I jave a diagnosis Differential due on Thursday. Pretty confident I have the answer here...here is the client and my diagnosis. How does it look?
Erica is a 27 year old woman who has panic attacks that are triggered when she is in various locations that provoke memories of very painful experiences of abuse that occurred when she was a child. What diagnosis(es), if any, should Erica receive?
Erica, because she has panic attacks when in various locations could definitely have an Anxiety Disorder. Panic attacks are a sign of an Anxiety Disorder.
Specifically, since her panic attacks bring back painful memories of being abused when she was a child could determine that Erica has PTSD or Posttramatic Stress Disorder. She was exposed to abuse and when she is these certain locations her body remembers what happens and puts her into a hyperawarness mode that the same thing might occur here again. She also recalled certain painful memories and has increased arsoual in these locations because she is able to recall these memories which singals a Panic attack which can point to PTSD.
Erica could also have a Specifc Phobia of the locations where the traumatic events occured. Certainaly she attemtps to avoid these locations, but when she does not her body reacts with a panic attack in those ceratin locations. The panic attacks that occur only occur when she is in the various locations of where she was abused as a child.