

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Final answer:

Will's sudden inability to speak could be diagnosed as functional neurological symptom disorder, also known as conversion disorder, especially in the absence of other physical symptoms that might be detected through a neurological exam.

Step-by-step explanation:

The condition that Will is experiencing as he approaches the witness stand and suddenly becomes unable to speak might be diagnosed as functional neurological symptom disorder, also known as conversion disorder. This is because he presents a sudden loss of function—specifically speech—without any other apparent symptoms, which could be indicative of a psychological rather than a physical cause.

By analyzing the provided references and understanding the nature of neurological exams, one can infer that a physical cause like a stroke or a tangible neurological impairment would likely present additional symptoms beyond the sudden loss of speech. The subtests within a mental status exam would further clarify such conditions, showing that Will's isolated symptom does not fit the profile of a neurological disease that could logically explain his sudden muteness.

Given the lack of any other reported symptoms, conditions like panic disorder or agoraphobia are less likely, as they often present with a broader range of symptoms, including intense fear, physical symptoms of anxiety, or an avoidance of certain spaces. Similarly, factitious disorder, where symptoms are intentionally produced, is also an unlikely diagnosis without additional evidence showing deliberate symptom production.

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