solved

The following patient is usually seen by your partner in practice; but, he is out sick today, so you are seeing “urgent” and new cases that cannot be rescheduled. You have only a moment to glance over the chart before the patient enters the exam room for a new patient visit:
Kathryn. is a 42-year-old, divorced female patient. She provides a long and anxiety-filled account of how she thinks she is getting a vaginal yeast infection, and she believes this will ruin her weekend trip with her boyfriend. She is convinced that there has been fecal contamination of her vagina after a recent bowel movement. She describes in detail how this could happen. Once this complaint is reviewed, she shifts her attention to negotiating a relationship with you (the PMHNP) Her first request is to increase the frequency of her sessions from monthly to weekly. She feels she needs this frequent contact to “stay in control of herself.” She states she discussed this with her previous provider; they had agreed she might benefit from more frequent sessions given some specific goals for treatment. She also wants to improve her ability to maintain relationships in her life. She notes that she had been very promiscuous over the years, but is currently involved with a boyfriend whom she has seen for the past 3 years. She states she has sexual thoughts often and believes that “something bad will happen” if she and her boyfriend don’t have sex on a frequent basis. She also feels that she talks too much and makes relationships difficult to maintain by driving people away with her nonstop chatter.
As Kathryn continues, she tells you that she is also having problems at work with co-workers.” She says people at work laugh at her for washing her hands so much. But she stated , “I can’t help it. I’ve been this way since I was a little girl.” When questioned about telling former doctors about this, the patient states that she has never talked about it with her doctors. She states that everyone that knows her simply knows that is the way she is: ” It’s just me.” In fact, she states, ” I didn’t think my doctors would care… . I’ ve always been this way so it ‘s not something you can change .” As your visit with Kathryn nears an end, it becomes clear that her arguments with her boyfriend often center on his annoyance with her need to constantly repeat things. She states, “This is what I mean by ‘ talking too much .'”
It becomes obvious as Kathryn continues that her anxiety, neediness and poor boundaries a rise over issues of misplacing things, especially items in her purse. She stops talking abruptly and looks at the insurance forms that were incorrectly filled out for the visit. You attempt to help her, but because of her need to repeat the instructions to you over and over, she keeps checking and re-checking the instructions. Unable to get further with Kathryn, you end your initial visit.
What are the differential diagnosis
What are the working diagnosis based on dsm-5

******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."