Differential Diagnosis for Logan
- Single Most Likely Diagnosis
- Separation Anxiety Disorder: Logan's long-standing anxiety about losing his parents, intense separation difficulties in kindergarten, and frantic behavior when his parents are late or try to leave without him are all consistent with separation anxiety disorder. His anxiety about his parents' safety, particularly his mother's, and his excessive need for reassurance also support this diagnosis.
- Other Likely Diagnoses
- Panic Disorder: Logan's history of panic attacks, which began after being bullied in third grade and have recurred in the past month, suggests panic disorder. His physical symptoms, such as dizziness, sweats, and shortness of breath, are also consistent with panic attacks.
- Generalized Anxiety Disorder: Logan's persistent and excessive worries about various things, including his parents' safety, his own health, and being alone, are characteristic of generalized anxiety disorder. His tendency to negatively interpret the intentions of others and his sensitivity to perceived slights also support this diagnosis.
- Illness Anxiety Disorder: Logan's recent fears about having a hidden disease and his preoccupation with bodily sensations, such as headaches and stomachaches, are consistent with illness anxiety disorder. His excessive worry about being sick and alone also supports this diagnosis.
- Do Not Miss Diagnoses
- Major Depressive Disorder: Although Logan denies suicidality and hopelessness, his desperation to get over his problems and his crying when discussing his fears suggest that he may be at risk for depression. It is essential to monitor his mood and suicidal ideation.
- Post-Traumatic Stress Disorder (PTSD): Logan's history of being bullied in third grade could be a traumatic event that contributes to his anxiety symptoms. Although he does not exhibit classic PTSD symptoms, such as flashbacks or avoidance of trauma reminders, it is crucial to consider this diagnosis.
- Rare Diagnoses
- Obsessive-Compulsive Disorder (OCD): Although Logan's symptoms do not clearly meet the criteria for OCD, his excessive worries and preoccupations with specific themes, such as his parents' safety and his own health, could be indicative of OCD. Further evaluation would be necessary to determine if he meets the full criteria for this diagnosis.
- Somatization Disorder: Logan's multiple physical complaints, such as headaches and stomachaches, could be indicative of somatization disorder. However, his symptoms are more likely related to his anxiety disorders, and somatization disorder is a less likely diagnosis.