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Patient presents with a deathly fear of presenting a case at grand rounds because the surgeons will laugh at her.

Diagnosis and treatment?

1 Answer

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Final answer:

The patient's fear of presenting at grand rounds suggests social anxiety disorder, commonly treated with cognitive-behavioral therapy and possibly medication. Further evaluation by a professional is required for a tailored treatment plan.

Step-by-step explanation:

The patient's intense fear of presenting a case at grand rounds due to anticipated ridicule by surgeons can be indicative of social anxiety disorder, particularly performance anxiety. While the provided vignettes do not offer comprehensive information to definitively diagnose the patient, the symptoms presented are consistent with this condition.

Treatment for social anxiety disorder typically involves cognitive-behavioral therapy (CBT), which can help modify the patient's thought patterns and behaviors leading to anxiety. In some cases, medication such as selective serotonin reuptake inhibitors (SSRIs) can also be prescribed to manage symptoms. Desensitization through exposure therapy, where the patient is gradually exposed to the feared situation in a controlled manner, can also be effective.

It's important to remember that probable diagnoses such as this require further evaluation by a mental health professional, as well as a comprehensive treatment plan tailored to the individual's specific needs.

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