Case Study Mr. Williams

Mr. Williams is a 42 year old male who presented to the the ED with severe anxiety. He denies feelings of depression, however reports frequent crying spells over the course of the past few weeks. At the time of the assessment Mr. Williams is calm and cooperative. Mr. Williams reports tonight while at work he became tearful, felt like his face was heating up, and "butterflies in his stomach." He expressed the noise from the machine had some effect on his mood. Mr. Williams reports over the past few months he has been experiencing increase anxiety and does not know why. He states, "My life is going well from what I have been through in my past." Mr. Williams reports working and spending time with his family as his the most important things to him.
Mr. Williams reports going to counseling after the experiences, however discontinued outpatient services a year later. Mr. Williams reports loss of is father in 1985 on December 25 and Sister in 2006 around the same time. He expressed these losses as difficult for him. Mr. Williams states,"I have no friends anymore, I spend all my time with my family and out of my family, dead or live, I'm the most emotional one." He becomes tearful while explaining his relationships among his family member. He denies suicidal ideation, homicidal ideation, and symptoms of psychosis. Mr. Williams denies any mental health history or hospitalization for the same. He states, "Life is great." During the assessment Mr. Williams does appear guarded about reporting in detail history of drug use and stressors that may be contributing due to poor health. He reports standing up at work for 5 days a week for 12 hours and having continuous pain in both his knee. He reports no prescribed