A 45-year-old man comes to see his

A 45-year-old man comes to see his primary care physician with a chief complaint of fatigue lasting for the past 9 months. The man says he goes to sleep easily enough but then wakes up repeatedly throughout the night. He has had this problem since he was injured on the job 9 months ago. On questioning, he reports low mood, especially regarding not being able to do his job. He states that his alcohol consumption is 6 to 12 beers a dav, as well as several ounces of hard liquor to “take the edge off the pain.” He says that it takes more alcohol than it used to “get me relaxed.” The patient claims he has experienced several blackouts caused by drinking during the past 2 months. He admits that he often has a drink of alcohol first thing in the morning to keep him from feeling shaky. Despite receiving several reprimands at work for tardiness and poor performance, and his wife threatening to leave him, he has been unable to stop drinking. On his mental status examination, the patient is alert and oriented to person, place, and time. He appears rather haggard, but his hygiene is good. His speech is of normal rate and tone, and he is cooperative with the physician. His mood is noted to be depressed, and his affect is con- gruent, although full range. Otherwise, no abnormalities are noted. Use a concept map that addresses each question for the case study of the week. In addition, provide a summary of expected S/S for the diagnosis assessment tool(s) to help diagnose differential diagnosis (i.e., what else could cause similar S/S?) interventions (at least 5) What is the most likely diagnosis for this patient? What are some of the medical complications resulting from this disorder?

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