Department of Arts and Sciences Education

Bachelor of Science in Psychology

University of Mindanao Tagum College
Mabini St., Tagum City

Case Diagnosis

Submitted to:
Louisse Noreen T. Tapiz, RPm, RPsy

Submitted by:
Anne Rossini M. Festin
Jessa Jane N. Fiel

Date:
September 28, 2022
Case Diagnosis
Case 1

I. Demographics

Name: Agoncillo
Age: N/A
Address: N/A
Status: Married
Religion: N/A
Occupation: N/A

II. Case Overview

Mr. Agoncillo has constant worry of being impotent due to the fact of not
having a child despite being married for a long time. He had learned that he has
an impotent relative and considered that he may be impotent as well. Mr.
Agoncillo also has a history of frequent visits with different medical professionals
due to concerns of backache, neck pain, urine irritation, stomach ache, and
premature ejaculation, though all tests resulted negative, Mr. Agoncilio
underwent more testing and met other specialists to ease his anxiety.

III. Presenting Problem

Mr. Agncilio is concerned about his health and whether or not he is

impotent or has any other serious illness. Physical pain is present such as
backache, neck pain, and stomach ache as well as urine irritation and premature
ejaculation.

IV. Diagnosis

The Psychologist in training concluded that the patient has a diagnosis of Illness
Anxiety Disorder 300.7 (F45.21). This diagnosis is based on the criteria that
were fulfilled by the symptoms that the case has presented as shown on the
table below.

Criteria Symptoms for Diagnosis

A. Preoccupation with having or Patient is constantly concerned about

acquiring a serious illness. being impotent as well as other symptoms
such as backache, neck pain, urine
irritation, stomach ache, and premature
ejaculation.
 B. Somatic symptoms are not present
or, if present, are only mild in
intensity. If another medical
condition is present or there is a
high risk for developing a medical
condition, the preoccupation is
clearly excessive or
disproportionate.
Patient is showing somatic symptoms
such as backache, neck pain, stomach
ache, urine irritation and premature
ejaculation.
Patient has a relative that is known to be
impotent; contributing to the patient's
concern of also being impotent.

(The psychologist in training has

insufficient information about the intensity
of somatic symptoms and is yet to look for
further information.)

C. There is a high level of anxiety The patient is so concerned about his

about health, and the individual is health that he immediately seeks medical
easily alarmed about personal help for many of his symptoms which are
health status. found negative.

D. The individual performs excessive The patient’s persistent thoughts about

health-related behaviors, or being impotent makes him drawn about
exhibits maladaptive avoidance. related topics and tries to google
symptoms that are applied to him.

E. Illness preoccupation has been Patient has been visiting health

present for at least 6 months, but professionals for almost an entire year to
the specific illness that is feared check for his symptoms which are only
may change over that period of found negative.
time.

F. The illness-related preoccupation Patient has no manifestations of other

is not better explained by another mental disorders, nor is diagnosed with
mental disorder, such as somatic one.
symptom disorder, panic disorder,
generalized anxiety disorder, body
dysmorphic disorder,
obsessive-compulsive disorder, or
delusional disorder, somatic type.

Specifier: Care-seeking type. Medical care, including physician visits or

undergoing tests and procedures, is frequently used.

● The patient frequently visits a medical professional for almost an entire year to
check for his symptoms which he feared to be manifestations of a serious
medical condition.
Case 2

V. Demographics

Name: Hao
Age: 27
Address: N/A
Status: N/A
Religion: N/A
Occupation: Performer

VI. Case Overview

Mr. Hao is a performer who has been unable to walk for three weeks and
is experiencing headaches and numbness in his legs though no medical
diagnosis or any related physical problem was found; he was completely normal.
His workmates have observed that he is very conscious about his health and has
compulsive hand-washing. He admitted to his manager that he had experienced
anxiety attacks at home and is always anxious about getting a cold before and
after big shows. A physician advised him to see a psychologist because his
symptoms must be caused by stress which he declined. Later on, he claimed that
he got injured after his last full show.

Mr. Hao does not have a history of any mental disorder, substance abuse,
head injury, seizures or any abnormal behavior. His childhood history has no
significant event that could have caused his condition and his developmental
milestones were normal as well.

VII. Presenting Problem

Mr. Hao is unable to walk and feels that his legs are numb. He is
experiencing headaches and is always anxious about his health. He also claimed
to have experienced anxiety attacks. Despite his symptoms, no physical
abnormalities nor any medical illness were found.

VIII. Diagnosis

The Psychologist in training concluded that the patient has a diagnosis of

Factitious Disorder Imposed on Self 300.19 (F68.10). This diagnosis is based
on the criteria that were fulfilled by the symptoms that the case has presented as
shown on the table below.
 Criteria
A. Falsification of physical or
psychological signs or symptoms,
or induction of injury or disease,
associated with identified
deception.
B. The individual presents
himself/herself to others as ill,
impaired, or injured.
C. The deceptive behavior is evident
even in the absence of obvious
external rewards.
D. The behavior is not better
explained by another mental
disorder, such as delusional
disorder or another psychotic
disorder.
Specifier: Recurrent Episodes
● Mr. Hao has been in a wheelchair for almost 3 weeks and a 2-months leave, it
shows that it kept on happening already. Yet, there are no signs of physical
condition according to the physician.
Symptomsymptoms for Diagnosis
During the patient's medical appointment,
the physician found no signs of any
physical illness and that everything was
normal.
The patient convey others his symptoms:
● Telling his manager he is
experiencing anxiety attacks at
home and is always anxious about
getting a cold before and after big
shows.
● Posting on his page that he got
injured during his last full show.
And telling the public that he
cannot walk and is experiencing
severe symptoms despite not
being clinically diagnosed.
Due to the symptoms presented and
inability to perform, he was given a
two-month sick leave and a salary bonus.
Patient do not have history of any medical
conditions or psychological abnormalities,
nor is diagnosed to one.