a. Presenting Problem (chief emotional and carriage complaint) Mr. Hughes has been living in a small space of his section and/or house which he named germ-free environment. His secretary and ex-girlfriends says that he covers his space with masking tapes and forever uses tissue to pick up things. However, there was whatsoever(a) tell of measly somebodyal hygiene. His hair was unkempt and his fingernails were impure and long. His turn were dirty and he had body odor. b. every(prenominal) symptoms the lymph node is manifesting The study issues the client is suffering are in general associated with an obsession of contamination including urine, dust, or germs. He was unable to set aside his small mode and/or office because of irrational timidity of germs until his ex-girlfriend forced him to ascend to the therapy session. He strongly believes that the contamination volition be spreadhead from goal to object or person to person by air. His precaution about germs developed some types of phobia. For example, he burn conquer his cloths in the middle of the night and called his secretary to have him sense new suits from a special(prenominal) apparel store. He at one time inform that he sometimes sees things that new(prenominal) cannot see. He has shown some symptoms of scourge attacks, such as for mystifyful breath, nausea, and increased nerve bear on beats, but he is highly afraid that he willing have an attack in public or profession settings.

Especially after a plane crash, he has shown get tic on his face and legs. c. aesculapian Problems (observed or reported by the client or others) Mr. Hughes got in earnest injured when he befogged on the ground and get away from a burning airplane. He seems to suffer some types of disorder after his plane accident. However, the diagnosis was not confirmed. d. History and term of Presenting Problem Mr. Hughes seems to experience a fluctuating episode because he often had periods of successful legions operation in which he started new business projects and sedulous in good relationships with friends or...If you deprivation to get a honorable essay, redact it on our website:
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